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FINALS REVIEWER > NCMA 217 RLE (LABOR AND DELIVERY) > Flashcards

NCMA 217 RLE (LABOR AND DELIVERY) Flashcards

1
Q

PRELIMINARY SIGNS OF LABOR

A
  • LIGHTENING
  • SUDDEN WEIGHT LOSS
  • INCREASE ACTIVITY LEVEL
  • BRAXTON HICK’S CONTRACTION
  • RIPENING OF THE CERVIX
  • SHOW/BLOOD SHOW
  • RUPTURE OF MEMBRANE
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2
Q

TRUE LABOR AND FALSE LABOR

Frequency of contractions Irregular

A

FALSE LABOR

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3
Q

TRUE LABOR AND FALSE LABOR

Frequency of contractions Regular

A

TRUE LABOR

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4
Q

TRUE LABOR AND FALSE LABOR

Intensity of contractions
no increase

A

FALSE LABOR

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5
Q

Intensity of contractions
Increases

A

TRUE LABOR

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6
Q

TRUE LABOR AND FALSE LABOR

Pain relief
Pain is relieved by
walking

A

FALSE LABOR

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7
Q

TRUE LABOR AND FALSE LABOR

Pain relief
Pain is intensified by
walking

A

TRUE LABOR

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8
Q

TRUE LABOR AND FALSE LABOR

Pain location
Confined on abdomen

A

FALSE LABOR

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9
Q

TRUE LABOR AND FALSE LABOR

Pain location
Begins on lower back and
radiates to abdomen

A

TRUE LABOR

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10
Q

TRUE LABOR AND FALSE LABOR

Cervical Changes
No cervical changes

A

FALSE LABOR

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11
Q

TRUE LABOR AND FALSE LABOR

Cervical Changes
Effacement and dilation

A

TRUE LABOR

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12
Q

DURATION OF LABOR

*14 HOURS
BUT NOT
MORE THAN
20 HOURS

A

*PRIMIPARA:

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13
Q

DURATION OF LABOR

*8 HOURS BUT
NOT MORE
THAN 14
HOURS

A

*MULTIPARA:

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14
Q

Factors affecting Labor & Delivery:
5 P’s OF LABOR

A

*PASSENGER (FETUS)
*PASSAGEWAY
*POWER
* PSYCHOLOGICAL RESPONSE
*PLACENTAL FACTOR

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15
Q

A. PASSENGER (FETUS)

A

MENTUM (CHIN)
SINCIPUT
VERTEX
OCCIPUT

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16
Q

OCCIPITOFRONTAL

A

12CM

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17
Q

OCCIPITOMENTAL

A

13.5CM

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18
Q

SUBOCCIPITOBREGMATIC

A

9.5CM

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19
Q

B. PASSENGER (FETUS)

A

OCCIPUT
BIPARETAL
VERTEX
SINCIPUT

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20
Q

BIPARIETAL

A

9.25CM

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21
Q

C. PASSENGER (FETUS)

A

ANTERIOR FONTANELLE
POSTERIOR FONTANELLE
LAMBDOIDAL SUTURE
SAGITTAL SUTURE
CORONAL SUTURE
METOPIC SUTURE

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22
Q

PASSAGEWAY

CALDWELL-MOLOY PELVIC TYPES

A

GYNECOID
PLATYPELLOID
ANDROID
ANTHROPOID

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23
Q

CALDWELL-MOLOY PELVIC TYPES

ROUND

A

GYNECOID

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24
Q

CALDWELL-MOLOY PELVIC TYPES

OVAL

A

PLATYPELLOID

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25
Q

CALDWELL-MOLOY PELVIC TYPES

WEDGE

A

ANDROID

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26
Q

CALDWELL-MOLOY PELVIC TYPES

OVAL-LONG

A

ANTHROPOID

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27
Q

INLET

Anterior-Posterior
(AP)

