Normal Intrapartum

Question 1

fetal attitude

Answer 1

degree of flexion

Question 2

ideal fetal attitude

Answer 2

flexion - head tucked into chest

Question 3

fetal lie

Answer 3

fetal spine in relation to maternal spine

Question 4

ideal fetal lie

Answer 4

vertical/vertex

Question 5

fetal presentation

Answer 5

body part that appears first

Question 6

ideal fetal presentation

Answer 6

occiput

Question 7

fetal position

Answer 7

direction of presenting part, presenting part, which way the fetus is facing

Question 8

fetal engagement

Answer 8

how far into the pelvis the fetus has moved

Question 9

fetal station

Answer 9

how high the fetus is in relation to the pelvis/ischial spines

Question 10

stage I phase I

Answer 10

short, mild contractions, 20-40 seconds apart, effacement

Question 11

stage 1 phase II

Answer 11

rapid dilation, better contractions

Question 12

stage 1 phase III

Answer 12

peak intensity contractions, last 60-70 seconds, dilation

Question 13

stage 2 phase 1

Answer 13

laboring down

Question 14

stage 2 phase 2

Answer 14

mother pushes

Question 15

when should the mother begin to push

Answer 15

when she feels the urge to defecate

Question 16

purpose of Leopold’s maneuver

Answer 16

determines fetal position, approximate size

Question 17

what labs should be drawn for labor?

Answer 17

H&H, type & screen, coags

Question 18

opioid considerations

Answer 18

best given in latent phase of stage 1, avoid administering if birth is imminent

Question 19

nitrous oxide considerations

Answer 19

inhale before contraction begins, continue breathing until contraction ends, can cause dizziness

Question 20

epidural/spinal contraindications

Answer 20

low platelets, bleeding disorders

Question 21

epidural considerations

Answer 21

can cause a drop in BP, ephedrine PRN, intrauterine resus

Question 22

when are spinals typically used?

Answer 22

C sections