Childbirth

Question 1

phase one of labor

Answer 1

contractions leading to the dilation of the cervix

Question 2

phase two of labor

Answer 2

explosion of infant

Question 3

transitional phase (phase 3)

Answer 3

latent active transition

Question 4

third phase of labor

Answer 4

placental expulsion

Question 5

fourth stage of labor

Answer 5

immediate post partum

Question 6

braxton hicks contractions

Answer 6

“false labor”

Question 7

sign showing labor

Answer 7

blood tinged cervical mucus

Question 8

effacement

Answer 8

thinning of cervical mucus

Question 9

false labor

Answer 9

contractions are abdominal
active fetus
mucus membranes intact

Question 10

actual labor

Answer 10

back and abdominal loar
membranes may rupture
fetal activity lessens
dilation and effacement

Question 11

protieninuria

Answer 11

possible pregnancy induced HTN

Question 12

physical finding of labor

Answer 12

contraction pattern
dilation 
effacement
presenting part 
cervix location
progression of labor

Question 13

during labor a womens self confidence can

Answer 13

waiver

Question 14

increasing bladder pressure leads to ___

Answer 14

possible cathderization

Question 15

decreased coping with pain happens during

Answer 15

the transitional phase

Question 16

types of anaglesics used for laboring patients

Answer 16

barbituriates
tranquilizers
narocotics
epidurals/local anestethics

Question 17

fetus postioning

Answer 17

longitudinal lie

transverse lie

Question 18

vertex presentation

Answer 18

cephalic- classified by position of head
flexed
face
brow

Question 19

breech presentation

Answer 19

complete breech
frank breech
footling breech

Question 20

shoulder presentation

Answer 20

cannot deliver vaginally

Question 21

side effects of oxytocin

Answer 21

hypotension

antidiruetic effect

Question 22

pyschological findings of delivery

Answer 22

dozing between contractions

intent on pushing

Question 23

controlled vaginal delivery

Answer 23

support pernineal
support fetal head 
check for nuchal cord 
suction mouth, then nose 
note time of delievery

Question 24

assisted delivery

Answer 24

forceps

vacuum

Question 25

do not give meds that

Answer 25

decrease RR

Question 26

risks of assisted deliveries to the fetus

Answer 26

bruising cephalahemotoma facail nerve damage

Question 27

risks of assisted deliveries to the mother

Answer 27

lacerations to vagina or perinuem

Question 28

placental explosion

Answer 28

gush of blood cord lengthens fundus rises in abdomen uterus changes from flat to gloubular

Question 29

types of placental delivery

Answer 29

manual | spontaneous

Question 30

indications for induction and augmentation

Answer 30

``` maternal diabetes pregnancy enduced HTN (PIH) slowed progression of labor rupture of membrane postmaturity Rh sensitization fetal death ```

Question 31

contraindications for induction

Answer 31

``` grand multipara placenta previa over distended uterus active STD cephalopelvic disproportion fetal malpostion fetal immaturity ```

Question 32

dysfunctional labor

Answer 32

nulliparous women (uterine dysfunction) (hypertonia) multiparous women (hypotonia)

Question 33

cesarean birth

Answer 33

fetal malpostion active herpes genitalia disproportionate / cephalopelvic/ macrosomia placenta previa, abruptio placentae

Question 34

(VBAC)

Answer 34

Vaginal birth after cesarean (VBAC)

Question 35

Gestational diabetes can cause

Answer 35

excessive birth weight | preterm respiratory distress rt preterm labor

Question 36

rupture in amniotic sac can lead to a

Answer 36

cord prolapse

Question 37

cord prolapse

Answer 37

cord enters vagina cutting off the oxygen/nutrient supply to the baby

Question 38

cephalohematoma

Answer 38

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.

Question 39

bursts of energies during labor are rt

Answer 39

releases of epinephrine

Question 40

lightening

Answer 40

decent of presenting part

Question 41

spontaneous rupture

Answer 41

barrier for infection gone | cord prolapse is at a greater risk

Question 42

weight loss with spontaneous rupture

Answer 42

2-3 pounds in 24-48 hours

Question 43

false labor

Answer 43

contractions in the abodomen fetal movement more active membranes are intact

Question 44

actual labor

Answer 44

``` abdominal and back loar contractions do not decrease mucus plugs may be expelled fetal activity will lessen dilation and effacement ```

Question 45

GI changes

Answer 45

motility decrease | absorption decreased