Childbirth Flashcards
phase one of labor
contractions leading to the dilation of the cervix
phase two of labor
explosion of infant
transitional phase (phase 3)
latent active transition
third phase of labor
placental expulsion
fourth stage of labor
immediate post partum
braxton hicks contractions
“false labor”
sign showing labor
blood tinged cervical mucus
effacement
thinning of cervical mucus
false labor
contractions are abdominal
active fetus
mucus membranes intact
actual labor
back and abdominal loar
membranes may rupture
fetal activity lessens
dilation and effacement
protieninuria
possible pregnancy induced HTN
physical finding of labor
contraction pattern dilation effacement presenting part cervix location progression of labor
during labor a womens self confidence can
waiver
increasing bladder pressure leads to ___
possible cathderization
decreased coping with pain happens during
the transitional phase
types of anaglesics used for laboring patients
barbituriates
tranquilizers
narocotics
epidurals/local anestethics
fetus postioning
longitudinal lie
transverse lie
vertex presentation
cephalic- classified by position of head
flexed
face
brow
breech presentation
complete breech
frank breech
footling breech
shoulder presentation
cannot deliver vaginally
side effects of oxytocin
hypotension
antidiruetic effect
pyschological findings of delivery
dozing between contractions
intent on pushing
controlled vaginal delivery
support pernineal support fetal head check for nuchal cord suction mouth, then nose note time of delievery
assisted delivery
forceps
vacuum
do not give meds that
decrease RR
risks of assisted deliveries to the fetus
bruising
cephalahemotoma
facail nerve damage
risks of assisted deliveries to the mother
lacerations to vagina or perinuem
placental explosion
gush of blood
cord lengthens
fundus rises in abdomen uterus changes from flat to gloubular
types of placental delivery
manual
spontaneous
indications for induction and augmentation
maternal diabetes pregnancy enduced HTN (PIH) slowed progression of labor rupture of membrane postmaturity Rh sensitization fetal death
contraindications for induction
grand multipara placenta previa over distended uterus active STD cephalopelvic disproportion fetal malpostion fetal immaturity
dysfunctional labor
nulliparous women (uterine dysfunction) (hypertonia)
multiparous women (hypotonia)
cesarean birth
fetal malpostion
active herpes genitalia
disproportionate / cephalopelvic/ macrosomia
placenta previa, abruptio placentae
(VBAC)
Vaginal birth after cesarean (VBAC)
Gestational diabetes can cause
excessive birth weight
preterm respiratory distress rt preterm labor
rupture in amniotic sac can lead to a
cord prolapse
cord prolapse
cord enters vagina cutting off the oxygen/nutrient supply to the baby
cephalohematoma
in the periosteum of the infant’s skull bone. Cephalohematoma does not pose any risk to the brain cells, but it causes unnecessary pooling of the blood from damaged blood vessels between the skull and inner layers of the skin.
bursts of energies during labor are rt
releases of epinephrine
lightening
decent of presenting part
spontaneous rupture
barrier for infection gone
cord prolapse is at a greater risk
weight loss with spontaneous rupture
2-3 pounds in 24-48 hours
false labor
contractions in the abodomen
fetal movement more active
membranes are intact
actual labor
abdominal and back loar contractions do not decrease mucus plugs may be expelled fetal activity will lessen dilation and effacement
GI changes
motility decrease
absorption decreased