A

11cm

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28
Q

INLET

Transverse

A

13cm

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29
Q

INLET

Diagonal

A

12cm

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30
Q

Cavity

Anterior-Posterior
(AP)

A

12cm

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31
Q

Cavity

Transverse

A

12cm

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32
Q

Cavity

Diagonal

A

12cm

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33
Q

Outlet

Anterior-Posterior
(AP)

A

13cm

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34
Q

Outlet

Transverse

A

11cm

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35
Q

Outlet

Diagonal

A

12cm

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36
Q

POWER

A

BEFORE LABOR 0% EFFACEMENT
EARLY EFFACEMENT 30%
COMPLETE EFFACEMENT 100%
COMPLETE DILATION

37
Q

PLACENTAL FACTOR

A

NORMAL PLACENTA
PLACENTA PREVIA

38
Q

FOUR STAGES OF LABOR

A
  • 1ST STAGE (DILATATION STAGE)
  • 2ND STAGE ( EXPULSION STAGE)
  • 3RD STAGE (PLACENTAL STAGE)
  • 4TH STAGE (RECOVERY STAGE)
39
Q

begins with the onset of
true uterine contractions
and ends when the cervix
is fully dilated.

A

DILATATION STAGE

40
Q

DILATATION STAGE

THREE (3) PHASES

A
  • LATENT 0 - 3 CM DILATED
  • ACTIVE 4 - 7 CM DILATE
  • TRANSITION 8 - 10 CM DILATED
41
Q

DILATATION

LATENT

A

0-3CM

42
Q

DILATATION

ACTIVE

A

4-8cm

43
Q

DILATATION

TRANSITION

A

8-10cm

44
Q

FREQUENCY

LATENT

A

q 5-10mins

45
Q

FREQUENCY

ACTIVE

A

q 3-5 min

46
Q

FREQUENCY

TRANSITION

A

q2-3min

47
Q

DURATION

LATENT

A

20-40 secs

48
Q

DURATION

ACTIVE

A

30-60 secs

49
Q

DURATION

TRANSITION

A

60-90 secs

50
Q

INTENSITY

LATENT

A

MILD

51
Q

INTENSITY

ACTIVE

A

MODERATE

52
Q

INTENSITY

TRANSITION

A

STRONG

53
Q

MOTHER’S BEHAVIOR

LATENT

A

Apprehensive, excited but can
communicate

54
Q

MOTHER’S BEHAVIOR

ACTIVE

A

Fear of losing control of
herself

55
Q

MOTHER’S BEHAVIOR

TRANSITION

A

Sudden behavioral or mood
changes usually accompanied by
hyperesthesia

56
Q

NURSING CARE

LATENT

A

Encourage walking to shorten the
1st stage of labor, Chest breathing,
Encourage to void every 2-3hrs

57
Q

NURSING CARE

ACTIVE

A

Medication redied
Assess vital signs, progress
of labor

58
Q

NURSING CARE

TRANSITION

A

Tired
Restless
Apply sacral pressure

59
Q

Relationship of
the presenting
part to the
ischial spine and
denoted in
centimeters

A

ASSESSING FETAL ENGAGEMENT

AND STATION

60
Q

FETAL PRESENTATION

A

VERTEX PRESENTATION
MILITARY PRESENTATION
BROW PRESENTATION
FACE PRESENTATION

COMPLETE FLEXION
MODERATE FLEXION
POOR FLEXION (EXTENSION)
FULL EXTENSION

SHOULDER
COMPOUND

61
Q

BREECH PRESENTATION

A

FRANK
COMPLETE
KNEELING
INCOMPLETE
FOOTLING

62
Q

FETAL PRESENTATION

A

RIGHT OCCIPITOPOSTERIOR (ROP)
RIGHT OCCIPUT TRANSVERSE (ROT)
RIGHT OCCIPITOANTERIOR (ROA)
LEFT OCCIPITOPOSTERIOR (LOP)
LEFT OCCIPUT TRANSVERS (LOT)
LEFT OCCIPITOANTERIOR (LOA)

63
Q

most
common and
favorable
birthing position

A

LOA

64
Q

most common
malposition and most painful as
well.

