Childbirth Flashcards

1
Q

phase one of labor

A

contractions leading to the dilation of the cervix

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2
Q

phase two of labor

A

explosion of infant

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3
Q

transitional phase (phase 3)

A

latent active transition

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4
Q

third phase of labor

A

placental expulsion

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5
Q

fourth stage of labor

A

immediate post partum

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6
Q

braxton hicks contractions

A

“false labor”

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7
Q

sign showing labor

A

blood tinged cervical mucus

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8
Q

effacement

A

thinning of cervical mucus

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9
Q

false labor

A

contractions are abdominal
active fetus
mucus membranes intact

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10
Q

actual labor

A

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

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11
Q

protieninuria

A

possible pregnancy induced HTN

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12
Q

physical finding of labor

A
contraction pattern
dilation 
effacement
presenting part 
cervix location
progression of labor
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13
Q

during labor a womens self confidence can

A

waiver

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14
Q

increasing bladder pressure leads to ___

A

possible cathderization

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15
Q

decreased coping with pain happens during

A

the transitional phase

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16
Q

types of anaglesics used for laboring patients

A

barbituriates
tranquilizers
narocotics
epidurals/local anestethics

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17
Q

fetus postioning

A

longitudinal lie

transverse lie

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18
Q

vertex presentation

A

cephalic- classified by position of head
flexed
face
brow

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19
Q

breech presentation

A

complete breech
frank breech
footling breech

20
Q

shoulder presentation

A

cannot deliver vaginally

21
Q

side effects of oxytocin

A

hypotension

antidiruetic effect

22
Q

pyschological findings of delivery

A

dozing between contractions

intent on pushing

23
Q

controlled vaginal delivery

A
support pernineal
support fetal head 
check for nuchal cord 
suction mouth, then nose 
note time of delievery
24
Q

assisted delivery

A

forceps

vacuum

25
Q

do not give meds that

A

decrease RR

26
Q

risks of assisted deliveries to the fetus

A

bruising
cephalahemotoma
facail nerve damage

27
Q

risks of assisted deliveries to the mother

A

lacerations to vagina or perinuem

28
Q

placental explosion

A

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

29
Q

types of placental delivery

A

manual

spontaneous

30
Q

indications for induction and augmentation

A
maternal diabetes
pregnancy enduced HTN (PIH)
slowed progression of labor
rupture of membrane 
postmaturity 
Rh sensitization 
fetal death
31
Q

contraindications for induction

A
grand multipara 
placenta previa
over distended uterus 
active STD 
cephalopelvic disproportion
fetal malpostion 
fetal immaturity
32
Q

dysfunctional labor

A

nulliparous women (uterine dysfunction) (hypertonia)

multiparous women (hypotonia)

33
Q

cesarean birth

A

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

34
Q

(VBAC)

A

Vaginal birth after cesarean (VBAC)

35
Q

Gestational diabetes can cause

A

excessive birth weight

preterm respiratory distress rt preterm labor

36
Q

rupture in amniotic sac can lead to a

A

cord prolapse

37
Q

cord prolapse

A

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

38
Q

cephalohematoma

A

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.

39
Q

bursts of energies during labor are rt

A

releases of epinephrine

40
Q

lightening

A

decent of presenting part

41
Q

spontaneous rupture

A

barrier for infection gone

cord prolapse is at a greater risk

42
Q

weight loss with spontaneous rupture

A

2-3 pounds in 24-48 hours

43
Q

false labor

A

contractions in the abodomen
fetal movement more active
membranes are intact

44
Q

actual labor

A
abdominal and back loar 
contractions do not decrease 
mucus plugs may be expelled 
fetal activity will lessen 
dilation and effacement
45
Q

GI changes

A

motility decrease

absorption decreased