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
Q

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.

A

Birth passage

26
Q

Types of pelvis

A

Gynecoid
Android
Anthropoid
Platypelloid

27
Q

membranous areas where the skull is incompletely developed; soft spots that permit some movement during childbirth

A

Fontanels

28
Q

(size and presence
of molding)

A

Fetal head

29
Q

The position of the baby’s
body and limbs, either curled

A

(flexion)

30
Q

The position of the baby’s
body and limbs, either curled
or stretched out

A

(extension).

31
Q

refers to the baby’s orientation within the uterus.

A

FETAL LIE

32
Q

The baby is aligned with the mother’s spine, either
head-down (cephalic) or breech (buttocks or feet
first).

A

Longitudinal

33
Q

The baby is lying sideways across the uterus.

A

Transverse

34
Q

The baby’s head is down and will come out first.

A

Cephalic

35
Q

Head down slighty tilt

A

Oblique

35
Q

The baby’s buttocks or feet are
positioned to come out first.

A

Breech

36
Q

Head horizontal

A

Transverse

37
Q

Describes the part of the baby that is positioned to come
out first during delivery:

A

FETAL PRESENTATION

38
Q

The baby’s shoulder is
positioned to come out first, which is less common.

A

Shoulder Presentation

39
Q

The shape and size of the mother’s pelvis, which impacts
how the baby moves through the birth canal.

A

Pelvic Structure

40
Q

“A good ___________ ensures a smoother delivery, while __________________can
make labor more challenging and may require medical intervention.

A

alignment, misalignments

41
Q

Frequency, duration, and intensity of
uterine contractions as the fetus moves
through the birth passage
Effectiveness of the maternal pushing
effort

A

PRIMARY FORCES OF LABOR

42
Q

time between beginning of one
contraction to the beginning of the next

A

frequency

43
Q

beginning to completion of a
single contraction

A

duration

44
Q

strength of contraction

A

intensity

45
Q

Physical preparation for childbirth
Sociocultural values and beliefs

Previous childbirth experience
Support from significant others
Emotional status

A

Psychosocial Considerations

46
Q

Preparing for the birth by _____________ the cervix.

A

dilating

47
Q

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.

A

Early Labor

48
Q

Contractions become stronger
and more regular.
Cervix dilates from 4 to 7 cm.

Typically lasts 4-8 hours.

A

Active Labor

49
Q

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.

A

Transition Phase

50
Q

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.

A

Pushing and Birth

51
Q

Contractions continue to help deliver
the placenta.
Occurs 5-30 minutes after the baby is
born.

Ensures the uterus is clean and reduces

bleeding.

A

Afterbirth

52
Q

Initial recovery period.
Monitoring to ensure the uterus
contracts and bleeding is controlled.
Time for bonding with the baby and
breastfeeding.

A

Postpartum Period

53
Q

surgical procedure used
to deliver a baby
through incisions made
in the mother’s

abdomen and uterus

A

C-SECTION (CESAREAN SECTION

54
Q
A