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NUR 332 > Birth Process > Flashcards

Birth Process Flashcards

1
Q

Powers

A

primary – Uterine contractions
Secondary – Maternal pushing efforts, voluntary, bearing down

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2
Q

passage

A

Maternal pelvis and soft tissues
Dilation and effacement

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3
Q

passenger

A

Fetus and membranes and placenta

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4
Q

psyche

A

Maladaptive inability to cope
Adaptive augments natural birth

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5
Q

Ferguson reflex

A

Woman feels urge to bear down
Cervix fully dilated and fetal head is fully engaged
Surge of oxytocin

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6
Q

Gynecoid pelvis

A

most common and favorable
Round, blunt ischial spines

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7
Q

Android pelvis

A

Male pelvis
Shaped like a heart
Difficult vaginal delivery
Risk for a C-section

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8
Q

Anthropoid pelvis

A

oral shaped
occiput posterior position

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9
Q

platypelloid pelvis

A

least common
Wide and flat

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10
Q

Fetal lie

A

Relationship of long axis of body to the long axis of mother

longitudinal/parallel – vertical, breach
Transverse – risk of distress

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11
Q

fetal attitude

A

Fetal body parts in relation to one another

normal-rounded back, chin to chest, arms crossed

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12
Q

fetal presentation

A

Cephalic
Shoulder
Breach

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13
Q

fetal head

A

1 Frontal bone
2 parietal bones
2 temporal bones
1 occipital bone

4 sutures

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14
Q

when does the anterior fontanelle close?

A

18 months

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15
Q

when does the posterior fontanelle close?

A

6 to 8 weeks

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16
Q

Fetal station

A

above ischial spines (-)
Below ischial spines (+)

17
Q

Engagement

A

When presenting part reaches zero station

18
Q

ballotable

A

Floating, not engaged

19
Q

fetal position

A

R/L maternal pelvis
occiput, mentum, sacrum, acromion process
Anterior, posterior, transverse

20
Q

what landmark should be used as a reference for position?

A

Back of the head

21
Q

premonitory signs of impending labor

A

Lightening
Braxton Hicks
Cervical changes
Bloody show
ROM
Sudden burst of energy, nesting
Weight loss
G.I. upset

22
Q

what is the main difference between true and false labor?

A

Dilation/effacement is progressive in true labor

23
Q

first Latent Stage of labor.

A

longest
cervical dilation 0–3 cm
Contractions every 10–30 minutes , lasting 30 seconds, mild to moderate

nullipara – 8.6 hour
Multi para – 5.3 hour

24
Q

First active stage of labor

A

dilation 4–7 cm
Contractions every 2–5 minutes, lasting 40–60/ seconds, moderate to strong

Nulli para - 4.6 hour.
Multi para – 2.4 hour.

25
Q

first transition stage of labor

A

Dilation 8–10 cm
Contractions every 1.5–2 minutes, lasting 60–90/ seconds, strong.

nullipara– 3 hour
Multi para less than one hour

Be in room often, try not to push !

26
Q

length of first stage of labor

A

Begins onset of true labor and ends when cervix is fully dilated

27
Q

Second stage of labor

A

Pushing stage
Begins with complete dilation/effacement and ends with birth of baby

nullipara- up to 3 hours
Multi para - average 15 minutes

28
Q

Mechanisms of labor

A

engagement
Descent
Flexion -Head/chin to chest
Internal rotation - occiput transverse to anterior
extension- Head/chin delivers
External rotation-Head position
Expulsion – birth

29
Q

Kangaroo care functions

A

regulate temperature and HR
Bonding skin to skin
Increases oxytocin
Stimulates breasts

30
Q

third stage of labor

A

After baby delivered until complete delivery of the placenta

Less than 30 minutes optimal

Pitocin IV. Bolus once placenta delivered.

31
Q

signs of placental separation

A

Globular rise in abdomen
Gosh of blood
Increased protrusion of umbilical cord

32
Q

dirty Duncan

A

Maternal side of placenta

33
Q

shiny shultz

A

fetus and fetal membranes side

34
Q

fourth stage of delivery

A

Delivery of placenta up to four hours after birth

thirsty/hungry
Shaking 1-2hours – CNS response
Bladder – hypotonic
Contracted uterus

35
Q

normal amount of blood loss from vaginal delivery

A

250–500 ML

36
Q

normal blood loss for a C-section

A

Less than 1000 ML

NUR 332 (14 decks)

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