Labor and Delivery

Question 1

First stage phases (3)

Answer 1

• Latent phase
• Active phase
• Transitional phase

Question 2

Latent phase

Answer 2

0-3 cm

Question 3

Contractions during latent phase

Answer 3

• Irregular
• Mild - moderate

Question 4

Frequency of contractions during latent phase

Answer 4

5-30 minutes

Question 5

Duration of contractions during latent phase

Answer 5

30-45 seconds

Question 6

Active phase

Answer 6

4-7 cm

Question 7

Contractions during active phase

Answer 7

• Regular
• Moderate - strong

Question 8

Frequency of contractions during active phase

Answer 8

3-5 minutes

Question 9

Duration of contractions during active phase

Answer 9

40-70 seconds

Question 10

Transitional phase

Answer 10

8-10 cm

Question 11

Contractions during transitional phase

Answer 11

• Regular
• Very strong

Question 12

Frequency of contractions during transitional phase

Answer 12

2-3 minutesD

Question 13

Duration of contractions during transitional phase

Answer 13

45-90 seconds

Question 14

Second stage

Answer 14

• Pushing stage
• From complete dilation to delivery of baby

Question 15

Third stage

Answer 15

• After baby is delivered until placenta is delivered
• Mild contractions

Question 16

Fourth stage

Answer 16

1-2 hours after placenta is delivered

Question 17

VEAL
CHOP
MINE

Answer 17

• Variable
• Early
• Acceleration
• Late
• Cord compression
• Head compression
• Other (ok)
• Placental insufficiency
• Move patient
• Identify labor process
• No action needed
• Execute actions immediately

Question 18

Variable decelerations

Answer 18

• Cord compression
• Move patient

Question 19

Early decelerations

Answer 19

• Head compression
• Identify labor process

Question 20

Accelerations

Answer 20

• Other
• No action needed

Question 21

Late decelerations

Answer 21

• Placental insufficiency
• Execute actions immediately

Question 22

Sensory stimulation strategies for managing pain during labor (4)

Answer 22

• Aromatherapy
• Breathing relaxation techniques
• Visual imagery and using focal points
• Music

Question 23

Cutaneous strategies to manage pain during labor (4)

Answer 23

• Back rubs, massages, counter pressure
• Effleurage
• Acupressure, acupuncture
• Water therapy

Question 24

Effleurage

Answer 24

Light, gentle, circular stroking of the patient’s abdomen with fingertips

Question 25

Regional blocks

Answer 25

• Pudendal
• Epidural
• Intrathecal

Question 26

Pudendal block

Answer 26

• Local anesthesia to perineum, vulva, rectal areas during delivery
• Given 10-20 minutes before delivery

Question 27

Epidural block

Answer 27

• Local anesthetic with morphine/fentanyl injected into the epidural space at the 4th or 5th lumbar vertebra