EXAM 2 Flashcards
When the fetus descends, dilates the vagina, & puts pressure on the pelvic floor there is a strong urge to push. This is known as?
Ferguson reflex
Shortening and thinning of the cervix during the 1st stage of labor?
Effacement
May exhibit reactions to pain, and consider accepting something when it’s first offered impolite… Therefore, pain interventions must be offered more than once?
Chinese
Vocal in response to labor pain and prefer pain meds?
Arab or middle Eastern women
May be stoic in response to labor pain but may request pain meds when it becomes severe?
Japanese women
May endure severe pain before requesting relief?
Southeast Asian women
May be stoic until late in labor, when they may become vocal and request pain relief?
Hispanic women
May use meds or remedies made from indigenous plants and are often stoic in response to labor pain?
Native American women
May express pain openly.. Use of pain meds varies?
African americans
Effleurage and counter pressure bring relief to pregnant women at what point in pregnancy?
First stage labor
Hydrotherapy is usually initiated during which point of labor?
Active labor @ 5 cm
When can acupuncture/pressure be initiated to relieve pregnancy pain?
Pregnancy
Labor
PP
Mild contractions every 5-10 min, lasting 30-45 sec and a dilation of 0-3 cm are characteristics of?
LATENT phase
Effective for relieving severe, persistent, or recurrent pain?
Opioid Agonist Analgesics
Provide adequate analgesia without causing significant respiratory depression in the mother or neonate?
Opioid agonist-antagonist analgesics
Intrapartum begins with?
True labor
When does the first stage of labor:
A.) Start?
B.) End?
A) Beginning of regular contractions or ROM
B) 10 cm dilation and 100% effacement
When does the second stage of labor:
A.) Start?
B.) End?
A) 10 cm dilation
B) Delivery of fetus
When does the third stage of labor:
A.) Start?
B.) End?
A) Delivery of fetus
B) Delivery of placenta
When does the fourth stage of labor:
A.) Start?
B.) End?
A) After placenta has been delivered
B) About 2 hrs after delivery of placenta
TRUE LABOR characteristics?
Pain in lower back that radiates to abdomen
Pain accompanied by regular rhythmic contractions
Contractions that intensify with ambulation
Progressive cervical dilation and effacement
FALSE LABOR Characteristics?
Discomfort localized in abdomen
No lower back pain
Contractions decrease in intensity/freq with walking
The latent phase lasts from?
Beginning of true labor until 3-4 cm dilation?
The Active phase lasts from?
4-7 cm dilation
The transition phase lasts from?
8-10 cm dilation
Which phase does the woman appear mildly anxious, conversant, and able to continue normal activities?
LATENT
What are the contractions like in the latent phase:
A) Initially?
B) Later?
A) MILD, 10-20 min apart, 15-200 sec duration
B) 5-7 min apart, 30-40 sec duration
