Intrapartal Care

Question 0

Reasons for Onset of labor

Answer 0

Hormonal stimulation- prostaglandin, relaxin, oxytocin
Estrogen/progesterone hormone balance shift
Uterine distention

Question 1

Labor

Answer 1

Rhythmic contraction and relaxation of the uterine muscles with the progressive effacement and dilation of cervix leading to the birth of the child

Question 2

Prostaglandin

Answer 2

Produced by fetal membranes during pregnancy that can stimulate the uterus to contract

Question 3

Relaxin

Answer 3

Produced by placenta, decreased supply can irritate uterus

Question 4

Oxytocin

Answer 4

Primary hormone that imitates labor

Question 5

Signs of oncoming labor

Answer 5

Lightening 
Braxton hicks contractions more pronounced 
Cervical changes
Bloody show
Rupture of membranes

Question 6

Lightening

Answer 6

Decent of fetal head into pelvis, may occur 2-3 weeks before labor for first time mothers

Question 7

Five Ps of labor

Answer 7

Powers 
Pelvis/passageway
Passenger
Position of mother
Psyche of mother

Question 8

Powers

Answer 8

Contraction of laboratory

Question 9

3 phases of contraction

Answer 9

1 increment
2 acme or peak
3 decrement

Question 10

What changes about contractions with the stage of labor?

Answer 10

Frequency (beginning of first to the next increment)
Duration
Intensity

Question 11

Effacement

Answer 11

Shortening and thinning of the internal cervical os so that it becomes part of the lower uterine segment

Question 12

Types of pelvis

Answer 12

Gynecoid, android, anthropoid, platypelloid

Question 13

Shape of gynecoid pelvis

Answer 13

Round, most common

Question 14

Shape or android pelvis

Answer 14

Heart shaped

Question 15

Shape of anthropoid pelvis

Answer 15

Oval

Question 16

Shape or platypelloid pelvis

Answer 16

Flat

Question 17

What areas does the doctor look at for childbirth on the pelvis

Answer 17

Inlet, outlet, cavity

Question 18

Fetal head is most important aspect because

Answer 18

Largest and least yielding of the body

Question 19

Sagital suture

Answer 19

Follows a-p line of skull

Question 20

Frontal suture

Answer 20

Continuation of sagital suture

Question 21

Coronal suture

Answer 21

Between parietal and frontal bones

Question 22

Lambdoid suture

Answer 22

Between occipital and parietal bones

Question 23

Measurements of fetal skull

Answer 23

Biparietal, suboccipitobregmatic, occipitofrontal, occipitomental

Question 24

Molding of fetus head

Answer 24

Overlapping of bones of fetal head that occurs during labor by accommodation of head through birth canal

Question 25

Fetopelvic relationship

Answer 25

How fetus is aligned to be birthed

Question 26

Lie position

Answer 26

Back bones aligned

Question 27

Transverse alignment

Answer 27

Shoulder is presenting, usually from fatigued uterus

Question 28

Attitude of fetal body

Answer 28

Flexion (chin to chest, fetal position) | Extension (opposite of flexion)

Question 29

Presentations of fetus

Answer 29

Vertex- head first Shoulder- transverse lie (usually need c section) Breech- butt or feet coming out first

Question 30

Describing fetal position

Answer 30

Left or right side of pelvis Occipi, mentum, sacrum, scapula (presenting part) Anterior or posterior (facing mother or away from mother)

Question 31

Station measurement of fetal decent

Answer 31

Presenting part of head

Question 32

Station stage -3

Answer 32

Floating; above true pelvis

Question 33

Station stage -1

Answer 33

Dipping; presenting part is still in pelvis but not engaged

Question 34

Station stage 0

Answer 34

Engagement- level of maternal ischial spines

Question 35

Station stage +3/4

Answer 35

Crowning

Question 36

Positions of mother for birth

Answer 36

Sitting up is best, side lying works well, walking for first stages

Question 37

Psychological response of mother

Answer 37

Affected by tension and fear, helps being prepared and Aware,

Question 38

Mechanisms of labor

Answer 38

Accommodation of fetal anatomy to the maternal pelvis and birth canal and passage of fetus from uterus to outside world

Question 39

Engagement decent Mechanisms of labor

Answer 39

Presenting part enters true uterus

Question 40

Mechanisms of labor- decent

Answer 40

Presenting part at ischial spines

Question 41

Mechanisms of labor- flexion

Answer 41

When fetal head meets resistance from pelvis flexion of head is necessary

Question 42

Mechanisms of labor- internal rotation

Answer 42

Caused by 3 factors- pressure from contractions, curved shape of pelvis, and relationship of vertex

Question 43

Mechanisms of labor- extension

Answer 43

From pressure of uterus

Question 44

Mechanisms of labor- restitution

Answer 44

Head rotates 45 degrees a After birth of the head

Question 45

Mechanisms of labor- external rotation

Answer 45

Occurs as shoulders rotate 45 degrees

Question 46

Mechanisms of labor- expulsion

Answer 46

Birth of shoulders

Question 47

First stage of labor

Answer 47

Longest- onset to 10cm dilation

Question 48

Second stage of labor

Answer 48

From full dilation to birth of baby

Question 49

Third stage of labor

Answer 49

Birth of baby to birth of placenta

Question 50

Fourth stage of labor

Answer 50

Two afters after placenta is delivered