Components of Labor Pt.2

Question 1

describes the degree of flexion a fetus assumes
during labor or the relation of the fetal parts to each other.

Answer 1

Fetal ATTITUDE

Question 2

the relationship between the long (cephalocaudal) axis of the
fetal body and the long axis of a woman’s body

Answer 2

Fetal LIE

Question 3

denotes the body part that will first
contact the cervix or be born first and is determined by the combination of fetal lie
and the degree of fetal flexion (attitude)

Answer 3

Fetal PRESENTATION

Question 4

the relationship of the presenting part to a specific
quadrant and side of a woman’s pelvis

Answer 4

Fetal POSITION:

Question 5

a fetus in good attitude; the fetal
head flexes so sharply that the chin
rests on the chest;
suboccipitobregmatic, presents to
the birth canal

Answer 5

Complete (Full) Flexion:

Question 6

the chin is not touching the chest
but is in alert or “military position”;
the occipitofrontal diameter
presents.

Answer 6

Moderate Flexion:

Question 7

poor flexion; the back is arched and
the neck is extended, presenting the
occipitomental diameter (the largest
diameter) of the head to the birth
canal presents.

Answer 7

Complete Extension:

Question 8

horizontal

Answer 8

Transverse Lie

Question 9

(vertical);
- (cephalic) the fetal
head will be the first
part to contact the
cervix, or
- (breech) with a
foot of the buttocks
as the first to
contact the cervix.

Answer 9

 Longitudinal Lie

Question 10

The most common presentation; allows the
suboccipitobregmatic diameter to present to
the cervix.

Answer 10

Vertex (Good Full Flexion)

Question 11

 The head is moderately flexed, the brow or the
sinciput becomes the presenting part.

Answer 11

Nrow (Moderate Military)

Question 14

 The fetus has extended the head to make the
face the presenting part. From this position ,
extreme edema and distortion of the face may
occur.

Answer 14

Face (Poor)

Question 15

The fetus has completely hyperextended the
head to present the chin, causing the
presenting diameter (occipitomental) to be so
wide that vagina birth may not be possible.

Answer 15

Mentum (Very poor)

Question 16

breech good attitude

Answer 16

brings the fetal
knees up against the fetal
abdomen.

Question 17

breech poor attitude

Answer 17

means the knees
and legs are extended

Question 18

*In a Vertex presentation, the

Answer 18

Occiput (O)
is the chosen point.

Question 19

In a Face presentation, it is the

Answer 19

Chin
(mentum [M]).

Question 20

*In a Breech presentation, it is the

Answer 20

e Sacrum
(Sa).

Question 21

*In a Shoulder presentation, it is the

Answer 21

Scapula or the Acromion process (A).

Question 22

may be
more painful for
a woman because
the rotation of
the fetal head
puts pressure on
the sacral nerves.

Answer 22

ROP OR LOP

Question 23

refers to the relationship of the presenting part of the fetus to the level of ischial spines, the
midpoint and bony projections of the lower pelvis. It measures how far the presenting part has
descended into the pelvis

Answer 23

Station

Question 24

indicate that the head is
above the ischial spines.

Answer 24

negative (-)

Question 25

numbers indicate its head is below
the ischial spines.

Answer 25

positive (+)

Question 26

refers to the settling of the
presenting part of a fetus far enough into the
pelvis that it rests at the level of ischial spines.

Answer 26

Engagement

Question 27

At a -4 station, the presenting part or the fetal head is
unengaged or

Answer 27

floating

Question 28

When the presenting part is at 0 station, its head is at
the level of the ischialspines: Fetus is

Answer 28

engaged

Question 29

At a +4 station, the presenting part is at the outlet or
perineum and can be seen in the vulva:

Answer 29

crowning

Question 30

of labor
comes from the involuntary
muscular contractions of the
uterus; cause effacement and
dilation of the cervix.

Answer 30

Primary Power

Question 31

are
voluntary muscle contractions
of the maternal abdomen
during the 2nd stage of labor;
aids in fetal expulsion.

Answer 31

Secondary Powers

Question 32

Building up of the
contraction, is the
longest phase.
During the
increment, the
contraction gains
strength until it
reaches Acme.

Answer 32

Increment

Question 33

Peak of
the contraction

Answer 33

Acme

Question 34

• the
  letting up phase, as
  the contraction
  relaxes gradually to
  baseline

Answer 34

Decrement

Question 35

refers to how
often the
contractions are
occurring.

Answer 35

Frequency

Question 36

refers
to the interval
from the
beginning of a
contraction to its
end

Answer 36

Duration

Question 37

• refers
  to the strength of
  the contraction. :
  Mild, moderate,
  strong.

Answer 37

Intensity

Question 38

(resting) period in
between uterine
contraction

Answer 38

relaxation

Question 39

an external strain gauge
placed on the maternal
abdomen which records the
frequency, duration, and
relaxations of each
contraction.

Answer 39

Tocodynamometer

Question 39

allows the vessels to
fill with oxygen-rich
blood to supply the
uterus and
placenta.
 prevents maternal
muscles to not
become overly
fatigued and
 Provide woman
momentary relief
from the pain of
labo

Answer 39

benefits of relaxation period

Question 40

Records frequency and
duration; directly measures
the pressure generated by
uterine contractions, via a
catheter inserted into the
uterine cavity.

Answer 40

Intrauterine pressure catheters

Question 41

refers to the
psychological or emotional state or
feelings a woman brings into labor.

Answer 41

psyche