Normal Birth Flashcards
Name PREMONITORY SIGNS OF LABOR
BRAXTON HICKS LIGHTENING INCREASED VAGINAL SECRETIONS CERVICAL RIPENING AND BLOODY SHOW ENERGY SPURT WT. LOSS
What are the 3 phases of the first stage of labor?
Latent, Active, Transition
3 ways to assess FHR (Fetal Heart Rate)?
Fetoscope, Ultrasound Transducer, Scalp Electrode
How to assess FHR baseline?
Average heart rate, rounded to 5 BPM, measured over at least 2 minutes within a 10 minute window when the uterus is a rest.
What is normal FHR Variability?
6-25 BPM
3 ways to assess uterine contractions?
Palpation, Toco Transducer(External monitor), IUPC(Internal Monitor)
What must have happened before an IUPC be used?
Have ROM and be 2cm dilated
What is the #1 sign of true labor?
Changes in cervix
Common side effect after an Epidural Block?
Hypotension
What is a way to prevent hypotension after an epidural block?
Bolus LR or NS before giving the epidural block
What are the 4 P’s of childbirth?
Powers, Passage, Passenger, Psyche
What hormone helps in softening pelvic bones during labor?
Relaxin
What is the ideal fetal presentation?
Cephalic with vertex presentation
What do you assess during a uterine contraction?
Frequency, Duration, Intensity
How many cm will the cervix dilate during the latent or early phase of the 1st stage of labor?
1-3 cm
How many cm will the cervix dilate during the Active phase of the 1st stage of labor?
4-7 cm
How many cm will the cervix dilate during the Transition phase of the 1st stage of labor?
8-10 cm
What to assess when ROM occurs?
Time, FHR for 1 min, characteristics of fluid
What occurs during the 2nd stage of labor?
Birth of infant
What occurs during the 3rd stage of labor?
Separation of placenta
What occurs during the 4th stage of labor?
Physical Recovery
Name a few comfort measures during labor?
Room lighting and Temp, Clean pads and gowns, Mouth and bladder care, Positioning, Water therapy
How many cm should a woman be before she begins to push?
10 cm
List reassuring FHR assessments?
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
