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MCN > MIDTERMS REVIEW > Flashcards

MIDTERMS REVIEW Flashcards

1
Q

what do you call the first pregnancy; or when the mother bears her first offspring

A

Primipara

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2
Q

what do you call a mother who has had more
than one pregnancy

A

Multipara

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3
Q

The period that extends from the
beginning of contractions that cause
cervical dilation

A

Intrapartum

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4
Q

Intrapartum is the the _____ after delivery of the
newborn and placenta

A

first 1 to 4 hours

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5
Q

Series of events by which uterine
contractions and abdominal pressure
expel a fetus and placenta front the fetus

A

Labor

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6
Q

The pressure on the nerve endings and
increased irritability of the uterine
musculature brought about by the developed fetus cause contraction
(fullness)

THEORIES OF ONSET OF LABOR

A

Uterine Stretch Theory

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7
Q

Rising of fetal cortisol level reduce
progesterone level increases
prostaglandin formation

THEORIES OF ONSET OF LABOR

A

Prostaglandin Theory

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8
Q

Change in ratio of estrogen to
progesterone occurs

THEORIES OF ONSET OF LABOR

A

Progesterone Deprivation/Withdrawal Theory

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9
Q

Placenta begins to degenerate by 36
weeks the body perceives it as a foreign
body makes it own defense to expel it by
contraction of the uterus

THEORIES OF ONSET OF LABOR

A

Theory of Aging Placenta

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10
Q

The production of the posterior
pituitary gland of this substance
will cause uterine contractions

THEORIES OF ONSET OF LABOR

A

Oxytocin Stimulation Theory

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11
Q

THE 6 P’S OF LABOR

Enumerate

A

1.Passenger (fetus)
2.Passageway (birth canal)
3.Power (uterine contraction/ bearing down)
4.Psyche (mental status)
5.Placenta
6.Prayer (spiritual needs)

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12
Q

Fetopelvic relationships

Enumerate

6 P’s of Labor (Passenger)

A

Lie
Attitude
Presentation
Position
Station

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13
Q

connects 2 parietal bones

A

SAGITTAL

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14
Q

connects the parietal and frontal bones

A

CORONAL

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15
Q

connects the parietal and occipital bones

A

LAMBOIDAL

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16
Q

connects the 2 frontal bones

A

METOPIC

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17
Q

(Bregma)
Diamond in shape
3x4 centimeters in size

A

Anterior Fontanel

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18
Q

(Lambda)
Triangular in shape
1x1 centimeter in size

A

Posterior Fontanel

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19
Q

Used as landmarks for internal examination during labor to determine position of fetus

A

Fontanel

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20
Q

Relationship of spine (long axis) of fetus to spine of the mother

Fetopelvic relationship

A

Fetal Lie:
Longitudinal or Vertical
Transverse or Horizontal
Oblique

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21
Q

Relationship of fetal parts to each other
Describes the degree of flexion the fetus assumes during labor

Fetopelvic Relationship

A

Fetal Attitude

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22
Q

Fetal attitude of fetus wherein head is fully flexed on the chest making the parietal bones of the space between the fontanels, the “Vertex”, the presenting part

Fetal Attitude

A

Vertex/Complete Flexion/Occiput

23
Q

head is moderately flexed; occipital frontal or sinciput to birth canal

Fetal Attitude

A

Sinciput/Military Attitude

24
Q

Back is arched, neck is extended

Fetal Attitude

A

Brow/Partial extension

25
Q

Head is extended and face is the presenting part
Extreme edema and distortion of face may occur

Fetal Attitude

A

Face/Complete Extension

26
Q

Part of fetus that presents to or enters maternal pelvic inlet

Fetopelvic Relationship

A

Fetal Presentation

cephalic, breech, shoulder/transverse

27
Q

A type of incomplete breech presentation that the fetus’s thighs rest on abdomen while legs extend to head

A

Frank breech presentation

28
Q

Relationship of presenting part to ischial spine denoted in centimeters

Fetopelvic Relationship

A

Station

29
Q

above the ischial spine and still floating, needs rest

Fetal Station

A

-3 to -5

30
Q

fetus is at the level of the ischial spine and is already engaged

Fetal Station

A

0

31
Q

fetus is at 3-5 cm below the ischial spine; crowning occurs and signals the 2nd stage of labor

fetal station

A

+3 to +5

32
Q

Relationship of the fetal presenting part to specific quadrant of the mother’s pelvis

Fetopelvic Relationship

A

Position

33
Q
  • Normal female pelvis
  • Transversely rounded or blunt
  • Most favorable for successful labor
    and birth
A

Gynecoid pelvis

34
Q
  • Wedge shaped or angulated
  • Seen in males
  • Not favorable for labor
  • Can be determine through
    pelvimetry
A

Adroid pelvis

35
Q
  • Oval shaped
  • Adequate outlet
A

Anthropoid pelvis

36
Q
  • Flat with oval inlet
  • Small transverse diameter
A

Platypelloid Pelvis

37
Q

Measures between sacral promontory
and inferior margin of the symphysis pubis
doing internal examination.

A

Diagonal Conjugate

: basis in getting the true conjugate

38
Q

Measures between the anterior surface of
the sacral promontory and superior
margin of the symphysis pubis
Also known as ______

A

True Conjugate/Conjugate vera

39
Q

Diagonal Conjugate measures ____

A

11.5 - 12.5 cm

40
Q

True conjugate or Conjugate vera measures ____

A

11 cm

41
Q

5 small bones that compress during vaginal delivery

A

coccyx

42
Q

Placenta is made up from the ____ and ____

A

chorionic villi and decidua basalis

43
Q

from center to edges and presents the fetal surface which is shiny

types of placental separation

A

Schultz

44
Q

from edges to center and presents the maternal surface which is red beefy and dirty

types of placental separation

A

Duncan

45
Q

Birth according to gestational age:
Preterm
Term/Normal
Post term

A
  • PRETERM – less than 37 weeks
  • TERM or NORMAL – within 37 – 42 weeks; 2 weeks before or after EDD
  • POST TERM – beyond 42 weeks
46
Q

What are the impending signs of labor

enumerate

A

lightening
engagement
increased braxton-hick’s contractions
ripening of the cervix
sudden bursts of energy of the mother
allowable weight loss
increase vaginal mucus discharge
fetal movement less active

47
Q

what do you call when a fetus settles or descends into pelvic inlet

A

Lightening

48
Q

what is the term when the fetus sets its presenting part into pelvic inlet (station 0)

A

Engagement

49
Q

Thinning and shortening of cervix

A

effacement

50
Q

Phase of contraction wherein contracions are at height or peak of contraction; and continues at the side of abdomen

A

Acme

51
Q

From increment → decrement of same/single contraction

CHARACTERISTICS OF LABOR CONTRACTION

A

Duration

52
Q

CHARACTERISTICS OF LABOR CONTRACTION

From the beginning of increment → increment of another contraction

A

Frequency

53
Q

CHARACTERISTICS OF LABOR CONTRACTION

From decrement of 1 contraction → period of increment of next contraction

A

Interval of Rest

54
Q
A

MCN (2 decks)

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