MCN Normal Labor

Question 1

True Labor signs

Answer 1

painful & regular uterine contractions
bloody show
rupture of membranes

Question 2

Factors for successful labor ( 4 P’s )

Answer 2

Passenger
Passage
Power
Psyche

Question 3

determines fetal position

Answer 3

Leopold’s Maneuver

Question 4

assess which fetal pole occupies fundus

Answer 4

L1

Question 5

assess fetal orientation

Answer 5

L2

Question 6

confirm fetal presentation

Answer 6

L3

Question 7

determine degree of descent

Answer 7

L4

Question 8

L1 : Which fetal pole occupies fundus?

Answer 8

Fundal Grip

Question 9

L2 : Where is the fetal back?

Answer 9

Umbilical Grip

Question 10

L3 : What fetal part lies above pelvic inlet?

Answer 10

Pawlick Grip

Question 11

L4 : Which side is cephalic prominence on? Is head extended or flexed?

Answer 11

Pelvic Grip

Question 12

L1: Large, nodular mass
buttocks in fundus

Answer 12

cephalic presentation

Question 13

L1: hard, round, ballotable
head in fundus

Answer 13

breech presentation

Question 14

L2: hard, resistant, convex

Answer 14

fetal back

Question 15

L2: numerous, small, irregular, mobile

Answer 15

fetal small parts

Question 16

L3: mass not moveable

Answer 16

Engaged fetal head

Question 17

L3: moveable mass can be displaced upward

Answer 17

Unengaged fetal head

Question 18

L4: cephalic prominence same side w/ small parts

Answer 18

Head flexed

Question 19

L4: cephalic prominence same side w/ back

Answer 19

Head extended

Question 20

relation of fetal long axis to that of the mother
longitudinal, transverse, oblique

Answer 20

Fetal Lie

Question 21

presenting part
portion of fetal body foremost within the birth canal
felt during IE
cephalic, breech, shoulder, compound

Answer 21

Fetal Presentation

Question 22

head is the presenting part

Answer 22

cephalic presentation

Question 23

buttocks / foot is the presenting part

Answer 23

Breech presentation

Question 24

shoulder / acromion is the presenting part

Answer 24

Shoulder presentation

Question 25

fetal hand / foot prolapses alongside the presenting part

Answer 25

Compound presentation

Question 26

posture of the habitus
characteristic posture of fetus in later months of pregnancy
relation of fetal parts to one another

Answer 26

Fetal Attitude

Question 27

ovoid mass
folded / bent upon itself
back markedly convex
head sharply flexed
chin in close contact to chest
thighs flexed over abdomen
legs bent at the knees
arms crossed over thorax
umbilical cord lies in space between extremities

Answer 27

Fetal Attitude

Question 28

relationship of defined portion of presenting part to L or R side of
maternal birth canal

Answer 28

Fetal Position

Question 29

descent of fetus through pelvis occur through 3 important planes
What are the 3 planes

Answer 29

Pelvic Inlet - Superior
Midpelvis
Pelvic Outlet - Inferior

Question 30

force supplied by fundus with every contraction
maternal pushing efforts/ bearing down
most important force in fetal expulsion
valsalva maneuver

Answer 30

Power

Question 31

emotional state of the mother during her labor
levels of stress, underlying anxiety, adequate support from partner
ensuring the woman is in a welcoming and supportive environment

Answer 31

Psyche

Question 32

Fetal head pushes against perineum
fetal scalp appears at vaginal opening

Answer 32

Crowning

Question 33

surgical incision of perineum made to prevent tearing and to release pressure on the fetal head with birth

Answer 33

Episiotomy

Question 34

pain during labor is due to

Answer 34

-hypoxia of contracted myometrium
-compression of cervical nerve ganglia and lower uterus
-cervical stretching during dilatation (Ferguson reflex)
-stretching of peritoneum overlying the fundus

Question 35

Signs of Placental Separation

Answer 35

sudden gush of blood
uterus becomes globular & firmer (Calkins sign)
lengthening of the cord
rise of uterus into the abdomen