[14] MIDTERMS | INTRAPARTUM PART 2 (SIGNS, RESPONSES, & DANGER SIGNS) Flashcards
SIGNS OF LABOR
PRELIMINARY/PREMONITORY SIGNS OF LABOR
1. ____
2. ____
3. ____
4. ____
5. ____
6. ____
7. ____
PRELIMINARY/PREMONITORY SIGNS OF LABOR
1. Lightening
2. Braxton Hicks Contractions
3. Cervical Ripening
4. Bloody Show
5. Rupture of Membranes
6. Sudden Burst of Energy
7. Other Signs
SIGNS OF LABOR
- descent of the fetal presenting part into the pelvis
- uterus becomes lower and more anterior
- occurs early in primiparas
- occurs on the day of labor or even after labor has begun in multiparas
LIGHTENING
SIGNS OF LABOR
LIGHTENING
the mother may experience the following:
* ____
* increased ____
* increased ____
* increased ____
* increased ____
LIGHTENING
the mother may experience the following:
* shooting leg pains
* increased vaginal secretions
* increased urinary frequency
* increased pelvic pressure
* increased venous stasis
SIGNS OF LABOR
- irregular, intermittent contractions
- felt in the abdomen or inguinal region and patients may mistake them for true labor
BRAXTON HICK’S CONTRACTION
SIGNS OF LABOR
- internal sign which can be determined only on pelvic examination
- throughout pregnancy, the cervix feels softer than normal (Goodell’s sign). At term, the cervix becomes still softer (described as “butter soft”), and it tips forward.
CERVICAL RIPENING
SIGNS OF LABOR
- involve uterine and cervical changes
- surest sign that labor has begun is progressive uterine contractions
TRUE LABOR
SIGNS OF LABOR
RUPTURE OF MEMBRANES
Yellow-green tinged amniotic fluid may indicate the following:
* signals the need for further assessment and ____
* if engagement has not occurred leads to ____
* open pathway into the uterus increases ____
RUPTURE OF MEMBRANES
Yellow-green tinged amniotic fluid may indicate the following:
* signals the need for further assessment and fetal heart rate monitoring
* if engagement has not occurred leads to danger of prolapsed cord
* open pathway into the uterus increases risk of infection
SIGNS OF LABOR
OTHER SIGNS
* weight loss of ____
* ____
* ____
* ____
OTHER SIGNS
* weight loss of 1 to 3 lbs.
* diarrhea
* nausea
* vomiting
SIGNS OF LABOR
- approximately 24 – 48 hours before labor
- increase in activity = increase in epinephrine release
- prepares a woman’s body for the work of labor ahead
SUDDEN BURST OF ENERGY
SIGNS OF LABOR
- the amniotic membranes rupture once labor is well established, either spontaneously or amniotomy
RUPTURE OF MEMBRANES
COMPARISON OF TRUE AND FALSE LABOR
TRUE LABOR
* Contractions increase in ____
FALSE LABOR
* ____
TRUE LABOR
* Contractions increase in frequency, duration and intensity
FALSE LABOR
* Usually no change
COMPARISON OF TRUE AND FALSE LABOR
TRUE LABOR
* Contractions are at ____
FALSE LABOR
* Contractions are ____
TRUE LABOR
* Contractions are at regular intervals
FALSE LABOR
* Contractions are irregular
COMPARISON OF TRUE AND FALSE LABOR
TRUE LABOR
* Intensity usually increases with ____ ( ____ usually increases labor pains)
FALSE LABOR
* Change of activity has ____ on contractions ( ____ may lessen the pain)
TRUE LABOR
* Intensity usually increases with change in activity (walking usually increases labor pains)
FALSE LABOR
* Change of activity has no effect on contractions (walking may lessen the pain)
SIGNS OF LABOR
- pink-tinged secretions signaling that labor will begin within 24 - 48 hrs
- with softening and effacement of the cervix, the mucous plug is often expelled, resulting in a small
amount of blood loss from the exposed cervical capillaries
BLOODY SHOW
SIGNS OF LABOR
RUPTURE OF MEMBRANES
If the membranes rupture at home, note the following:
* ____, ____, and ____ of the amniotic fluid
* contains ____ and ____
* fluid should be ____ and ____
* ____ tinged amniotic fluid = infection or fetal passage of meconium
RUPTURE OF MEMBRANES
If the membranes rupture at home, note the following:
* color, amount, and odor of the amniotic fluid
* contains white specks (vernix caseosa) and lanugo
* fluid should be clear and odorless
* yellow-green tinged amniotic fluid = infection or fetal passage of meconium
MATERNAL RESPONSES
FLUID BALANCE
* increase in rate and depth of respirations and diaphoresis leads to increase in ____
FLUID BALANCE
* increase in rate and depth of respirations and diaphoresis leads to increase in insensible water loss
COMPARISON OF TRUE AND FALSE LABOR
TRUE LABOR
* Intervals between contractions gradually ____
FALSE LABOR
* ____
TRUE LABOR
* Intervals between contractions gradually shorten
FALSE LABOR
* Usually no change