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M2 > M > Flashcards

M Flashcards

1
Q

What is the Intrapartum Period?

A

The time from the 1st stage of labor until the baby is expelled from the birth canal.

This includes the expulsion of the baby, placenta, and fetal membranes.

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2
Q

What is a Parturient woman?

A

A woman in labor.

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3
Q

What causes Uterine Myometrial Irritability?

A

It occurs when the uterus reaches a minimum stretch due to fetal growth and increasing amniotic fluid.

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4
Q

What is the Progesterone Deprivation Theory?

A

Labor begins when there is a decrease in progesterone.

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5
Q

What does the Oxytocin Theory suggest?

A

Pressure from the fetal head on the cervix stimulates the pituitary gland to secrete oxytocin.

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6
Q

List the theories that stimulate labor.

A
  • Estrogenic theory
  • Fetal hormone theory
  • Prostaglandins theory
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7
Q

What is Lightening in the context of labor?

A

The dropping of the presenting part to the true pelvis.

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8
Q

What is the difference between Primigravida and Multigravida with respect to labor onset?

A

Primigravida experiences lightening 2 weeks before labor, while Multigravida experiences it a day before or on the day of labor.

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9
Q

What are some signs of impending labor?

A
  • Relief of dyspnea
  • Increase in urinary frequency
  • Edema and varicosities
  • Shooting pain down the legs
  • Increased Braxton’s Hicks contractions
  • Blood-tinged mucus discharge
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10
Q

What is the Physiologic Retraction Ring?

A

The separation of the active, shorter, thicker upper uterine segment from the passive, longer, thinner lower segment.

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11
Q

What are the components of labor progress?

A
  • Power
  • Passenger
  • Passageway
  • Position
  • Psychologic response
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12
Q

What are the phases of contractions?

A
  • Increment
  • Acme
  • Decrement
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13
Q

Define Dilatation in the context of labor.

A

The opening or widening of the cervical os, expressed in centimeters.

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14
Q

What is Effacement?

A

The thinning and obliteration of the cervical canal, expressed in percentage.

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15
Q

What are the types of Fetal Lie?

A
  • Longitudinal lie
  • Transverse lie
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16
Q

What does Fetal Presentation refer to?

A

The lowest part of the fetus in the pelvic inlet, felt on internal examination.

17
Q

What is Fetal Station?

A

The relationship of the presenting part to the ischial spines.

18
Q

What are the characteristics of normal Fetal Heart Rate (FHR)?

A

Normal FHR is between 120-160 bpm.

19
Q

What are the types of Deceleration in fetal heart rate monitoring?

A
  • Early Deceleration
  • Variable Deceleration
  • Late Deceleration
20
Q

What are the types of Lochia postpartum?

A
  • Lochia Rubra: red, 1-3 days
  • Lochia Serosa: brownish, 4-10 days
  • Lochia Alba: white, 14-21 days
21
Q

What is the purpose of administering oxytocin after delivery?

A

To prevent postpartum bleeding and increase uterine activity.

22
Q

What is the Leboyer technique?

A

A soothing approach to delivery that emphasizes placing the baby on the abdomen immediately after birth.

23
Q

What is the main purpose of the first stage of labor?

A

To observe the progression of cervical dilatation.

24
Q

What are the nursing implementations during the first stage of labor?

A
  • Take history (gravida, allergies)
  • Monitor vital signs
  • Assess the need for enema based on condition
25
Q

Fill in the blank: The _______ stage of labor involves the delivery of the baby.

A

Second

26
Q

List the Cardinal Movements of labor.

A
  • Engagement
  • Descent
  • Flexion
  • Internal rotation
  • Extension
  • Restitution
  • External rotation
  • Expulsion
27
Q

What is the significance of the ischial spine during labor?

A

It serves as a landmark for fetal station, with station 0 being at the level of the ischial spine.

28
Q

True or False: The passageway in labor includes both soft and bony structures.

A

True

29
Q

What factors can affect fetal heart rate detection?

A
  • Obesity
  • Polyhydramnios
  • Faulty equipment
  • Noisy environment

M2 (2 decks)

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