Low Risk Labor

Question 1

five factors affecting labor/birth

Answer 1

1)fetus 2)passageway 3)powers 4)maternal position 5)psychological response

Question 2

how does the fetus affect labor/birth

Answer 2

size of head (relaxin helps move head)
fetal presentation
fetal lie

Question 3

how does passageway affect labor/birth

Answer 3

birth canal
body pelvis- gynecoid
retraction ring tissue

Question 4

how does powers affect labor/birth

Answer 4

primary=contraction

secondary= bearing down

Question 5

best positon for baby during labor

Answer 5

cephalic

occipitoanterior

Question 6

bottom at cervix

fetus is holding legs straight up

Answer 6

frank breech

Question 7

bottom at cervix

criss crossed feet

Answer 7

complete breech

Question 8

small to large head presentation

Answer 8

vertex (9 cm), sinciput (12 cm), brow (13.5 cm)

Question 9

opening of cervix

Answer 9

dilation

Question 10

process of moving fetus, placenta, and membranes out of the uterus and through the birth canal

Answer 10

labor

Question 11

thinning
this occurs late in pregnancy (>35 wks)
stretched at OB appointment

Answer 11

effacement

Question 12

signs of labor

Answer 12

Lightening

Bloody show

Question 13

fetus slides into pelvis

Answer 13

lightening

Question 14

cervix capillaries tear

Answer 14

bloody show

Question 15

contraction = ______

Answer 15

time of stress!

decreased oxygen to fetus

Question 16

babies not born with this so given at birth

Answer 16

vitamin k (clotting factor)
must get esp if head trauma while coming out

Question 17

must _____ for cervix to open

Answer 17

efface

Question 18

what is PROM

Answer 18

premature rupture of membrane

Question 19

what effaces cervix

Answer 19

prostaglandin

found on head of sperm also, regular sex will help ensure effacement (not missionary though)

Question 20

what comes out of cervix when manually dilated

Answer 20

mucus plug

can occur 2 wks before delivery

Question 21

what is the best way to breathe while in labor

Answer 21

*open glottis-let air out, safer to prevent Valsalva

closed glottis is dangerous, take deep breath and hold it

Question 22

Labor and birth are affected by…

Answer 22

the five Ps: passenger, passageway, powers, position of woman, and psychologic responses

Question 23

Because of its size and relative rigidity, the ____is a major factor in determining the course of birth

Answer 23

fetal head

Question 24

act to expel fetus and placenta during 1st stage of labor

Answer 24

Involuntary uterine contractions

Question 25

two phases of the second stage of labor

Answer 25

active (pushing urge to bear down) and latent (passive)