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NURS 4500 WEEK 5 LABOUR AND BIRTH PT.1 QUESTIONS AND CORRECT ANSWERS

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NURS 4500 WEEK 5 LABOUR AND BIRTH PT.1 QUESTIONS AND CORRECT ANSWERS

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2nd Stage Labour: when is pudendal block required?


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- pain relief for assisted birth or extensive repair of laceration postpartum
- use the need guide (iowa trumpet) and luer-lok syringe to inject med




5th P: Position of the Birther


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, - frequent changes in position relieve fatigue, increase comfort and
improve circulation
- aid in pain management
- progress labour
- enhances uteroplacental perfusion




Birth and Labour: 1st Stage


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= start of true labour -> complete effacement and dilation
- includes latent/ early and active phase
- longest stage




Pain During the 2nd Stage of Labour


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- pain is d/t stretching + distension of perineal tissue and the pelvic floor as
the baby passes through birth canal
- also soft tissue laceration + pressure exerted on bladder, bowel and other
pelvic structures




Signs of Preceding labour?


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, - lightening
- return of urinary frequency
- backache
- stronger braxton hicks
- weight loss of 0.5-1.5kg
- surge of energy (nesting)
- flulike symptoms
- blood show (increase vaginal discharge)
- cervical ripening
- possible ROM




What shape of the pelvis is optimal for delivery?


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Gynecoid




Gestational Time: Term


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=37 weeks -> 40 weeks 6 days




Side Effects of Morphine and Fentanyl


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N+V, dizziness, drowsiness, pruritus, resp depression

, Epidural Care


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1. Positioning
2. Dermatome Levels
- use ice
- T10-T15 usually sufficient for vaginal birth
-T12-T10 usually sufficient labour pain
3. motor function




Terminology PPROM


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Preterm premature rupture of membranes... rupture before 37 weeks




ROM Assessment


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- completed to determine timing of rupture as infection risk increases if
rupture has occurred >48hrs prior to delivery




2nd Stage Labour: When is Nitrous Oxide required?


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