Labour And Delivery

Question 1

First stage of labour

Answer 1

Begins at first contraction and ends with cervix fully dilated

Early labor)Onset of contractions . Occur every 5-20min with increasing discomfort.
•( Active Labor) cervix dilated to 4-8cm, contractions 4-5min apart, 60 seconds long
•(Transition) - complete dilation of cervix, mother may feel rectal pressure. Lasts on avg 15-20 min. Contractions about 2-3 min apart.
•Time contractions and note the duration of each

Question 2

How to time contractions

Answer 2

From beginning to beginning

Question 3

Stage 2 of Labour

Answer 3

From full dilation of cervix to delivery of infant

• Fetal head enters the birth canal
• Mother’s pain
• Contractions become more intense and frequent
• Mother has urge to
• Crowning occurs, indicating delivery is
• Lasts 1-2 hrs in first time mother
• 30 min if previous births

Question 4

Stage 3 of labour

Answer 4

Begins when baby is delivered and end when the placenta delivers.

Mother is at highest risk of hemorrhage during and after the 3

Question 5

S&S of imminent delivery

Answer 5

Regular contractions lasting 45 to 60 seconds at 1- to 2-minute intervals
•Urge to , or sensation of
•Large amount of bloody show
•Crowning occurs
•Mother believes delivery is imminent

Question 6

Postpartum hemorrhage

Answer 6

Remains one of the most common causes of maternal morbidity/mortality (25% of obstetrical deaths)

• Defined as blood loss in excess of 500 ml
• Incidence of occurrence is 5% of all pregnancies
• Risk factors
• Uterine atony from labor
• Grand multiparity
• Twins
• Placenta previa
• Full bladder

Question 7

Fundal massage

Answer 7

Massage for a soft fundus (boggy=bad)

Question 8

Cervix fully dilated at ____cm

Answer 8

10cm

Question 9

Cephalopelvic Disproportion

Answer 9

• Difficult labor because of:
• Small pelvis
• Oversized fetus
• Fetal abnormalities
• Hydrocephalus, conjoined twins, fetal tumors
• Often primigravida experiencing strong, frequent contractions for long period

Question 10

Frank Breech

Answer 10

The fetal hips are flexed and the legs extend in front of the fetus. The buttocks are the presenting part. Frank breech accounts for about 60% to 65% of breech presentations.

Question 11

Complete Breech

Answer 11

The fetus has both knees and hips flexed. The buttocks are the presenting part. Complete breech accounts for about 5% of breech presentations.

Question 12

Incomplete Breech

Answer 12

The fetus has one or both hips incompletely flexed. This results in presentation of one or both lower extremities (often a foot). Incomplete breech accounts for about 25% to 30% of breech presentations.

Question 13

MAPS

Answer 13

Mc Roberts

Anterior Shoulder

Posterior Shoulder

Salvage