Conduct of Normal Labor and Delivery Flashcards
EDC is between _____ weeks?
38-42 weeks
Actual delivery may fall anywhere between ± ___ weeks from computed EDC from LMP
3 weeks
Labor is identified by uterine contractions that bring about demonstrable _______ and _______ of the cervix
effacement
and
dilation
Differentiation of true and false labor depends on:
Frequency of contraction
Intensity of contraction
Dilation of the cervix (most important factor)
“Character” of contractions in true labor
Regular (5-10 minutes in duration)
“Interval” of contractions in true labor
Shortens gradually
“Intensity” of contractions in true labor
Increases gradually
“Location” of contractions in true labor
Back and Hypogastric area
“Effect of sedation” on contractions in true labor
No effect
“Location” of contractions in false labor
Lower abdomen
What is the most crucial factor in identifying true labor?
Cervical dilation
Define “frequency” of contraction
number of contractions in an hour
Define “duration” of contraction
time from the start of contraction up to relaxation
How is the “intensity” of contraction classified?
Mild, moderate, strong
In the absence of ruptured membrane or bleeding, uterine contractions that are ___ min apart for 1 hour may signify the onset of labor
5 min apart or 12 contractions per hour
Where is the area of greatest uterine contraction, palpated to monitor contractions?
fundus
When should the blood pressure be taken in relation to contractions?
after (falsely elevated when taken during contractions)
This pertains to test of fetal well-being
Fetal Admission Test
Recommended monitoring for women with low-risk pregnancies upon admission
Fetal Admission Test
Routine test for fetal monitoring for antepartum surveillance prior to labor?
Electronic Admission test
Ways of measuring fetal condition during labor for low-risk pregnancy?
Fetal Admission Test
HR, Presentation, Size of Fetus
Status of Fetal membranes
Electronic Admission test for acceleration
Non-stress test
Findings in Electronic admission test for reactive NST
≥15bpm acceleration lasting ≥15sec within 20 minutes
