INTRAPARTUM 2; signs of labor

Question 1

What are the preliminary/Premonitory Signs of labor

Answer 1

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

Question 2

What signs of labor this belong to: shooting leg pains

Answer 2

LIGHTENING

Question 3

What signs of labor this belong to: Increased vaginal secretions

Answer 3

LIGHTENING

Question 4

What signs of labor this belong to: increased urinary frequency

Answer 4

LIGHTENING

Question 5

What signs of labor this belong to: increased pelvic pressure

Answer 5

LIGHTENING

Question 6

What signs of labor is this: increased venous stasis

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

Answer 6

LIGHTENING

Question 7

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

Answer 7

increased pressure in sciatic nerve causing edema in lower extremities

Question 8

what is the rationale behind increased vaginal secretions during lightening

Answer 8

d/t congestion of vaginal mucous membrane

Question 9

descent of the fetal presenting
part into the pelvis

Answer 9

lightening

Question 10

during lightening the uterus becomes lower
and more___________

Answer 10

anterior

Question 11

during lightening it happens __________ in primiparas

Answer 11

early -approximately 2 weeks before birth or at 38 weeks

Question 12

when does lightening happens in multiparas

Answer 12

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

Question 13

irregular,
intermittent
contraction

Answer 13

BRAXTON HICK’S
CONTRACTION

Question 14

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

Answer 14

BRAXTON HICK’S
CONTRACTION

Question 15

internal sign which can be
determined only on pelvic
examination

Answer 15

CERVICAL RIPENING

Question 16

Throughout pregnancy, the
cervix feels softer than
normal

Answer 16

Goodell’s sign

Question 17

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

Answer 17

BLOODY SHOW

Question 18

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

Answer 18

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

Question 19

what is two way of rupturing membrane

Answer 19

spontaneously or
amniotomy

Question 20

it is the natural way of rupturing membrane

Answer 20

spontaneously

Question 21

it is the artificial rupturing of membrane

Answer 21

amniotomy

Question 22

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

Answer 22

color, amount, and odor

Question 23

what is the normal characteristics of the amniotic fluid

Answer 23

clear and odorless

Question 24

yellow-green tinged amniotic fluid indicates

Answer 24

infection or
fetal passage of meconium

Question 25

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

Answer 25

-open pathway into the uterus that increase risk of infection -if engagement has not occured due to danger signs of prolapsed cord

Question 26

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

Answer 26

decrease progesterone that that causes contraction increase in activity = increase in epinephrine release additional: oxytoxin help induce labor

Question 27

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

Answer 27

cause continuous contraction

Question 28

what is the other signs of labor

Answer 28

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

Question 29

involve uterine and cervical changes

Answer 29

TRUE LABOR

Question 30

surest sign that labor has begun is

Answer 30

TRUE LABOR

Question 31

Contractions are at regular intervals

Answer 31

True Labor

Question 32

Intervals between contractions gradually shorten

Answer 32

True Labor

Question 33

Contractions increase in frequency, duration and intensity

Answer 33

True Labor

Question 34

Pains usually begin in lower back, radiating to the abdomen

Answer 34

True Labor

Question 35

Intensity usually increases with change in activity walking usually increases labor pains

Answer 35

True Labor

Question 36

Cervical dilatation and effacement are progressive

Answer 36

True Labor

Question 37

Contractions do not decrease with rest or warm tub bath

Answer 37

True Labor

Question 38

Contractions usually no change

Answer 38

False Labor

Question 39

Pains usually occur in the abdomen

Answer 39

False Labor

Question 40

Change of activity has no effect on contractions walking may lessen the pain

Answer 40

False Labor

Question 41

No change in the cervix

Answer 41

False Labor

Question 42

Rest and warm tub bath lessen contractions

Answer 42

False Labor

Question 43

contraction have irregular intervals

Answer 43

false labor

Question 44

Intervals between contractions do not shorten

Answer 44

false labor