Intrapartum

Question 1

intrapartum

Answer 1

the moment she experience true labor up until the moment she expel all the products of conceptn baby, placenta and fetal membrane

Question 2

fetal membrane/BOW

Answer 2

covers the amniotic fluid and the baby made of chromnion and amnion

Question 3

most impoont mechanism in intrapartal period

Answer 3

labor

Question 4

most important mechanism in intrapartal period

Answer 4

labor

Question 5

responsible for progression of the intrapatum into a postpartum period

Answer 5

labor

Question 6

when uterus reached the maximum stretch or maximum elasticity resulting irritability causing uterine contraction

Answer 6

uterine myometrial irriability

Question 7

when late stage of pregnancy (38-39yo) it decreases the progesterone level in a pregnant women, due to decreased of level. Labor is said to start when progesterone decreases & uterine muscle stimulants increase in late pregnancy.

Answer 7

progesterone deprivation theory

Question 8

common experience of pregnant women during labor, The pressure of the fetal head on the cervix in late pregnancy stimulates the posterior pituitary gland to secrete oxytocin.

Answer 8

oxytocin theory

Question 9

who produce oxytocin

Answer 9

hypothalamus

Question 10

secrete and stored ocytocin

Answer 10

posterior pituitary gland

Question 11

high hormones during labor & delivery

Answer 11

ESTROGENIC, FETAL HORMONE & PROSTAGLANDINS THEORIES

Question 12

has stimulating effect to intended to uterine muscles, All these have a stimulating effect on the uterine musculature, causing uterine contractility.

Answer 12

ESTROGENIC, FETAL HORMONE & PROSTAGLANDINS THEORIES

Question 13

fetal hormones

Answer 13

cortisol and prostaglandins

Question 14

function of prostaglandin

Answer 14

to ripen the cervix

Question 15

more pressure is exerted on the fundal portion, the usual placental site, & the most contractile portion of the uterus. It is believed that the result of diminished blood supply to the are causes contraction.

Answer 15

THEORY OF AGING PLACENTA

Question 16

range of lightening

Answer 16

36 to 40 weeks

Question 17

✓ Relief of dyspnea
✓ Relief of abdominal tightness
✓ Increased frequency of urination, varicosities & pedal edema
✓ Shooting pains
down the legs
✓ Increased amount of vaginal discharge.

Answer 17

LIGHTENING

Question 18

Occurs 3 to 4 weeks before labor

Answer 18

INCREASED
BRAXTON
HICKS’
CONTRACTION

Question 19

Burst of energy is due to the hormone epinephrine

Answer 19

INCREASED
MATERNAL
ENERGY

Question 20

Due to drop in the blood level of progesterone.

Answer 20

SLIGHT
DECREASE IN
MATERNAL
WEIGHT

Question 21

From the cervix shortly before or during labor.

Answer 21

BLOOD-TINGED MUCUS DISCHARGE

Question 22

vaginal discharge/ white vaginal discharge due to increased progesteron level

Answer 22

leukorrhea

Question 23

• Thinning & obliteration of the cervical canal
• Expressed in %
• 100% effaced is where the cervical canal has become paper thin or absent

Answer 23

EFFACEMENT

Question 24

The separation of the active, shorter, thicker upper uterine segment & passive, longer & thinner lower segment

Answer 24

PHYSIOLOGIC
RETRACTION
RING

Question 25

COMPONENTS OF THE LABOR PROCESS (5ps)

Answer 25

POWER PASSENGER PASSAGEWAY POSITION PSYCHOLOGIC RESPONSE

Question 26

• Uterine contractions • Involuntary, rhythmical, regular activity of uterine musculature • Occurs intermittently by allowing period of uterine contraction.

Answer 26

Power

Question 27

• Increased maternal BP • Decreasing uteroplacental circulation • Pushing down • Prolonged contractions can cause fetal hypoxia. • Cervical dilatation

Answer 27

POWER EFFECTS

Question 28

✓ The phase of increasing “building up” contraction. ✓ Longest phase

Answer 28

POWER PHASES: INCREMENT

Question 29

✓ The height/peak of uterine contractions.

Answer 29

POWER PHASES: POWER

Question 30

✓ The phase of decreasing contraction. ✓ “Letting up” or end phase

Answer 30

POWER PHASES: DECREMENT

Question 31

• Directly measures the strength of contractions • ACME: Intensity ranges from 30 to 55 mm Hg • REST: 10 mm Hg

Answer 31

INTRAUTERINE CATHETER

Question 32

Fetal station : +1; low enough to stimulate?

Answer 32

Ferguson Reflex

Question 33

longitudinal, midline suture between 2 parietal bones. -Most important suture in labor

Answer 33

Sagittal Suture

Question 34

• Relationship of the long axis of the fetus to the long axis of the mother’s uterus/spine • Longitudinal & Transverse

Answer 34

FETAL LIE

Question 35

Is a factor in prolonged labor, with the mother experiencing discomfort (backache) during labor

Answer 35

Occiput posterior (OP):

Question 36

Refers to the relationship of the presenting part to the ischial spines – the single most important landmark of the pelvis.

Answer 36

FETAL STATION

Question 37

the single most important landmark of the pelvis.

Answer 37

ischial spines

Question 38

If the presenting part is above the level of the ischial spines

Answer 38

Minus Station