A

LOP and ROP

65
Q

FETAL LIE

A

OBLIQUE LIE
LONGITUDINAL LIE
TRANSVERSE LIE

66
Q

NURSING MANAGEMENT

If the client complains of headache,

A

take the
blood pressure

67
Q

NURSING MANAGEMENT

Encourage the client to

A

bathe

68
Q

NURSING MANAGEMENT

Allow the mother to eat

A

crackers or sip of
water or NPO as doctor’s order.

Observe
aspiration precaution

69
Q

NURSING MANAGEMENT

Provide

A

perineal care

70
Q

NURSING MANAGEMENT

Encourage the mother to

A

maintain left
lateral position

71
Q

NURSING MANAGEMENT

Monitor

A

fetal heart tone

72
Q

which encompasses the actual birth, begins
when the cervix is fully dilated and ends with
the delivery of the fetus.

A

EXPULSION/DELIVERY OF THE BABY

73
Q

CARDINAL MOVEMENTS / MECHANISM OF LABOR

A

D - DESCENT
F - FLEXION
IR - INTERNAL ROTATION
E - EXTENSION
ER - EXTERNAL ROTATION
E - EXPULSION

74
Q

ONSET OF LABOUR
FLEXION
INTERNAL ROTATION OF HEAD
EXTENSION
EXTERNAL ROTATION OF HEAD
UTERUS IMMEDIATELY AFTER BIRTH

A
75
Q

BULGING OF THE PERINEUM

A

A. ANTEROPOSTERIOR SLIT
B. OVAL OPENING
C. CICULAR SHAPE
D. CROWNING

76
Q

EPISIOTOMY (PERINEOTOMY)

A

MIDLINE INCISION
MEDIOLATERAL INCISION

77
Q

This is a birthing manoeuvre for delivering fetal head in second stage of labor without use of episiotomy.

A

RITGEN’S MANEUVER

78
Q

This involves suturing the injured tissue to promote healing and restore the normal anatomy of the perineum. The procedure is typically performed immediately after delivery, using absorbable stitches that dissolve over time. Proper care and hygiene are essential during recovery to prevent infection and ensure proper healing.

A

EPISIORRHAPHY

79
Q

DEGREE OF PERINEAL LACERATION

A

FIRST DEGREE PERINEAL TEAR
SECOND DEGREE PERINEAL TEAR
THIRD DEGREE PERINEAL TEAR
FOURTH DEGREE PERINEAL TEAR

80
Q

begins
immediately after the neonate is
delivered and ends when the placenta is
delivered

A

PLACENTAL STAGE

81
Q

SIGNS OF PLACENTAL

SEPARATION

A
  • Rising of fundus
  • CALKIN’S SIGN
  • SUDDEN GUSH OF BLOOD
  • LENGTHENING OF THE
    CORD
    *
    CONTROLLED CORD TRACTION
    WITH COUNTER TRACTION(CCTCT)
82
Q

TYPES OF PLACENTAL SEPARATION

A

SCHULTZ
DUNCAN

Cotyledons 16-20

83
Q

begins
after delivery of the placenta and
the 1st four hours after delivery.

A

RECOVERY STAGE

84
Q

NURSING INTERVENTION

*Monitor vital signs every

A

15mins
for 1 hour and every 30mins until
the client transferred to the ward

85
Q

NURSING INTERVENTION

*Monitor

A

vaginal bleeding

86
Q

NURSING INTERVENTION

*Monitor if the

A

uterus is contracted

87
Q

NURSING INTERVENTION

Observe the

A

episiorraphy site

88
Q

NURSING INTERVENTION

*Monitor the baby’s

A

vital signs

FINALS REVIEWER (8 decks)

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