Labour

Question 1

what is labour?

Answer 1

• regular and painful contractions
• cervical dilation
• descent of the presenting part

Question 2

what are the signs of labour?

Answer 2

• regular and painful uterine contractions
• show (shedding of mucous plug)
• rupture of the membranes
• shortening and dilation of the cervix

Question 3

what is stage 1?

Answer 3

onset of labour –> cervix is fully dilated

Question 4

what is stage 2?

Answer 4

full dilation –> delivery of the fetus

Question 5

what is stage 3?

Answer 5

delivery of the fetus –> delivery of the placenta and membranes

Question 6

how often is fetal heart rate monitored during labour?

Answer 6

every 15 mins

Question 7

how often are contractions assessed?

Answer 7

every 30 mins

Question 8

how often is maternal HR assessed in labour?

Answer 8

every 60 mins

Question 9

how often are maternal BP and temp checked during labour?

Answer 9

every 4 hours

Question 10

how often is a vaginal examination done during labour?

Answer 10

every 4 hours

Question 11

how long does it typically take to become fully dilated in a primigravida?

Answer 11

10-16 hours

Question 12

what is latent phase stage 1?

Answer 12

0-3cm dilation

Question 13

how long does latent stage 1 last?

Answer 13

typically 6 hours

Question 14

what is active phase stage 1?

Answer 14

3-10cm dilation

Question 15

what rate do you expect a cervix to dilate in active stage 1?

Answer 15

1cm/hr

Question 16

what position does the fetus’s head enter the pelvis?

Answer 16

occipito-lateral position

Question 17

what position is a fetus’s head typically delivered in?

Answer 17

occipito-anterior position