Labor & Neonates

Question 1

puerperium

Answer 1

the time period surrounding birth of the fetus

Question 2

effacement

Answer 2

shortening or thinning of a tissue, as in the the thinning of the cervix / begins several days prior to active labor ensues

Question 3

dilation

Answer 3

the progressive stretching the of the cervical opening / it dilates from its closed position to 10 cm and considered to be complete dilation /

Question 4

labor stage one

Answer 4

dilation stage; begins with the onset of true labor contractions and ends with complete dilation and effacement of the cervix / could last 8 to 10 hours for nullipara and 5 to 7 hours for the multipara

Question 5

labor stage two

Answer 5

expulsion stage; begins with the complete dilation of the cervix and end with the delivery of the fetus / lasts 50 to 60 minutes for the nullipara and half that for the multipara

Question 6

vertex position

Answer 6

infant is headfirst, face down (common presentation at delivery)

Question 7

breech presentation

Answer 7

situation in which either the buttocks or both feet present first

Question 8

labor stage three

Answer 8

placental stage; third and final stage of labor, begins immediately after the birth of the infant and ends with the delivery of the placenta / generally delivers within 5 to 20 minutes

Question 9

lochia

Answer 9

the puerperal discharge of blood, mucus, and tissue from the uterus

Question 10

lochia alba

Answer 10

the 3rd stage of the postpartum healing process, when the vaginal discharge is no longer tinged with blood / this stage may last 5 to 6 weeks postpartum / an offensive odor indicates contamination by saprophytic organisms

Question 11

acrocyanosis

Answer 11

bluish or purple coloring of the hands and feet caused by slow circulation

Question 12

prolapsed cord

Answer 12

occurs when the umbilical cord precedes the fetal presenting part / with a gloved hand insert two finger into the vagina to raise the presenting part of the fetus off the cord and gently check the cord for pulsations / DO NOT ATTEMPT DELIVERY. DO NOT PULL THE CORD. DO NOT ATTEMPT TO PUSH THE CORD BACK IN

Question 13

neonate respiratory rate

Answer 13

30 to 60 breaths per minute

Question 14

neonate heart rate

Answer 14

100 to 180 beats per minute / 140 to 160 is optimal

Question 15

APGAR scoring system

Answer 15

a means of evaluating the status of a newborn’s vital functions at 1 minute and 5 minutes after delivery

Question 16

APGAR parameters

Answer 16

Appearance (skin color) / Pulse rate / Grimace (irritability) / Activity (muscle tone) / Respiratory effort