Mehl. stages of labor 02-14 (1)

Question 1

1st stage. refers to? what 2 parts?

Answer 1

dilation of the cervix from 0 to 10cm.

latent phase 0-6cm; active 6-10 cm

Question 2

1st stage. Latent phase of Stage 1? cm

Answer 2

cervical dilation from 0-6 cm.

Question 3

1st stage. duration of latent phase?

Answer 3

Latent phase is long (i.e., up to 20 hours for nulliparas women, and 14 hours for multiparas women).

Question 4

1st stage. what is protracted latent phase?

Answer 4

Protracted latent phase is <1cm dilation over 4-6 hours, despite regular contractions.

Question 5

1st stage. Protracted latent phase is <1cm dilation over 4-6 hours, despite regular contractions.???

Answer 5

protracted latent phase

Question 6

1st stage. lasts long (i.e., up to 20 hours for nulliparas women, and 14 hours for multiparas women).

Answer 6

duration of latent phase

Question 7

1st stage. Arrest of latent phase?

Answer 7

Arrest of latent phase is no cervical change over 6 hours, despite regular contractions.

Question 8

1st stage. no cervical change over 6 hours, despite regular contractions.?

Answer 8

Arrest of latent phase?

Question 9

1st stage. Active phase of Stage 1?

Answer 9

cervical dilation from 6-10 cm.

Question 10

1st stage. duration in general of active phase?

Answer 10

Occurs much faster than latent phase.

Question 11

1st stage. at what speed should dilate cervix in active phase? nuli/multiparas

Answer 11

> 1.2cm/hr for nulliparas women; >1.5cm/hr for multiparas women.

Protracted active phase is slower than the above numbers.

Question 12

1st stage. what is arrest of active phase?

Answer 12

Arrest of active phase is no cervical change in >2 hours.

Question 13

2nd stage. refers to what?

Answer 13

Starts once max cervical dilation (10cm) is achieved until delivery of fetus.

Question 14

2nd stage. nulipar+epidural. duration?

Answer 14

4 hours

Question 15

2nd stage. nulipar+without epidural. duration?

Answer 15

3 hours

Question 16

2nd stage. multipar+with epidural. duration?

Answer 16

3 hours

Question 17

2nd stage. multipar+without epidural. duration?

Answer 17

2 hours

Question 18

2nd stage. Protracted labor is longer than the above numbers. (kur nuli.multipat +/-epidural)

Answer 18

.

Question 19

2nd stage. what is arrest of labor?

Answer 19

Arrest of labor is no fetal head descent for 1 hour despite adequate contractions.

Question 20

2nd stage. what must be done to expetide 2nd stage? 2

Answer 20

Vacuum (suction cup) or forceps delivery

Question 21

2nd stage. Vacuum delivery incr.­ risk of what? 2

Answer 21

caput succedaneum and cephalohematoma

Question 22

2nd stage. forceps delivery incr.­ risk of what? 2

Answer 22

fetal cranial nerve or sternocleidomastoid injury (leading to congenital muscular torticollis).

Question 23

3rd stage. refers to?

Answer 23

Starts after the fetus has already been delivered. Refers to delivery of the placenta.

Question 24

3rd stage. duration?

Answer 24

Takes 5-30 minutes.

Question 25

3rd stage. if prolonged, what duration?

Answer 25

Prolonged third stage is >30 minutes.

Question 26

3rd stage. whats need to be done while delivering placenta?

Answer 26

Placenta should be checked for all lobes attached (i.e., to prevent retained placental tissue).

Question 27

3rd stage. what need to do after placenta is delivered?

Answer 27

Uterine massage should be done immediately after to ̄ bleeding risk from uterine atony.