Exam (elaborations)
N306 Week 6 Ch.10-11
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N306 Week 6 Ch.10-11
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N306 Week 6 Ch.10-11Dystocia can be defined as:
-ab. or dif. bir. - ANS-Abnormal or difficult birth
Dystocia is related to 3 of the 5 Ps which are: - ANS--Power (power of labor)
-Passenger
-Passage
What are some risk factors for dystocia? (5)
-Con. ute. abno.
-malpre. of the fet.
-cephalop. disp.
-tach. of the ute. wit. oxy.
-admin. of analg. or anest. ear. in lab. - ANS--congenital uterine abnormalities
-malpresentation of the fetus (occiput post. or face presentation)
-cephalopelvic disproportion
-tachysystole of the uterus with oxytocin
-administration of analgesia or anesthesia early in labor
Uterine dystocia indicates what?
Characterized as either _____ or ______ uterine dysfunction.
-wea. or unco. U__s in lab. - ANS-weak or uncoordinated UCs in labor
hypertonic or hypotonic
hypertonic uterine dysfunction is known as un____________________ uterine activity. -
ANS-uncoordinated uterine activity
, In hypertonic uterine dysfunction contractions are fr____________ and pa_________
but ineffective in promoting dilation and effacement. - ANS-frequent
painful
Who is more at risk for hypertonic uterine dysfunction? - ANS-nulliparous women
What are two nursing actions that we can do for pts with hypertonic?
What medication can we give per order to decrease labor contractions and allow the
uterus to rest? - ANS-hydration
rest
morphine
hypotonic uterine dysfunction occurs when the pressure of the UC is in_________
(IUPC measurement less than 25 mmHg) to promote ___________ di________ and
ef___________. - ANS-insufficient
to promote cervical dilation and effacement
What type of women are at risk for having more problems in the active phase due to
hypotonic? - ANS-multiparous women
Assessment findings of hypotonic include decreased fre______, st_________, and
du_________, of UCs. And little or no ce__________ ch___________ in active labor. -
ANS-frequency
strength
duration
cervical change
How can hypotonic be medically managed?
-Augment labor with what medication?
-Perform am_________.
-Perform what procedure when other interventions have failed or when there are signs
of fetal intolerance of labor? - ANS-oxytocin
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