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Human Reproduction - Labor Flashcards

1
Q

a series of continuous, progressive contractions of the uterus that
help the cervix dilate (open) and efface (thin)

A

a series of continuous, progressive contractions of the uterus that
help the cervix dilate (open) and efface (thin)

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2
Q

When does it usually occur?

A

2 weeks before or after the estimated date of delivery

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3
Q

pain management options during labor include

A

nonmedicated
measures, analgesics and anesthesia

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4
Q

a developing human from usually two months after
conception to birth

A

fetus

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5
Q

A woman who is pregnant for the first time

A

primigravida

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6
Q

A woman who’s never been pregnant

A

Nulligravida

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7
Q

Giving or having given birth for the first time

A

Primiparous

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8
Q

A woman who hasn’t given birth to a child (someone
who’s had a miscarriage, stillbirth, or elective abortion but has never
given birth to a live baby)

A

Nulliparous

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9
Q

Having given birth two or more times

A

Multiparous

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10
Q

Premonitory Signs of Labor

A

Lightening
Braxton hicks
Cervical Changes

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11
Q

when the fetus begins to set into the pelvic inlet, the
uterus moves downward and the fundus no longer presses into the
diaphragm – mom can breathe easier

A

Lightening

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12
Q

irregular intermittent contractions that occur
throughout pregnancy; can be uncomfortable and exhausting to
mom

A

Braxton Hicks

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13
Q

at the beginning of pregnancy it is firm, and over
time it stretches and dilates. The softening of the cervix is called
ripening.

A

Cervical Changes

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14
Q

the mucus plug is expelled resulting to small amount of blood
loss from the exposed cervical capillaries. That blood-tinged secretion is called
bloody show. Usually, a sign that labor will begin in 24 – 48 hours.

A

Bloody Show

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15
Q

when the membranes do rupture, the amniotic
fluid (Bag of water) may be expelled in large amounts…water breaks. Sign of
impending labor.

A

Rupture of membranes

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16
Q

very common, approximately 24-48 hours before
labor; may experience “nesting” at this time; cause is unknown

A

sudden burst of energy

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17
Q

weight loss of 1 – 3 lbs may occur; diarrhea; indigestion;
nausea/vomiting – cause is unknown

A

Other vague signs

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18
Q

True labor contractions last to?

A

60-90 sec each

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19
Q

Positions to ease labor pain

A
  1. Butterfly pose
  2. Rocking cat
  3. Supported squat
  4. Standing forward wall lean
  5. Hip circles on birthing ball
  6. Hanging Kneel
  7. Side-Lying with support
  8. Frog-legging with a sheet
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20
Q

is an anesthetic, or numbing
agent, that’s injected directly
into the spine (is injected into
the lumbar area) — numbs
body from bellybutton to other
thigh
easily re-administered

A

Epidural

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21
Q

one-time injection
immediate and complete relief
often combined with epidural

A

Spinal Block

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22
Q

IV – delivered medications
inhaled nitrous oxide
reduces, but does not
eliminate pain

A

Analgesics

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23
Q

Complementary
Method

A

Breathing
Walking
Massage
Visualization

24
Q

Critical Factors in Labor

A
  1. Birth Passage
  2. Fetus
  3. Relationship between the passage and the fetus
  4. Primary forces of labor
  5. Psychosocial considerations
25
refers to the route the baby takes during childbirth. Includes the cervix, vagina, and vulva. These structures stretch to allow the baby to pass through.
Birth passage
26
Types of pelvis
Gynecoid Android Anthropoid Platypelloid
27
membranous areas where the skull is incompletely developed; soft spots that permit some movement during childbirth
Fontanels
28
(size and presence of molding)
Fetal head
29
The position of the baby's body and limbs, either curled
(flexion)
30
The position of the baby's body and limbs, either curled or stretched out
(extension).
31
refers to the baby's orientation within the uterus.
FETAL LIE
32
The baby is aligned with the mother's spine, either head-down (cephalic) or breech (buttocks or feet first).
Longitudinal
33
The baby is lying sideways across the uterus.
Transverse
34
The baby's head is down and will come out first.
Cephalic
35
Head down slighty tilt
Oblique
35
The baby's buttocks or feet are positioned to come out first.
Breech
36
Head horizontal
Transverse
37
Describes the part of the baby that is positioned to come out first during delivery:
FETAL PRESENTATION
38
The baby's shoulder is positioned to come out first, which is less common.
Shoulder Presentation
39
The shape and size of the mother's pelvis, which impacts how the baby moves through the birth canal.
Pelvic Structure
40
“A good ___________ ensures a smoother delivery, while __________________can make labor more challenging and may require medical intervention.
alignment, misalignments
41
Frequency, duration, and intensity of uterine contractions as the fetus moves through the birth passage Effectiveness of the maternal pushing effort
PRIMARY FORCES OF LABOR
42
time between beginning of one contraction to the beginning of the next
frequency
43
beginning to completion of a single contraction
duration
44
strength of contraction
intensity
45
Physical preparation for childbirth Sociocultural values and beliefs Previous childbirth experience Support from significant others Emotional status
Psychosocial Considerations
46
Preparing for the birth by _____________ the cervix.
dilating
47
Duration: Can last several hours to days. Contractions: Mild and irregular, gradually becoming more regular and stronger. Cervical Dilation: 0 to 3 cm. Signs: Backache, cramps, slight bloody discharge.
Early Labor
48
Contractions become stronger and more regular. Cervix dilates from 4 to 7 cm. Typically lasts 4-8 hours.
Active Labor
49
Most intense and shortest phase. Cervix dilates from 8 to 10 cm. Contractions are very strong and close together. Lasts 30 minutes to 2 hours.
Transition Phase
50
Cervix fully dilated to 10 cm. Strong urge to push. Baby moves down the birth canal. Ends with the birth of the baby. Duration varies from minutes to a few hours.
Pushing and Birth
51
Contractions continue to help deliver the placenta. Occurs 5-30 minutes after the baby is born. Ensures the uterus is clean and reduces bleeding.
Afterbirth
52
Initial recovery period. Monitoring to ensure the uterus contracts and bleeding is controlled. Time for bonding with the baby and breastfeeding.
Postpartum Period
53
surgical procedure used to deliver a baby through incisions made in the mother's abdomen and uterus
C-SECTION (CESAREAN SECTION
54

Labor (1 decks)

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