L&B 5a/Second stage of Labor

Question 1

Second stage of labor:

1) Duration ?
2) Begins with ?
- Cervix
- Contractions
- Frequency
- Duration
3) Ends with ?
4) Maternal characteristics (1)

Answer 1

Second stage of labor:

1) Duration: Primigravida 30 mins to 2 hrs, Multigravida 5 to 30 min
2) Begins with
- Cervix full dilation
- Contractions progresses to intense contractions every 1 to 2 min
3) Ends with birth
4) Maternal characteristics
- Pushing results in birth of fetus

(ATI 125)

Question 2

Second stage of labor: Duration/Primigravida

Answer 2

Primigravida: 30 to 2 hrs

ATI 125

Question 3

Second stage of labor: Duration/Multigravida

Answer 3

Multigravida: 5 to 30 min

ATI 125

Question 4

A woman who is pregnant for the first time is called?

Answer 4

Primigravida

Question 5

A pregnant woman who has been pregnant one or more times previously is called?

Answer 5

Multigravida

Question 6

Second stage of labor:  Cardinal Movements/Mechanisms of labor.
Adaptions that fetus undertakes to maneuver through pelvis during labor and birth.  
1)  Every
2)  Darn
3)  Fool
4)  In Rotterdam
5)  Eats
6)  Rotten
7)  Egg Rolls
8)  Everyday

(Check deck: L&B/Mechanisms of labor)

Answer 6

1) Engagement
2) Descent
3) Flexion
4) Internal rotation
5) Extension
6) Restitution
7) External rotation
8) Expulsion

(ATI 124) (Hogan 163)

Question 7

Second stage of labor: Crowning:

Answer 7

Crowning: outward bulging and thinning of perineum and opening of vagina as fetal presenting part presses down onto perineum and becomes visible prior to delivery; this process is slower in nulliparous client than multiparous client.
(Hogan 163)