Exam 1 Flashcards
Hegar’s Sign
Softening & compressibility of the lower uterus
around 6-12 weeks
Chadwick’s Sign
Blue/purple color of the cervix & vaginal mucosa
around 4 weeks
Goodell’s Sign
Softening of cervical tip
around 6-8 weeks
Ballottement
Rebound of unengaged fetus
returning of fetus when pushed on by the doc/nurse
Quickening
fluttering sensation in the lower abdomen
“baby kicks”
around 16-20 weeks
Chloasma
increased pigmentation of face
Linea nigra
dark line from belly to the pubic area
Striae gravidarum
stretch marks related to pregnancy
Fetal Presentation
part of the fetus that is entering the birth canal first (what is visible from vag exam, hopefully head/occiput)
Lie
baby’s spine in relation to the mom’s spine
Parallel/longitudinal Lie
baby is straight up and down, parallel with mom
Oblique Lie
baby is lying diagonally across the abdomen
Transverse Lie
baby is lying straight across the abdomen
Attitude
relationship of fetal parts to one another
We want chin to be flexed (tucked to chest)
Station
how far down into the birth canal the baby is in relation to the presenting part of the baby in relation to the mom’s pelvis
Position
baby’s position
Position:
1st letter
R/L
presenting part on the mom’s left or right
Position:
2nd letter
O (occiput)
S (sacrum)
A (acromion process/shoulder)
M (mentum/chin)
references the presenting part
we want the occiput
sacrum is the butt = breach
Position:
3rd letter
A (anterior)
P (posterior)
T (transverse)
presenting part in relation to the mom’s pelvis (which way the head is facing)
The position letter answer is hopefully always…
ROA
Right, occiput, anterior
Cervical Dilation
enlargement or widening of the cervical opening & canal
Effacement
shortening & thinning of the cervix
Rupture of membranes
labor usually occurs within 24 hours of membranes rupture (infection can occur after 24 hours)
What should be done immediately after ROM?
assess FHR
What is the pH of amniotic fluid?
7-7.5
leopold’s maneuver
helps to determine the position of the baby (fetal lie, position, & attitude)
need to know where the baby’s back is because that’s where we listen for their HR
Latent phase of labor dilation
0-3cm
Active phase of labor dilation
4-7cm
Transition phase of labor dilation
8-10cm
Second stage of labor
full dilation to birth
Third stage of labor
delivery of baby to delivery of the placenta
Shiny schultze
shiny surface of the placenta that was facing the baby and touching the amniotic fluid comes out first
WANT THIS
Dirty Duncan
Surface of the placenta that was attached to the uterus comes out first
we are worried about fragements left behind which leaves the mom at risk for PP hemorrhage
Fourth stage of labor
delivery of the placenta to the maternal stabilization of the mom’s vital signs
Resting tone
tone of the uterine muscle between ctx
If there’s not enough time for uterine relaxation (<30 sec) in between can decrease blood flow to the placenta which will cause fetal hypoxia & decrease FHR
Duration of CTX
time from the beginning to end of the CTX
Frequency of CTX
time inbetween the beginning of one CTX to the beginning of the next CTX
Intensity of CTX
Strength of the CTX at its peak
