High Risk Labor & Delivery

Question 1

HIGH RISK FACTORS

Answer 1

● Passage
● Passenger
● Power
● Relationship between passage & the passenger
● Psyche

Question 2

BIRTH PASSAGE

Answer 2

● Size of the pelvis
● Type of pelvis
● Ability of the cervix to dilate & efface & ability of the
vaginal canal & the external opening of the vagina
(introitus) to distend.

Question 3

FETUS

Answer 3

● Fetal head (size & presence of molding)
● Fetal attitude (flexion or extension of the fetal body
& extremities)
● Fetal lie
● Fetal presentation
● Placenta

Question 4

RELATIONSHIP BETWEEN THE PASSAGE & FETUS

Answer 4

● Engagement of the fetal presenting part.
● Station
● Fetal position

Question 5

PRIMARY FORCES OF LABOR

Answer 5

● Frequency, duration, & intensity of uterine
contractions as the fetus moves through the birth
passage.
● Effectiveness of the maternal pushing effort.
● Duration of labor.

Question 6

DANGER SIGNS DURING LABOR

Answer 6

● Fetal Heart Tone (FHT)
● Presenting part
● Uterine contractions
● BP
● Failure of the cervix to dilate
● Dyspnea, sense of suffocation
● Maternal tachycardia
● Continuous abdominal pain
● Fever
● Unconsciousness
● Prolapsed umbilical cord