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MCN > INTRAPARTUM 2; signs of labor > Flashcards

INTRAPARTUM 2; signs of labor Flashcards

1
Q

What are the preliminary/Premonitory Signs of labor

A

1.Lightening
2. Braxton Hicks Contractions
3. Cervical Ripening
4. Bloody Show
5. Rupture of Membranes
6. Sudden Burst of Energy
7. Other Signs

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2
Q

What signs of labor this belong to: shooting leg pains

A

LIGHTENING

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3
Q

What signs of labor this belong to: Increased vaginal secretions

A

LIGHTENING

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4
Q

What signs of labor this belong to: increased urinary frequency

A

LIGHTENING

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5
Q

What signs of labor this belong to: increased pelvic pressure

A

LIGHTENING

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6
Q

What signs of labor is this: increased venous stasis

veins in your legs cannot sent the blood back to the heart

A

LIGHTENING

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7
Q

what is the rationale behind the shooting leg pain experienced during lightening

A

increased pressure in sciatic nerve causing edema in lower extremities

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8
Q

what is the rationale behind increased vaginal secretions during lightening

A

d/t congestion of vaginal mucous membrane

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9
Q

descent of the fetal presenting
part into the pelvis

A

lightening

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10
Q

during lightening the uterus becomes lower
and more___________

A

anterior

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11
Q

during lightening it happens __________ in primiparas

A

early -approximately 2 weeks before birth or at 38 weeks

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12
Q

when does lightening happens in multiparas

A

occurs on the day of labor or even after labor has begun

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13
Q

irregular,
intermittent
contraction

A

BRAXTON HICK’S
CONTRACTION

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14
Q

felt in the abdomen
or inguinal region
and patients may
mistake them for
true labor

A

BRAXTON HICK’S
CONTRACTION

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15
Q

internal sign which can be
determined only on pelvic
examination

A

CERVICAL RIPENING

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16
Q

Throughout pregnancy, the
cervix feels softer than
normal

A

Goodell’s sign

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17
Q

pink-tinged secretions signaling that labor
will begin within 24 - 48 hrs

A

BLOODY SHOW

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18
Q

what is the rationale behind the bloody show as a sign of labor

A

with softening and effacement of the
cervix, the mucous plug is often
expelled, resulting in a small
amount of blood loss
from the exposed
cervical capillaries

19
Q

what is two way of rupturing membrane

A

spontaneously or
amniotomy

20
Q

it is the natural way of rupturing membrane

A

spontaneously

21
Q

it is the artificial rupturing of membrane

A

amniotomy

22
Q

if the membranes rupture at home what you should take note about the amniotic fluid

A

color, amount, and odor

23
Q

what is the normal characteristics of the amniotic fluid

A

clear and odorless

24
Q

yellow-green tinged amniotic fluid indicates

A

infection or
fetal passage of meconium

25
Q

signals the need for further assessment and
fetal heart rate monitoring after rupturing of membrane

A

-open pathway into the uterus that increase risk of infection

-if engagement has not occured due to danger signs of prolapsed cord

26
Q

rationale about the sudden burst of energy that happens 24-48 hours before labor

A

decrease progesterone that that causes contraction

increase in activity = increase
in epinephrine release

additional:
oxytoxin help induce labor

27
Q

what is the rationale why we do not give IVP in pregnant women

A

cause continuous contraction

28
Q

what is the other signs of labor

A

-weight loss of 1 to 3 lbs.
-diarrhea
-nausea
-vomiting

29
Q

involve uterine and cervical
changes

A

TRUE LABOR

30
Q

surest sign that labor has begun is

A

TRUE LABOR

31
Q

Contractions are at
regular intervals

A

True Labor

32
Q

Intervals between
contractions gradually
shorten

A

True Labor

33
Q

Contractions increase in
frequency, duration and
intensity

A

True Labor

34
Q

Pains usually begin in
lower back, radiating to
the abdomen

A

True Labor

35
Q

Intensity usually
increases with change in
activity

walking usually
increases labor pains

A

True Labor

36
Q

Cervical dilatation and
effacement are
progressive

A

True Labor

37
Q

Contractions do not
decrease with rest or
warm tub bath

A

True Labor

38
Q

Contractions usually no change

A

False Labor

39
Q

Pains usually occur in
the abdomen

A

False Labor

40
Q

Change of activity has no
effect on contractions

walking may lessen the
pain

A

False Labor

41
Q

No change in the cervix

A

False Labor

42
Q

Rest and warm tub bath
lessen contractions

A

False Labor

43
Q

contraction have irregular intervals

A

false labor

44
Q

Intervals between
contractions do not shorten

A

false labor

MCN (8 decks)

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