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Maternity > Exam 1: Chapter 13 > Flashcards

Exam 1: Chapter 13 Flashcards

1
Q

Labor combination of factors:

progesterione ______ and _____ in estrogen levels

uterine stretch

_______ oxytocin

_____ release of prostaglandins

A

Labor: Combination of factors:
Progesterone withdrawal and increase in estrogen levels
Uterine stretch
Increased oxytocin sensitivity
Increased release of prostaglandins

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2
Q

What is lightening

A

fetal presenting part begins to descend into the maternal pelvis (2 weeks or more before labor begins)

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3
Q

What is nesting

A

increased energy levels usually 24 to 48 hours before onset labor

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4
Q

How do we combat a cord prolapse

A

we place the mother in sims, knee chest head down, or trendelenburg

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5
Q

Passageway: what is the most favorable for vaginal delivery

A

gynecoid

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6
Q

When the cervix thins through effacement what does it allow for

A

the presenting part to descend into the vagina

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7
Q

Passenger: fetal skull

sutures

A

allow for overlapping and changes in shape (molding) help identify the position of the fetal head

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8
Q

Passenger: fetal skull

fontanelles

A

intersections of sutures: help in identifying position of fetal head and in molding

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9
Q

Fluid can also collect in the scalp (__________) or blood can collect beneath the scalp (______)

A

caput succedaneum

cephalohematoma

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10
Q

Anterior vs posterior fontanelle

A

anterior: soft spot 12 to 18 months before closing

posterior: back of the head; 8 to 12 weeks before closing

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11
Q

The most common fetal altitude is

A

all joints flexed

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12
Q

Passenger: fetal lie

A

longitudinal: long axis of the fetus is parallel to the long axis of the moterh

transverse: long axis of the fetus is perpendicular to the long axis of the mother

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13
Q

What are the 3 main fetal presentations

A

cephalic (vertex)

breech

shoulder

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14
Q

What is fetal position?

A

Fetalpositiondescribes the relationship of a given point on the presenting part of the fetus to a designated point of the maternal pelvis

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15
Q

What are fetal position landmarks

A

Occipital bone (O): vertex presentation

Chin (mentum [M]): face presentation

Buttocks (sacrum [S]): breech presentation

Scapula (acromion process [A]): shoulder presentation

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16
Q

Fetal station

A

Refers to the relationship of the presenting part to the level of the maternal pelvic ischial spines.

17
Q

Zero station means

A

presenting part is at the level of the maternal ischial spines

18
Q

What does it mean when we say the fetus is engaged

A

they have their presenting part reaching 0 station

19
Q

What is floating mean

A

no engagement

20
Q

What are the cardinal movements of labor

A

Engagement
Descent
Flexion
Internal rotation
Extension
External rotation (restitution)
Expulsion

21
Q

What are the 3 phases of contractions

A

increment (build up)

acme (peak)

Decrement (descent)

22
Q

Powers: EARLY

Frequency
Duration

A

5 to 7 min

30 seconds

23
Q

Powers: ACTIVE

Frequency
Duration

A

2 to 3 mins apart

60 seconds

24
Q

Blood glucose level _______ because of stress of labor.

A

decreases

25
Q

1st stage of labor: true labor to complete cervical dilation

A

10 cm

26
Q

1st stage of labor: ________ of all stagest

A

longest

27
Q

1st stage of labor: 3 phases

A

latent phase

active phase

transition phase

28
Q

Latent phase: dilation and effacement

A

dilation 0 to 3 cm; effacement 0 to 40%

29
Q

Active phase: dilation and effacement

A

dilation 4 to 7 cm and 40 to 80% effacement

30
Q

Transition phase: dilation and effacement

A

dilation 8 to 10 cm and 80 to 100% efacement

31
Q

Latent phase description

A

Mild anxiety, women can cope and focus

Uses relaxation techniques, rest/sleep, change positions, ambulate, eat light food & drink

Void q. 2 hrs.

Pain: mild/moderate

Eat/drink/void

32
Q

Active phase description

A

Record: ROM, vaginal exams, medication given, care provided

comfort measures

position changes

33
Q

Transition phase description

A

Loss of control, irritable, confused, narrow focus

ROM, vaginal exams, meds given, care provided

Provide relief/assistance for partner; may need to take charge

May have urge to push: teach to blow through the urge, change position

34
Q

2nd stage of labor

A

cervix is dilated 10 cm to birth of baby

35
Q

2nd stage of labor median duration

A

50 in nulliparous

30 in multipara

36
Q

3rd stage of labor

A

birth of infant to placental seperation

37
Q

4th stage of labor

A

restorative stage from 1 to 4 hours post delivery

38
Q
A

Maternity (9 decks)

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