INTRAPARTUM 2; maternal responses to labor Flashcards

1
Q

__________% increase in circulating blood volume

A

50

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2
Q

With each contraction, ______ to _______ ml of blood
volume is forced back into the maternal
circulation

A

300 to 500

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3
Q

supine position the CO __________

A

lowers

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4
Q

lateral positon the CO ____________

A

increase

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5
Q

increase in systolic and diastolic BP is __________
mmHg with each uterine contraction

A

15

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6
Q

position of 2nd stage of labor

A

upright or
side lying position

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7
Q

______% increase in oxygen consumption

A

100

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8
Q

Using appropriate _____________________ during
labor can help avoid severe
hyperventilation

A

breathing patterns

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9
Q

what increased muscular
activity cause in temperature

A

slight elevation

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10
Q

increase in rate and depth of respirations and diaphoresis increase in _______________ water loss

A

insensible

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11
Q

decrease in fluid intake during labor & increased
insensible water loss= ____________ urine

A

concentrated

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12
Q

reduces bladder _____________ or the ability
of the bladder to _____________ filling

A

tone, sense

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13
Q

musculoskeletal

Release of __________

symphysis pubis and the sacral/coccyx joints
become more relaxed and ____________

increase the size of the pelvic ring by ___ cm

A

relaxin , movable, 2

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14
Q

Gastrointestinal System

Reduced gastric ___________ and absorption of
solid food

Gastric emptying time is ___________ and
gastric volume remains increased

A

motility, prolonged

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15
Q

Neurologic and Sensory Responses

Pain during the first stage of labor arises
from:

___________ of the cervix, which is the_______________
source of pain

stretching of the lower __________ segment

on adjacent structures

_____________a of the uterine muscle cells during
contractions.

A

dilation, primary

uterine

hypoxia

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16
Q

Neurologic and Sensory Responses

During the second stage of labor, pain is
caused by:

hypoxia of the ___________ uterine muscle
cells

___________ of the vagina and perineum

____________ on adjacent structures

A

contracting

distension

pressure

17
Q

Neurologic and Sensory Responses

Pain during the third stage results

uterine ____________

cervical ____________ as the
placenta is expelled

A

contractions

dilation

18
Q

Factors on perception and response to pain:

Childbirth preparation ___________

fatigue and __________deprivation

previous ______________ with pain

Anxiety

attention and _____________

A

classes, sleep, experience, distraction

19
Q

integumentary vagina and _______________have a great ability to
stretch

A

perineum

20
Q

Immune System and Other Blood Values

WBC count increases to ___________to
______________/mm3 during labor and early
postpartum period

increased __________________

Maternal blood glucose levels = decrease insulin

A

25 000 to 30 000

neutrophils