Intrapartal nursing 2

Question 0

What are the three main parts of the fetal head?

Answer 0

Face
Base of skull
Vault > frontal, parietal, and occipital, “the roof”, these are soft bones so that they can overlap

Question 1

What causes cervical dilation?

Answer 1

Longitudinal muscle fiber pulled over presenting part

Hydrostatic pressure of the fetal membranes

Question 2

What is the fetal attitude and what is the normal?

Answer 2

Relation of fetal body parts to one another

Normal- general flexion

Question 3

What’s the narrowest diameter through which the fetus must pass?

Answer 3

The maternal Ischial spine

** Ischial spine is the landmark designated as “zero station”

Question 4

What can happen if cervix is not completely dilated but mom is bearing down?

Answer 4

Cervical edema
Possible tearing and bruising of cervix
Maternal exhaustion

Question 5

What is the primary force in the first stage of labor?

Answer 5

Uterine muscle contraction

Question 6

What is the secondary force during the second stage of labor?

Answer 6

Abdominal muscles to push

Question 7

What are the signs of true labor?

Answer 7

Dilation and effacement
Contractions regular and increasing in frequency, direction, and intensity
Pain in the back that radiates around to abdomen
Pain not relieved by ambulation or resting

Question 8

When is PPROM?

Answer 8

Before 37weeks

Question 9

Where is the lumbar epidural block inserted?

Where is the spinal block inserted?

Answer 9

Between Dura mater and ligamentum flavum

In subarachnoid space in CSF