Childbirth Flashcards
Dilatation follows effacement in the primipara. Full dilation is a usual distance of:
8 to 10 cm
A post partum haemorrhage is any blood loss exceeding
500 millilitre
The thinning of the cervix during labour is called:
Effacement
The Moro reflex response is marked by:
Abduction and then adduction arms
You record a newborn’s Apgar score at birth. A good 1-minute Apgar score is:
7 to 10
When examining the umbilical cord immediately after birth the nurse should expect to observe:
Whitish grey colouration
Which reflex shows the baby’s reaction to sudden movement by drawing up the legs, extending the arms, and then folding the arms across the chest?
Moro
The skin of a newborn infant may be covered with a yellowish cheese like substance called:
Vernex caseosa
The newborn would respond most effectively to feeding in which state:
Active alert
During the transition from foetal to neonatal circulation, the newborn cardiovascular system accomplishes which of the following anatomic and physiologic alterations
- Closure of the ductus venosus
- Closure of the foramen ovale
- Closure of the ductus arteriosis
- Increased systemic pressure and decreased pulmonary artery pressure
1,2,3 and 4
At birth the major cause of heat loss is by:
Evaporation
The nurse is performing a 5 minute apgar on a newborn. Which of the following observations is included in the apgar score:
Muscle tone
Vitamin K is given to the newborn to:
Enhance the ability of the blood to clot
The primary nursing focus of the fourth stage of labour would be to:
Prevent haemorrhage and shock
The most important factor in preventing post partum haemorrhage from the placental site is:
Complete separation of the placenta and membranes
Retraction of uterine muscles during the first stage of labour causes:
Lengthening of the muscle fibres
A woman diagnosed with marginal placenta praevia gave birth vaginally 15 minutes ago. She is at greatest risk for:
Haemorrhage
Which of the following neonates will most likely need additional respiratory support at birth:
The infant born by caesarean birth
The foetal presenting part is described as vertex when the:
Flexed head enters pelvis first
Two hours after vaginally delivering a viable male neonate under epidural anaesthesia, the client with a midline episiotomy ambulates to the bathroom to void. After voiding, the nurse assesses the client’s bladder, finding it distended. The nurse interprets this finding based on the understanding that the client’s bladder distention is most likely caused by which of the following?1.Pressure of the uterus on the bladder
2.Prolonged first stage of labour 3.Urinary tract infection
4.Edema in the lower urinary tract area
4.Edema in the lower urinary tract
During the transition from foetal to neonatal circulation, the newborn cardiovascular system accomplishes which of the following anatomic and physiologic alterations
Closure of the ductus venosus
Closure of the foramen ovale
Closure of the ductus arteriosis
Increased systemic pressure and decreased pulmonary artery pressure
1,2,3 and 4
Phase one of labor (early)
Dilation=1-4cm
Contractions=5-30 min part and last 30-45 sec
Phase two of labor (active)
Dilation=4-7cm
Contractions=3-5min part and last 60sec
Water may breack
Phase 3 of labor (transition)
Dilation =8-10
And last 30min to 2 house
Contractions=2=3min
