Intrapartum Labor Flashcards

1
Q

What are 6 labor triggers?

A

Release of prostaglandins, increased estrogen, decreased progesterone, increased oxytocin, aging of the placenta, fetal cortisol production

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2
Q

Maternal factors for labor triggers

A

Stretching of uterine muscles, estrogen/progesterone changes, oxytocin release, release of prostaglandins

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3
Q

Fetal factors that trigger labor

A

Fetal cortisol changes, placenta ages, prostaglandins increase causing contractions

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4
Q

7 signs of labor

A

Lightening, Braxton Hicks contractions, cervical changes, GI changes, backache, bloody show, SROM Occurs

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5
Q

The 5 P’s affecting labor

A

Powers, passage/passageway, passenger, psyche, position

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6
Q

What 3 things should be monitored for contractions?

A

Frequency, duration, and intensity

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7
Q

What does a mild, moderates or strong contraction feel like?

A

Mild= tip of nose, moderate= finger to chin, strong=touch forehead

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8
Q

What are uterine contractions responsible for?

A

Dilation and effacement (thinning) of the cervix in the 1st stage of labor

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9
Q

Planes of the true pelvis

A

Inter, mid pelvis or cavity, and outlet

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10
Q

4 types of shapes to pelvis

A

Gynecoid= round, anthropoid= oval shaped, android= heart, platypelloid= flat shaped

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11
Q

What is the optimal shape of the pelvis? Which one is also favorable for a vaginal delivery?

A

Gynecoid= optimal, anthropoid is also favorable

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12
Q

3 types of fetal presentation

A

Cephalic, breech, or shoulder

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13
Q

How is a fetal position written?

A

1st letter: right or left in relation to mother’s pelvis
2nd letter: fetal presenting part (O=occiput, S=sacrum, M= mentum or chin, SC = scapula/shoulder)
3rd letter: location of presenting part in relation to a portion of maternal pelvis (A= anterior, P= posterior, T= transverse)

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14
Q

What is the first stage of labor?

A

Onset of contractions to full dilation of cervix

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15
Q

dilation of cervix in latent, active, and transition phases

A

Latent: 0-6 cms
Active: 6-8 cms (fetal decent)
Transition: 8-10 cms

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16
Q

What is the second stage of labor?

A

Full dilation to birth of fetus

17
Q

What is the 3rd stage of labor?

A

Birth and delivery of the placenta

18
Q

Fourth stage of labor

A

Lasts about 4 hours after delivery. Most literature says next six weeks

19
Q

Where are true contractions felt? false contractions?

A

True: felt in lower back, radiates to lower portion of abdomen
False: felt above umbilicus in abdomen

20
Q

What are indications that a woman is in the latent phase of the first stage of labor?

A

Contractions every 5- 15 minutes
Duration of contractions: 10-30 seconds
Intensity of contraction: mild
Mom may be talkative, eager, and anxious

21
Q

What are indications that a woman is in the active phase of the first stage of labor?

A

Contractions are moderate to strong in intensity and are every 3-5 minutes and last 30-45 seconds each
Mother feels helplessness, pain, restlessness, anxiety, serious, more inward

22
Q

What are indications that a woman is in the transition phase of the first stage of labor?

A

Contractions are strong and come every 1-2 minutes and last 40-60 seconds (up to 90)
Mother is in pain and may feel tired, irritable, restless, out of control, panic, may have nausea/vomiting and leg cramps

23
Q

Indications of stage 2 of labor

A

Strong Contractions every 1-2 minutes that last 50-90 seconds
Increase in bloody show
Urge to bear Down
Perineal burning/stretching

24
Q

Where should the head of the bed be during delivery?

A

As upright as possible, at least 45°

25
If a membrane is ruptured, how long do you have until the infant should be delivered?
18-24 hours
26
Why does a baby need to be delivered after the ROM?
Infection chance increases
27
How do you know that the placenta is going to deliver?
Fundus rises, cord elongates, there are spurts of blood
28
What is shoulder dystocia considered?
A medical emergency
29
Can a vaginal delivery continue with a prolapsed cord?
No