Labour

Question 1

Definition of Labour

Answer 1

Delivery of the baby

Question 2

What is classified as overdue?

Answer 2

2 weeks post due date

Question 3

What is true labour?

Answer 3

Women has bloody show, membranes rupture, painful contractions

Question 4

5 Signs and Symptoms of Labour

Answer 4

Lightening
Increased fetal activity
Braxton hicks contractions
Ripening of cervix
Show

Question 5

Definition of ‘the show’

Answer 5

1 tablespoon of blood or brown sticky mucus

Question 6

Classification of lightening

Answer 6

Known as baby dropping lower into mums pelvis

Question 7

What is a ripe cervix

Answer 7

Cervix soft and supple to touch rather than firm

Question 8

Methods for Stimulation

Answer 8

Breast Stimulation
Amniotomy
Oxytocin Administration
Ripening agent application

Question 9

What ripening agent is used in NZ for labour stimulation?

Answer 9

Cervidil

Question 10

How many stages of labour?

Answer 10

Three

Question 11

Define the 1st stage of labour

Answer 11

Neck of womb (cervix) opens to 10cm dilated

Question 12

Define 2nd stage of labour

Answer 12

Baby moves down through vaginal canal and born.

Question 13

Define 3rd Stage of labour

Answer 13

Delivery of placenta

Question 14

What are the two ways that the placenta is delivered?

Answer 14

Physiological & Active

Question 15

What does physiological delivery of placenta mean? What is encouraged in the mean time

Answer 15

• Waiting for the body to deliver placenta naturally

- RN to encourage BF and Skin-Skin

Question 16

What is injected for ‘Active’ delivery of placenta?

Answer 16

Ecbolic (contracting) agent

Question 17

What two medications are given to neonates at birth

Answer 17

Vitamin K injection

Erythromycin cream to eyes

Question 18

What is Apgar Scoring?

Answer 18

Evaluates:

Neonates HR, Resp effort, muscle tone, reflex irritability and colour at birth.

Question 19

Why is Apgar scoring completed?

Answer 19

Indicates neonates ability to extrauterine life