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INTRAPARTUM > Intra part 2 > Flashcards

Intra part 2 Flashcards

1
Q

Involuntary uterine contraction causes progressive effacement and dilatation

A

Labor

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2
Q

Actual expulsion of the products of conception, fetus and placenta

A

Delivery

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3
Q

Birth less than 37 weeks

A

Pre term

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4
Q

Birth within 37 - 42 weeks

A

Term

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5
Q

Birth beyond 42 weeks

A

Post term

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6
Q

14 to 20 hours of labor

A

Primipara

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7
Q

8 to 14 hours of labor

A

Multipara

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8
Q

Beginning of labor, and may begin several weeks prior to labor

A

Impending signs of labor

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9
Q

Fetus settles or descends into pelvic inlet and occurs 10 - 14 hours before onset of labor.

A

Lightening

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10
Q

Settling of the presenting part into pelvic inlet

A

Engagement

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11
Q

Increased frequency of contractions which produces gnawing pain in abdomen and groin.

A

Increased Braxton-Hick’s Contraction

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12
Q

Cervix feels “butter-soft” and felt only on pelvic exam.

A

Ripening of the Cervix

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13
Q

Due to increase of epinephrine as initiated by decrease of progesterone produced by the placenta.

A

Sudden burst of energy of the mother

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14
Q

Increases prostaglandin and cortisol levels to help with contractions

A

Epinephrine

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15
Q

Neurotransmitter that prepares the mom’s body for labor work

A

Epinephrine

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16
Q

Overwhelming desire to organize and prepare the home of the coming baby

A

Nesting Instinct

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17
Q

Loss of 2-3 pounds and happens 2-3 days before onset of labor

A

Allowable weight loss

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18
Q

Fetus is already engaged in the pelvic inlet

A

Less active fetal movement

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19
Q

Contractions begin and remain irregular

A

False Labor

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20
Q

Increases intensity of contraction

A

True labor

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21
Q

Contractions begin irregularly but become regular and predictable

A

True labor

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22
Q

Pain often disappear with ambulation and sleep

A

False labor

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23
Q

Intensity of contractions does not increase

A

False Labor

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24
Q

Pain is felt first abdominally and remained confined to the abdomen and groin

A

False Labor

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25
Q

Pain continues no matter what the woman’s level of activity

A

True Labor

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26
Q

Does not achieve cervical dilatation

A

False Labor

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27
Q

Pain is felt first in the lower back and sweep around to the abdomen in a wave

A

True Labor

28
Q

Achieves cervical dilatation

A

True Labor

29
Q

The fetus usually becomes engaged in the pelvis

A

True labor

30
Q

Expulsion of mucus plug due to softening of cervix and blood from ruptured capillaries due to pressure from fetus

A

Bloody Show

31
Q

Surest sign that labor has begun its productive uterine contractions

A

True Labor

32
Q

Sudden gush or trickle of amniotic fluid from vagine

A

Spontaneous Rupture of Membrane

33
Q

Thinning and shortening of cervix and measured in percentages

A

Effacement

34
Q

Widening of the external cervical OS

A

Dilation

35
Q

From beginning of contraction until it increases, and starts at fundal area.

A

Increment of Crescendo

36
Q

Height or peak of contraction, and continues at the side of abdomen

A

Acme

37
Q

From the height of contraction until it decreases

A

Decrement

38
Q

From increment to decrement, of same/single contraction.

A

Duration

39
Q

From beginning of increment to increment of another contraction

A

Frequency

40
Q

From decrement of 1 contraction to another period of increment of next contraction. ( no contraction)

A

Interval of Rest

41
Q

Considers the peak on contraction

A

Strength

42
Q

Dilating stage, from true contraction to full cervical dilation, and is the longest stage

A

First stage of labor

43
Q

Stage of expulsion, from full cervical dilation to delivery of fetus, and is the shortest stage

A

2nd Stage of labor

44
Q

From delivery of fetus to delivery of placenta

A

Third stage of labor

45
Q

Immediate recovery period, from delivery of placenta to 1 - 4 hours after delivery

A

Fourth stage of labor

46
Q

Period from onset of contractions to full dilation and effacement of the cervix.

A

1st Stage of labor

47
Q

1st stage of labor is divided into three phases

A

Latent, Active, Transitional

48
Q

Mother becomes tired, restless and irritable

A

Latent Phase

49
Q

Mother becomes anxious as contractions become stronger

A

Active Phase

50
Q

Mother is talkative and eager to be in labor

A

Latent Phase

51
Q

Dilation is 0-3 cm

A

Latent Phase

52
Q

Contractions happens every 3 to 5 minutes

A

Active Phase

53
Q

Dilation is between 4 - 7 cm

A

Active Phase

54
Q

Contractions lasts up to 20 - 40 seconds

A

Latent

55
Q

Dilation is between 8 - 10 cm

A

Transitional

56
Q

Contractions happen every 5 - 10 minutes

A

Latent

57
Q

Contraction lasts 30 - 60 seconds

A

Active

58
Q

Contractions are mild

A

Latent

59
Q

Contractions lasts 45 - 90 seconds

A

Transitional

60
Q

Contractions are moderate in pain

A

Active

61
Q

Contractions happens every 2 - 3 minutes

A

Transitional

62
Q

Contractions are severe

A

Transitional

63
Q

When are maternal vital signs taken in the latent phase

A

every 1 hour

64
Q

When are maternal vital signs taken in the active phase

A

every 30 minutes

65
Q

When are maternal vital signs taken in the transitional phase

A

every 15 minutes

INTRAPARTUM (2 decks)

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