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INTRAPARTUM > INTRAA > Flashcards

INTRAA Flashcards

1
Q

The first 1 to 4 hours after delivery of the newborn and placenta

A

Intrapartum

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2
Q

Refers to the medical and nursing care given to the pregnant woman during labor and delivery.

A

Intrapartum Care

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3
Q

Series of events by which uterine contractions and abdominal pressure expel a fetus and placenta from the uterus.

A

Labor

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4
Q

True or False:

Irregular contraction causes progressive dilatation of the cervix and create sufficient muscular uterine force to be pushed out into extrauterine life.

A

False - Regular contractions

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5
Q

Which theories of onset labor:

A hollow organ once stretched to its maximum potential will always contract and expel content.

A

Uterine Stretch Theory

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6
Q

Rising of fetal cortisol level reduce progesterone level which increases prostaglandin formation

A

Prostaglandin Theory

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7
Q

Increased estrogen and sudden drop in progesterone near delivery stimulates labor

A

Progesterone Deprivation/Withdrawal

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8
Q

Placenta begins to degenerate by 36 weeks where the body perceives it as a foreign body already, and make its own defense to expel it by contraction of the uterus.

A

Theory of Aging Placenta

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9
Q

The posterior pituitary gland produces oxytocin which causes contractions.

A

Oxytocin Stimulation Theory

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10
Q

Largest part of the newborn’s body and 1/4 of the newborn’s length.

A

Fetal head

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11
Q

Connects 2 parietal bones

A

Sagittal

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12
Q

Connects parietal and frontal bones

A

Coronal

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13
Q

Connects parietal and occipital bones

A

Lambdoidal

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14
Q

Overlapping of the sutures of the skull to permit passage of the head to the pelvis

A

Molding

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15
Q

Diamond in shape and measures 3x4 cm in size

A

Bregma (Anterior Fontanel)

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16
Q

Triangular in shape and measures 1x1 cm in size

A

Lambda (Posterior Fontanel)

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16
Q

Are used as landmarks for internal examination during labor to determine position of fetuses.

A

Fontanels

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16
Q

May be manipulated during delivery to allow passage.

A

Fetal Shoulder

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17
Q

Largest Transverse diameter measurement

A

Biparietal (9.25 cm)

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18
Q

Relationship of spine of fetus to spine of the mother

A

Lie

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19
Q

Fetus’ long axis parallel with mother’s long axis where 99% of cases assume this position

A

Longitudinal or Vertical

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20
Q

Relationships of fetal parts to each other

A

Attitude

21
Q

Complete flexion, most common where head is fully flexed, chin touches sternum.

A

Vertex/ Occiput Position

22
Q

Moderate flexion, head is moderately flexed, occipital frontal or sinciput to birth canal

A

Sinciput / military position

23
Q

Brow to birth canal, back is arched, neck is extended

A

Partial Extension

24
Q

Complete extension but with poor flexion, back is arched and neck is extended.

A

Face

25
Q

Denotes the body part that will first contact the cervix or be born first. It is determined by the combination of fetal lie and the degree of fetal flexion.

A

Presentation

26
Q

The fetal head is the body part that first contacts the cervix

A

Cephalic

27
Q

Means either the buttocks or the feet are the first body parts that will contact the cervix.

A

Breech

28
Q

Types of breech presentation:
- thighs rest on abdomen while legs rest in thighs

A

Complete breech

29
Q

Type of breech presentation:
Thighs rest on abdomen while legs extend to the head

A

Incomplete breech: Frank

29
Q

Type of breech presentation:
1 leg flexed and 1 foot is extended

A

Single footling

29
Q

Type of breech:
2 legs un-flexed and extended

A

Double footling

29
Q

A fetus lies horizontally in the pelvis, so the longest fetal axis is perpendicular to that of the pregnant person.

A

Shoulder/transverse

29
Q

Relationship of the fetal presenting part to specific quadrant of the mother’s pelvis

A

Position

30
Q

External palpation of maternal abdomen to determine fetal contour or outline

A

Leopold’s Maneuver

31
Q

Location of sutures and fontanels to determine relationship to maternal pelvis

A

Vaginal Examination

32
Q

To determine which quadrant that the fetal heart tone is best heard.

A

Auscultation of FHT

33
Q

Relationship of presenting part to ischial spines denoted in centimeters

A

Station

34
Q

Above the ischial spine, fetus is still floating and needs rest

A

-3 to -5 cm

35
Q

Fetus is at the level of the ischial spine and is already engaged.

A

0 cm

36
Q

Fetus is a 3 to 5 cm below the ischial spine and crowning occurs and signals the 2nd stage of labor.

A

+3 to +5 cm

36
Q

Female pelvis, has an inlet that is well rounded forward and backward, and has a wide pubic arch. This pelvic type is ideal for childbirth.

A

Gynecoid

37
Q

Male pelvis, the pubic arch forms an acute angle, making the lower dimensions of the pelvis extremely narrow.

A

Android

38
Q

Apelike pelvis, the transverse diameter is narrow; the anteroposterior diameter of the inlet is larger than usual.

A

Anthropoid

39
Q

Basis in getting the true conjugate, measures between the sacral promontory and inferior margin of the symphysis pubis and measures around 11.5 to 12.5 cm

A

Diagonal conjugate

39
Q

Flattened pelvis, has a smooth curved oval inlet but anteroposterior diameter is shallow.

A

Platypelloid

40
Q

Measures between the sacral promontory and superior margin of the symphysis pubis

A

True conjugate

40
Q

Intertuberous diameter may be measured by placing a closed fist against the perineum at the level of the tuberosities.

A

Pelvic outlet

41
Q

Transverse diameter + PSD > 1.5 cm = outlet is adequate

A

Thom’s rule

42
Q

The force acting to expel the fetus and placenta

A

Power

42
Q

Involuntary contractions, voluntary bearing down efforts, wave like characteristics, timing, frequency, duration and intensity

A

Power

43
Q

Psychological stress exists when the mother is fighting the labor experience

A

Psyche and person

44
Q

Respect the belief /religion of the members of the family

A

Prayer

INTRAPARTUM (2 decks)

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