BIRTH AND LABOR

Question 1

Birthing process components

Answer 1

• powers: force cervix open so fetus can propel down
• passage: Mom’s bony pelvis/soft tissues
• passengers: fetus, placenta, amniotic membranes, amniotic fluid
• psyche: Woman’s entire being

Question 3

What nursing assessments should be done during labor?

Answer 3

fetal condition, maternal condition, impending birth

Question 4

Contraction Relaxation Phase

Answer 4

• occurs during interval phase
• relaxation should be longer than 60 seconds

Question 5

Contractions: Fetal Compromise

Answer 5

• contractions less than 2 minutes apart could indicate reduced fetal O2 supply, as can contraction durations longer than 90 seconds & intervals shorter than 60 seconds

Question 6

Why is a vaginal examination performed during labor?

Answer 6

to assess cervical opening, once cervix dilates at 10 cm, Mom can begin to push

Question 7

Fetal Positions

Answer 7

• occiput: how head is oriented when fetus is in a cephalic vertex presentation
• sacrum: breech presentation, Shoulder/ back are reference points if fetus is in shoulder presentation

Question 8

Meconium in amniotic fluid

Answer 8

• green-stained; indicates Baby passed 1 stool prior to delivery, can compromise fetal respiration

Question 9

sacral promontory

Answer 9

• the inwardly projecting anterior part of the body of the first sacral vertebra.

Question 10

ischial spines

Answer 10

• holes in pelvis that help determine the presenting body part (usually head) in the pelvisx…- stations are above ischial spines…+ stations below ischial spines

Question 11

Nurse teachings for labor PTs

Answer 11

• try repositioning for 2-3 contractions, don’t push until about 10 cms, short fast respirations, when it’s time to push (stage 2) have Mom push 4-6 sconds at a time