Module 05: Care of Mother and Fetus During Intrapartal Period (Part 02) Flashcards
This is defined as the coordinated sequence of events wherein involuntary uterine contraction causes progressive effacement and dilation.
Labor or Eutocia
Labor or Eutocia is also characterized as what?
The voluntary bearing down efforts that allows the expulsion of the fetus.
This is the actual expulsion of the products of conception, which occurs during the second stage of pregnancy.
Delivery (Shortest stage of labor)
Under the birth according to gestational age, this pertains to the birth of the fetus, where it is less than 37 weeks.
Preterm
Under the birth according to gestational age, this pertains to the birth of the fetus, where it is within 37 to 42 weeks or 2 weeks before or after the Expected Date of Delivery.
Term or Normal
Under the birth according to gestational age, this pertains to the birth of the fetus, where it is beyond 42 weeks.
Post Term
What is the expected hours of pregnancy of a primipara (first pregnancy) woman?
14 to 20 hours
What is the expected hours of pregnancy of a multipara woman?
8 to 14 hours
These are characterized to begin several weeks prior to labor and is encouraged to be taught to all pregnant women.
Impending Signs of Labor
What are the different impending signs of labor?
(A) Lightening
(B) Engagement
(C) Increased Braxton-Hicks Contraction
(D) Ripening of the cervix
(E) Sudden burst of energy of the mother
(F) Allowable Weight Loss
This occurs when the fetus settles or descends into the pelvic inlet. This occurs 10 to 14 days before the onset of labor among primipara women.
Lightening
What are the results of lightening?
(A) Increase in urinary frequency.
(B) Relief of dyspnea; abdominal tightness and diaphragmatic pressure.
(C) Shooting leg pain due to pressure on sciatic nerve.
What happens during the mother’s 36th week of pregnancy in terms of lightening?
During the 36th week of pregnancy, a pregnant mother has difficulty in breathing due to the pressure on her diaphragm. Lightening brings relief to the mother because the pressure to the diaphragm is removed.
This impending sign of labor pertains to the settling of the presenting part into the pelvic inlet, wherein the landmark of this is the ischial spine.
Engagement (Station 0)
This impending sign of labor pertains to the increased frequency of contraction. This produces gnawing pain in the abdomen and groin.
Increased Braxton Hicks Contractions
What should be asked of the mother when she is experiencing increased Braxton Hicks Contractions?
Mother may be asked to return home if not yet true labor.
What should the nurse do when the mother is experiencing increased Braxton Hicks Contractions?
The registered nurse should show sympathetic support and explain labor contractions.
This impending sign of labor occur when the cervix becomes butter soft. The internal sign is felt only during a pelvic exam.
Ripening of the Cervix
The ripening of the cervix is felt only through what?
A pelvic exam
This impending sign of labor occurs due to the increase in epinephrine initiated by decreased progesterone produced by the placenta.
Sudden Burst of Energy
This hormone is characterized to prepare the mother’s body for labor work.
Epinephrine (Nesting instinct; preparing for the baby)
What should the nurse do when the mother is experiencing a sudden burst of energy?
The registered nurse should let the mother save her energy as fatigue can affect the type of analgesia needed and let her rest in preparation for labor.
This is characterized as painless labor.
Twilight
This impending sign of labor occurs when the mother gains about 2 to 3 lbs or one kilogram 2 to 3 days before the onset of labor.
Allowable Weight Loss (Related to the changes of estrogen and progesterone levels)