Labor

Question 1

Cervical changes in labor

Answer 1

effacement and dilation

Cervix will dilate from 1 cm to 10 cm

Cervix will efface (thin) from 0% effaced (thick) to 100% effaced (thin as a sheet of wool fabric)

Question 2

Fetal station

Answer 2

where the fetal head is in relation to the ischial spines

described as -3 to +3

Question 3

occurs when the widest diameter of the presenting part (usually the head) has passed through the pelvic inlet.

Answer 3

Engagement (“0”)

“Lightening” is a perception that often accompanies engagement.

Question 4

1st stage of labor

Answer 4

dilation/effacement

Question 5

2nd stage of labor

Answer 5

pushing/delivery

Question 6

3rd stage of labor

Answer 6

placental delivery

Question 7

2 phase of first stage of labor

Answer 7

Latent phase - early effacement and dilation 0-4cm

Active phase - rapid effacement, most dilation occurs, most painful 6-10cm

Question 8

after how many minutes might you have to manually remove a placenta after delivery

Answer 8

20-30 mins

Question 9

top 4 indications for cesarean sections

Answer 9

Cephalo-pelvic disproportions

Fetal malpresentations

Previous c sections

Fetal distress