Care During Labor

Question 1

What is false labor

Answer 1

Contractions are irregular, stop w walking or standing, back or upper abdomen

Question 2

What is Leopold Maneuvers

Answer 2

Diagnosing the fetal presentation by external palpation

Question 3

Fundal grip

Answer 3

Determine the fetal part that is lying on the fundus
Determine presentation: vertex, transverse, breech

Question 4

Umbilical grip

Answer 4

determine the fetal’s back
Determine fetal’s position

Question 5

Pawlik grip

Answer 5

determine the engagement of presenting part

Question 6

Pelvic grip

Answer 6

Determine the degree of flexion of the head

Question 7

Where is the FHR usually hear the loudest?

Answer 7

The fetal’s back

Question 8

Breech presentation

Answer 8

The butt (sacrum)

Question 9

Cephalic Presentation

Answer 9

The head (occiput)

Question 10

Shoulder Presentation

Answer 10

The scapula

Question 11

5 essential factors of labor

Answer 11

Passenger
Passageway
Position of Mother
Powers
Physiological Adaption and Psychological Response of the Mother

Question 12

Gynecoid

Answer 12

most common and best way to come out

Question 13

Android

Answer 13

resembles the male pelvis

Question 14

Anthropoid

Answer 14

Resembles the ape pelvis

Question 15

Platypelloid

Answer 15

flat pelvis

Question 16

Lower uterine segment during labor

Answer 16

distends to accomdate intrauterine contents

Question 17

Cervix during labor

Answer 17

thins and opens to allow descent into to the vagina

Question 18

Pelvic floor muscles

Answer 18

help rotate the fetus as it passes through the birth canal

Question 19

Vagina and introitus

Answer 19

dilate to accomdate the fetus and permit passage to the external world

Question 20

Effacement

Answer 20

Shortening and thinning of the cervix

Question 21

Cardinal Movements of Labor

Answer 21

Engagement-> Descent, flexion -> internal rotation -> Extension -> External rotation restitution -> Expulsion (anterior then positier shoulder)

Question 22

What are some complications during labor?

Answer 22

Meconiem stained fluid
Foul-smelling vaginal discharge
Persistent bright/dark red vaginal bleeding
Non-reassuring FHR
<30 secs of relaxation between ctxs
>5 ctxs in 10 mins
Ctxs >= 90 secs
>= 90 mm Hg intrauterine pressure / >= 20 mm Hg resting tone

Question 23

Tachysystole w/ Oxytocin can lead to

Answer 23

Fetal hypoxemia or acidemia

Question 24

Risk factors of Prolapsed Cord

Answer 24

Presenting part not well engaged
Very small fetus
Abnormal presentation
Hydraminos

Question 25

What position should the mother be in when there is a sign of prolapsed cord

Answer 25

Place client in knee-chest position if no epidural

Question 26

Nursing Interventions for Prolapsed Cord

Answer 26

Administer O2 in case variability v
Prepare for C-section

Question 27

When can a woman is allow to get elective induction of labor

Answer 27

39 weeks of gestation

Question 28

Vertex Fetal Attitude

Answer 28

Suboccipitobregmatic 9.5 cm flexion

Question 29

Military

Answer 29

Occiptofrontal (12.5cm)

Question 30

Brow Fetal Attitude

Answer 30

Occipitomental 13.5 cm

Question 31

Face Attitude

Answer 31

Submentobregmatic 9.5 extended

Question 32

VBAC

Answer 32

Vaginal birth after cesarean

Question 33

TOLAC

Answer 33

Trial of Labor after Cesarean

Question 34

Powers; Primary Power

Answer 34

involuntary uterine contractions

Question 35

Powers’ Secondary Power

Answer 35

voluntary pushing – abdominal muscles