Module 4 Intrapartum

Question 1

Theories of Why Labor Begins:

Answer 1

Uterine Muscle Stretching
Pressure on the cervix
Oxytocin stimulation works together with prostaglandins
Changes in the ratio of estrogen to progesterone
Placental age
Rising fetal cortisol levels
Fetal membrane production of prostaglandin

Question 2

Beginning Signs & Symptoms of Labor

Answer 2

Lightening
Slight loss of weight
Excess energy

Backache
Ripening of the cervix
Rupture of the membranes

Show
Uterine Contractions

Question 3

There are four integrated concepts that are involved in the success of labor and delivery, often referred to as the Components or 4 P’s of Labor:

Answer 3

Passage
Passenger
Power
Psyche

Question 4

This refers to the route a fetus must travel from the uterus through the cervix and vagina to the external perineum

Answer 4

passage

Question 5

This refers to overlapping of skull bones along the suture lines, which causes a change in the shape of the fetal skull to one long and narrow (a shape that facilitates passage through the rigid pelvis)

Answer 5

Molding

Question 6

Phases of Contraction:

Answer 6

Increment
Acme
Decrement

Question 7

True Labor or False Labor.

Starts to be irregular then becomes regular and predictable.

Answer 7

True Labor

Question 8

True Labor or False Labor.

Pain starts at the lower back and sweeps around the abdomen

Answer 8

True Labor

Question 9

True Labor or False Labor.

Disappear with ambulation and sleep

Answer 9

False Labor