10 Labour and Delivery

Question 1

Labour is defined as

Answer 1

Uterine contractions strong enough to change CX
Progressive effacement and dilation of CX
Loss of the mucus plug
Blood show
Rupture of membranes

Question 2

There are __ stages of labour

Answer 2

3

Question 3

First stage of labour is

Answer 3

cervical effacement and dilation
decent of fetus into the maternal pelvic
Regular contractions
Duration varies 12-34 hours
Normal progression of cervical dilation is 1cm/hour

Question 4

2nd stage of labour is

Answer 4

Cervix fully dilated.
Delivery stage, pushing
average pushing 50 min primagravida
20 min multiparous

Question 5

3rd stage of labour is

Answer 5

Delivery of the placenta
10 min
oxytocin is released

Question 6

Fetus is usually in the ___presentation for labour

Answer 6

vertex

Question 7

4% are in the

Answer 7

breech presentation

Question 8

DYSTOCIA MEANS?

Answer 8

difficult birth aka dysfunctional labour

Question 9

Dysfunctional labour is?

Answer 9

the failure to progress, cx not changing with contractions

administer oxytocin thru IV

Question 10

Other Complications include?

Answer 10

Maternal pelvis too small
Mass obstructing the way
Abnormal presentation or position
Heavy bleeding

Question 11

Heavy bleeding is associated with?

Answer 11

placenta previa
Abruption
PROM

Question 12

Reasons for Induction of labour

Answer 12

Mild abruption (tearing of placenta)
IUGR
Post Dates - 10 days after 40 weeks
Amnionitis 
PROM
Maternal disease-pre-eclampsia
Fetal death 
Hx of quick delivery but far from hospital

Question 13

What is. meconium?

Answer 13

black tarry poop, 1st bowel movement

Question 14

If meconium occurs in utero what is baby at risk of ?

Answer 14

LUNG INFECTION IF ASPIRATION OF the meconium occurs

Question 15

C section performed when?

Answer 15

Footling of incomplete breech 
Prolong membrane rupture and no UT contractions or labour has begun
fetal distress (#1) - mostly heart
Dysfunctional labour
small maternal pelvis
Social 
> 4 kg/ 8.8 lbs

Question 16

Diagnostic Tests

Answer 16

L/S ratio - 2:1 = lungs mature
Non stress Test
Fetal scalp blood gas

Question 17

Non stress for fetal monitor. It is called the ___ test if there is contractions

Answer 17

stress

Question 18

Are sonographers usually invited in?

Answer 18

No labour and delivery have their own machines