Maternal responses to labor endterm

Question 1

The amount of nutrients, including oxygen, exchanged during the time is greatly reduced

Answer 1

Cardiovascular System

Question 2

aid in the maturation of surfactant production by alveoli in the fetal lung

Answer 2

Respiratory system

Question 3

Increased ICP

Answer 3

Neurologic system

Question 4

minimal petechiae or ecchymotic areas; edema of the presenting part (caput succedaneum)

Answer 4

Integumentary system

Question 5

full flexion with the head bent forward (most advantageous position for birth)

Answer 5

Musculoskeletal system

Question 6

what are the maternal danger signs of labor

Answer 6

1. High or Low Blood Pressure
2. Abnormal Pulse - ↑ 100bpm (hemorrhage)
3. Inadequate or Prolonged Contractions
4. Abnormal Lower Abdominal Contour
5. Increasing Apprehension - can be a sign of oxygen deprivation or internal hemorrhage

Question 7

What are the fetal danger signs of labor

Answer 7

1. High or low fetal heart rate - possible fetal distress
2. > 160 beats/min (fetal tachycardia)
3. <110 beats/min (fetal bradycardia)
4. Meconium Staining
5. Hyperactivity
6. Low oxygen saturation - 40% to 70%

Question 8

What are the essential intrapartum care

Answer 8

1. Admission to labor when the parturient is already in the active phase
2. Continuous maternal support specifically with labor companions
3. Mobility and upright position during first stage of labor
4. Allow food and drink
5. Routine use of partograph
6. Limit total number of IE to five or less