1
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- Induction of labor
- Definition
- Labor Readiness
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2
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- Chemical
- Oxytocin infusion
- Prostaglandin E2
- Misoprostol
- Mechanical
- Nursing management
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3
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- Augmentation – Oxytocin (Pitocin)
- Episiotomy
- Forceps –assisted birth
- Vacuum-assisted birth
- Cesarean birth
- TOLAC (Trial of labor after c-section)
- VBAC (Vaginal birth after cesarean)
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4
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5
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6
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7
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8
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- Considerations
- Cultural influences
- Anxiety and Fear
- Preparation
- Alternative methods
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9
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- Narcotic analgesic
- Opiate antagonist:
- IM or IV: peaks 30-60 min, duration 3-4 hrs
- SE: maternal/fetal: resp depression; urinary retention; contraindicated
for known/suspected opiate dependency
- Antagonist: for respiratory depression r/t fentanyl, morphine,
meperidine, butorphanol (Stadol) and nalbuphine (Nubain)
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10
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- Definition
- Agents/types
- Epidural
- Continurous Epidural infusion
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11
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12
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- Epidural Narcotic after birth
- Spinal Block
- Pudendal Block
- Local infiltration
- Pudendal block
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13
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- Definition
- Complications
- Nursing management
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14
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15
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- At about 38 weeks gestation a
client experiences lightening. Lightening refers to the:
- A. First feeling of fetal movement
- B. First perceptions of labor contractions
- C. Settling of the fetal head into the pelvis
- D. Frequency of urination in the 3rd trimester
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16
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- When assigning points on the Apgar score a HR of 130 BPM should receive
a score of:
- A. O
- B. 1
- C. 2
- D. 3
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17
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- Immediately after observing
late Dcels, the L&D nurse should first:
- A. Initiate oxytocin augmentation of labor
- B. Perform a quick vaginal exam to assess the situation
- C. Turn the client on her left side and administer O2
- D. Have the client assume a
position of comfort after sedating her
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18
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- A client delivers a 7 lb 7oz boy by vaginal
- delivery. One hour after delivery the
- client’s vital signs are T 100.3°F, P 78, R 18.
- Her nurse is aware that the elevation in
- temperature is likely caused by:
- A. Vaginitis
- B. Nosocomial infection
- C. A urinary tract infection
- D. Exhaustion and dehydration
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