Normal Birth

Question 1

Name PREMONITORY SIGNS OF LABOR

Answer 1

BRAXTON HICKS
LIGHTENING
INCREASED VAGINAL SECRETIONS
CERVICAL RIPENING AND BLOODY SHOW
ENERGY SPURT
WT. LOSS

Question 2

What are the 3 phases of the first stage of labor?

Answer 2

Latent, Active, Transition

Question 3

3 ways to assess FHR (Fetal Heart Rate)?

Answer 3

Fetoscope, Ultrasound Transducer, Scalp Electrode

Question 4

How to assess FHR baseline?

Answer 4

Average heart rate, rounded to 5 BPM, measured over at least 2 minutes within a 10 minute window when the uterus is a rest.

Question 5

What is normal FHR Variability?

Answer 5

6-25 BPM

Question 6

3 ways to assess uterine contractions?

Answer 6

Palpation, Toco Transducer(External monitor), IUPC(Internal Monitor)

Question 7

What must have happened before an IUPC be used?

Answer 7

Have ROM and be 2cm dilated

Question 8

What is the #1 sign of true labor?

Answer 8

Changes in cervix

Question 9

Common side effect after an Epidural Block?

Answer 9

Hypotension

Question 10

What is a way to prevent hypotension after an epidural block?

Answer 10

Bolus LR or NS before giving the epidural block

Question 11

What are the 4 P’s of childbirth?

Answer 11

Powers, Passage, Passenger, Psyche

Question 12

What hormone helps in softening pelvic bones during labor?

Answer 12

Relaxin

Question 13

What is the ideal fetal presentation?

Answer 13

Cephalic with vertex presentation

Question 14

What do you assess during a uterine contraction?

Answer 14

Frequency, Duration, Intensity

Question 15

How many cm will the cervix dilate during the latent or early phase of the 1st stage of labor?

Answer 15

1-3 cm

Question 16

How many cm will the cervix dilate during the Active phase of the 1st stage of labor?

Answer 16

4-7 cm

Question 17

How many cm will the cervix dilate during the Transition phase of the 1st stage of labor?

Answer 17

8-10 cm

Question 18

What to assess when ROM occurs?

Answer 18

Time, FHR for 1 min, characteristics of fluid

Question 19

What occurs during the 2nd stage of labor?

Answer 19

Birth of infant

Question 20

What occurs during the 3rd stage of labor?

Answer 20

Separation of placenta

Question 21

What occurs during the 4th stage of labor?

Answer 21

Physical Recovery

Question 22

Name a few comfort measures during labor?

Answer 22

Room lighting and Temp, Clean pads and gowns, Mouth and bladder care, Positioning, Water therapy

Question 23

How many cm should a woman be before she begins to push?

Answer 23

10 cm

Question 24

List reassuring FHR assessments?

Answer 24

Baseline- 110-160 BPM
Moderate Variability 6-25 BPM
Accelerations- Peak at 15 BPM above basline for 15 sec
Variable decelerations of less than 60 sec with rapid return to baseline

Question 25

List reassuring uterine activity assessments?

Answer 25

Frequency- No more frequent that every 1 1/2 min or 5 within 10 min
Duration- No longer than 90-120 sec
Interval- at least 30 sec
Resting Tone- <20 mmHg