L&D Flashcards

1
Q

What are the 5 P’s of labor?

A

Passageway, Passenger, Powers, Position, Psychological response

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2
Q

What is the passageway in the context of labor?

A

Birth canal

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3
Q

What are the components of the pelvic bony structure?

A

4 bones joined by 4 joints

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4
Q

What hormone relaxes the joints of the pelvis?

A

Relaxin

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5
Q

Name the three parts of the pelvic passage.

A

Inlet, Midpelvis, Outlet

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6
Q

What forms the pelvic floor?

A

Pelvic tissues and ligaments

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7
Q

What happens to the perineum during labor?

A

Thins to 1 cm

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8
Q

What nerve roots carry sensory fibers related to pain during labor?

A

T11, T12

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9
Q

What are the theories for the cause of pain during labor?

A
  • Hypoxia of myometrium
  • Compression of nerve ganglia
  • Stretching of cervix
  • Stretching of peritoneum
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10
Q

What factors affect pelvic blood supply during labor?

A
  • Tone
  • Contractility
  • Arterial perfusion pressure
  • Venous overflow
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11
Q

What is the ‘lie’ in obstetrics?

A

Relationship of long axis of baby to long axis of mother

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12
Q

What are the two types of fetal lie?

A

Longitudinal, Transverse

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13
Q

What does presentation refer to in the context of labor?

A

Part of fetus foremost in birth canal

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14
Q

List the types of fetal presentation.

A
  • Head
  • Occiput
  • Face
  • Brow
  • Breech (Frank, Complete, Footling)
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15
Q

What does the term ‘station’ refer to?

A

Degree of descent of presenting part into the birth canal

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16
Q

What physiological and hormonal changes occur towards the end of pregnancy?

A
  • Increase in prostaglandins
  • Increase in estrogen and oxytocin
  • Decrease in progesterone
17
Q

What are the characteristics of contractions?

A
  • Intensity (Mild, moderate, strong)
  • Frequency (every 2-4 minutes)
  • Duration (lasting 60 seconds)
18
Q

What is the lithotomy position?

A

Position for birth

19
Q

What are the emotional phases during labor?

A
  • 0-3 cm
  • 4-7 cm
  • 8-10 cm
20
Q

What are the stages of labor?

A
  • First stage: 0-10 cm
  • Second stage: bearing down until birth of infant
  • Third stage: delivery of infant until expulsion of placenta
  • Fourth stage: immediate postpartum period (1-2 hours)
21
Q

Define the second stage of labor.

A

10 cm to birth

22
Q

What are the signs of the second stage of labor?

A
  • Urge to push (Ferguson’s reflex)
  • Defecation
  • Bulging of the perineum
  • Increased rectal and perineal pressure
  • Increased bloody show
  • Involuntary grunting
23
Q

What are the phases of the second stage of labor?

A
  • Early
  • Active or descent phase
24
Q

What are the cardinal movements during labor?

A
  • Descent
  • Flexion
  • Internal rotation
  • Extension
  • Restitution
  • External rotation
  • Lateral flexion
25
Q

What is the duration of the third stage of labor?

A

0-30 minutes

26
Q

What is the fourth stage of labor?

A

From expulsion of the placenta to up to 2 hours after birth