NCM_109 Topic 3 Flashcards
What is Dystocia?
difficult, painful labor and/or delivery characterized by abnormally slow
progress; i.e., more than 24 hours
Dystocia results from problems or abnormalities involving the what?
- expulsive forces (known as the “powers”);
- presentation, position, and fetal
development (the “passenger”) - the maternal bony pelvis or birth canal (the
“passageway”); - maternal stress (the “psyche”)
What is not true about HYPERTONIC UTERINE DYSFUNCTION?
a. Occurs during active phase of the first stage of labor
b. Force of contraction typically in the
midsection of uterus at the junction of
the active upper and passive lower
segments of the uterus rather than in
the fundus.
c.Loss of downward pressure to push
the presenting part against the cervix
d.Woman commonly becomes
discouraged due to lack of progress;
also has increased pain secondary to
uterine anoxia
A. Occurring in the latent phase of the
first stage of labor (cervical dilation of
,4 cm); uncoordinated.
Which is not true about HYPOTONIC UTERINE DYSFUNCTION?
a. Often termed secondary uterine inertia
because the labor begins normally and
then the frequency and intensity of
contractions decrease
b. Occurs during active labor (dilation
more than 4 cm) when contractions
become poor in quality and lack
sufficient intensity to dilate and efface
the cervix.
c. The major risk with this complication is
hemorrhage after giving birth because
the uterus Cannot contract effectively
to compress blood vessels
d. small single fetus as one of its contributing factor
D. pregnancy or large single fetus is one of the possible contributing factors
Possible contributing factors of hypotonic uterine dysfunction
- Overdistended
- uterus with multifetal
- pregnancy or large single fetus,
- too much pain medicine given
- too early in labor, fetal malposition,
- and regional anesthesia
Two types of Anbornal progress labor
- protracted
- Arrest
TRUE OR FALSE: Abnormal Labor Duration An refers to unusually long or abnormally short, or precipitous, labor may result in maternal, fetal, or neonatal problems
TRUE
TRUE OR FALSE: Protracted labor refers to a series of events including protracted active phase dilation (faster than normal rate of
cervical dilation) and protracted descent (instant descent of the fetal head in the active phase).
FALSE: mother experiences slow rate of cervical dilation during active phase and a delay descent of fetal head
What is/are not included in the criteria when labor is protracted?
a. In terms of time, it describes labor lasting more than 18 to 24 hours.
b. Diagnostic criteria are 1.2 cm per hour for primips and 1.5 cm per hour for multips.
c. For protracted descent, the criteria are less than 1.0 cm per hour in primips and less than 2.0 cm per hour for multips (Tharpe, Farley, & Jordan, 2013).
d. A slow progress may be the result of cephalopelvic disproportion (CPD).
e. Most women, however, benefit greatly from adequate hydration and some nutrition, emotional
E. this is a medical management
What is not a criterion for a patient to have arrested labor?
a. cervix is equal or at least 6 cm with ruptured amniotic membrane.
b. The mother has inadequate contractions for 4 hours or poor contractions for 6 hours with no cervical changes.
c. if a nulliparous patient is pushing the baby for 2.8 hrs without regional anesthesia or 3.6 hours with regional anesthesia.
d. For multiparous, delivery remained for 2 hours with regional anesthesia and 1 hour without it.
B. b. The mother has adequate contractions for 4 hours or poor contractions for 6 hours with no cervical changes.
TRUE OR FALSE: the ring is considered physiological if the ridge between the upper and lower uterine rises making the upper uterus more thicker and other thinner during contractions
FALSE
TRUE OF FALSE: Premature labor refers to onset of labor between 20 and 37 weeks
AOG
TRUE
TRUE OF FALSE: Precipitate labor is characterized by the combined duration 1st and 2nd stages of labor being less than two hours. This is common to primipara patients caused by hyperactive uterine contractions and diminished soft tissues
FALSE: it is common to multipara patients
TRUE OF fALSE: uterine prolapse downward displacement of the uterus, into the vaginal canal or a gradual descent of the uterus in the axis of the vagina, taking the vaginal wall with it.
TRUE
