Ch 15, 16, 23, 24

Question 1

Primary vs secondary power

Answer 1

1: involuntary uterine contractions signal beginning of labor
2: once cervix has fully dilated, mom starts bearing down

Question 2

3 things to assess during power of labor

Answer 2

Pattern
Tone
Dilation of cervix

Question 3

3 signs of true labor

Answer 3

Uterine and cervix dilations bloody show

Question 4

4 pelvic shapes

Answer 4

Gynecoid - normal woman
Android - male pelvis
Anthropoid - ape like (Long transverse diameter)
Platypelloid - flat

Question 5

What will happen if the pelvic shape is anthropoid

Answer 5

Baby will be mail positioned

Question 6

Diff pelvic cavity

Answer 6

Inlet - widest sided to side
Cavity
Outlet - widest front to back

Question 7

Four parts to passenger

Answer 7

Head
Attitude
Lie
Presentation

Question 8

What is fetal lie

Answer 8

Relationship between long axis of fetus and mom

Transverse vs longitudinal (fetus head first to moms cervix) – what we want

Question 9

Fetal attitude

Answer 9

Degree of flexion

Question 10

Fetal presentation types

Answer 10

Cephalic
Breech - butt and feet first (bad)
Shoulder - least common, they’re mostly c sections

Question 11

Station

Answer 11

Position of presenting part in relation to ischial maternal spines
Above is negative
Below is positive

Question 12

What is released that inhibits uterine contractions with anxiety

Answer 12

Catecholamines

Question 13

What are the cardinal movements

Answer 13

Engaged
Descent 
Flexion
Internal Rotation 
Extension
External Rotation
Expulsion

Question 14

Leopolds maneuver

Answer 14

What’s in the fundus
Where is the back
Is fetal head in the pelvic inlet
Is fetal head well flexed

Question 15

First stage of labor

Answer 15

3 phases

Question 16

Second stage

Answer 16

Expulsion

• mom is control of pushing
• crowning occurs, contractions need to be slowed and controlled

Question 17

Third stage

Answer 17

Expulsion of baby and delivery of placenta

Gush of blood and cord moves Andre becomes longer

Question 18

Fourth stage

Answer 18

1-4 hours recovery
Oxy 5-10 units given
Check fundus vitals etc

Question 19

Branching of the cord vessels

Answer 19

Velmentous insertion

Dangerous for fetus

Question 20

Side insertion of cord

Answer 20

Battledore

Not dangerous

Question 21

Extra lobe

Answer 21

Succenturiate

Risks of PPH

Question 22

Intrapartum labor and delivery order

Answer 22

Power
Passageway
Passenger
Psyche