Labor and Delivery

Question 1

regularly occurring, uncomfortable-to-painful uterine contractions result in progressive effacement and dilatation of the cervix

Answer 1

labor

Question 2

stimulate uterine contractions and which may soften the cervix independent of uterine activity

Answer 2

prostaglandins

Question 3

amplify the biologic effect from a given amount of oxytocin

Answer 3

increased myometrial oxytocin

Question 4

When should a woman who is in labor come into the hospital?

Answer 4

Contractions every 5 minutes for 1 hour, gush of fluid, decreased fetal mov’t

Question 5

Stage of delivery with cervical effacement and early dilatation

Answer 5

latent phase

Question 6

Stage of delivery when cervix is dilated 3-4cm

Answer 6

active phase

Question 7

What stage of delivery does delivery of placenta correlate with?

Answer 7

stage 3

Question 8

What stage of delivery is the hour immediately after delivery?

Answer 8

stage 4

Question 9

What is the length of the complete dilation of the cervix for a full-term infant?

Answer 9

10cm

Question 10

contractions occur every 5 to 10 minutes last for 30-45 seconds. About 20-30mmHg in intensity

Answer 10

early labor

Question 11

What is the only way to measure intensity of contractions accurately?

Answer 11

internal uterine monitor

Question 12

Warning signs of fetal heart rate

Answer 12

late decelerations, bradycardia, decreased variability

Question 13

Associated with umbilical cord compression

Answer 13

variable decelerations when mother has a contraction

Question 14

Mother has contraction, then heart decelerates indicates what?

Answer 14

decreased oxygen to fetus

Question 15

The most urgent pattern on fetal monitoring

Answer 15

sinusoidal

Question 16

Begins with complete dilatation of the cervix and ends with delivery of the baby

Answer 16

2nd stage of delivery

Question 17

Direction baby’s head must go when descending through the pelvis

Answer 17

inferoposterior direction and then in an inferoanterior direction

Question 18

What are the 5 cardinal movements of labor?

Answer 18

engagement, descent, flexion, internal rotation, extension

Question 19

Biparietal diameter, the widest transverse diameter of the fetal head, has passed the plane of the pelvic inlet

Answer 19

engagement

Question 20

As forces cause descent of the fetus through the pelvis, soft tissue and bony resistance is encountered

Answer 20

flexion

Question 21

The head goes through the pelvis (depending on type) sideways

Answer 21

internal rotation

Question 22

After further descent, the fetal head is delivered

Answer 22

extension

Question 23

At what point can you gently put traction on the cord?

Answer 23

Once the placenta separates

Question 24

Most common major operation performed in the U.S

Answer 24

C-section

Question 25

Bottom first position of fetus! Generally known ahead of time automatic c-section

Answer 25

breech

Question 26

Three meds newborn gets

Answer 26

Hep B vaccine, arthyromycin in eyes, vitamin K