Labor and Delivery: Birth part 1 Flashcards

1
Q

When can braxtion hicks contractions start

A

20wks

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2
Q

What are some signs labor is coming

A

braxton hicks maybe
lightening (when the baby starts entering the pelvis)
Loss of the mucus plug
nesting (sudden burst of energy)
little weight loss, diarrhea, nausea, and increased backpain

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3
Q

What are some sigsn of lightening

A

easier to breath

can eat more

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4
Q

When is labor

A

37-42 weeks

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5
Q

Signs of true labor

A

cervix moves anterior
pain not releived by walking or resting
fetus is engaged
increased gradual intensifying contractions

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6
Q

What is the hallmark of labor

A

cervical change

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7
Q

What is the first stage of labor

A

cervical dilation to 10 cm
decreased thickness of the cervix (effacement)
lasts 6-24 hrs

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8
Q

What is the latent phase of the first stage of labor

A

0-4cm
contractions 30 seconds
likely to be sent home

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9
Q

What is the active phase of the first stage of labor

A
5-7cm 
usu when epidural starts
contractions every 2-5 mins 
refrain from heavy meals
Usually last 3-5 hrs 
Duration: 45-60 seconds
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10
Q

What is the transitioin phase of the first stage of labor

A

8-10cm
last part
contractions every 1.5-2 minutes last for 60-90 minutes
N/V chills, shaking, and hot flashes are common
this phase lasts 30mins to 2 hrs on average

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11
Q

When does second stage end

A

birth of baby

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12
Q

When does second stage begin

A

10 cm dilation and 100% effacement

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13
Q

How long does second stage last on average

A

10 min to 3+ hrs

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14
Q

Will pain meds kill perineal pain right before birth

A

no

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15
Q

What meds are given at 3rd stage of labor

A

oxytocin

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16
Q

When is postpartum hemorrhage most likely and why

A

4th stage after the placenta is birthed

17
Q

What s/s are common durign 4th stage

A

chills and shaking

18
Q

How long does 4th stage usu last

A

1-4hrs

19
Q

What is the noraml blood loss after vag deliv

A

500 ml

20
Q

What is the normal blood loss for C-section

A

800-1000ml