Normal Intrapartum

Question 1

NSVD stands for

Answer 1

Normal spontaneous vaginal delivery

Question 2

C/S stands for

Answer 2

Cesarean birth

Question 3

EBL stands for

Answer 3

Estimated blood loss

Question 4

Typical EBL for NSVD is

Answer 4

500mL

Question 5

Typical EBL for C/S is

Answer 5

800-1000mL

Question 6

Dystocia is

Answer 6

difficulty of labor

Question 7

An antiemetic is a drug that is effective against

Answer 7

vomiting and nausea

Question 8

What are the 3 incision types; describe each

Answer 8

Low transverse; horizontal incision just above the symphysis pubis
Low vertical; vertical incision just above the symphysis pubis
Classic; vertical incision just below and toward the umbilicus

Question 9

What are four ways incisions may be closed?

Answer 9

Sutures
Strips
Glue
Staples

Question 10

What does TOLAC stand for?

Answer 10

Trial of Labor After Cesarean

Question 11

What is the purpose of TOLAC

Answer 11

To see if the uterus can tolerate the stress of labor

Question 12

What does VBAC mean?

Answer 12

Vaginal Birth After Cesarean

Question 13

What kind of muscles does progesterone relax?

Answer 13

smooth

Question 14

Mucus membranes are effected by what hormone?

Answer 14

estrogen

Question 15

How do contractions compare in False v. True labor?

Answer 15

False contractions are inconsistent in freq and intensity

True contractions have a consistent pattern and increase in freq/intensity over time

Question 16

How does discomfort vary in False v. True labor?

Answer 16

False = felt in abdomen and groin
True = begins in lower back and sweeps around to abdomen

Question 17

How does the cervix company in False v. True labor?

Answer 17

No changes in effacement or dilation are present in false labor

Question 18

What is the purpose of each stage of labor?

Answer 18

Stage 1 = cervical dilation/effacement
Stage 2 = expulsion of fetus
Stage 3 = Expulsion of placenta
Stage 4 = Parent-infant bonding

Question 19

With each contraction, how much blood leaves the placenta into the mother?

Answer 19

500mL

Question 20

The increase in blood volume from placenta to mother causes risks to…

Answer 20

BP/CV system

Question 21

Describe coordinated contractions

Answer 21

begin at fungus and progress downward

Question 22

True or False

Involuntary contractions can be stimulated by anxiety and/or activity

Answer 22

True

Question 23

What kind of contractions come and go?

Answer 23

Intermittent

Question 24

Describe the 7 points in the contraction cycle.

Answer 24

Freq: how often
Duration: how long
Intensity: how strong/painful
Resting interval: period between contractions
Increment: the build up of the contraction
Acme: the peak of the contraction
decrement the ramp down of the contraction

Question 25

The duration is measured from what to what?

Answer 25

Beginning of increment to end of decrement

Question 26

Frequency is measured from what to what?

Answer 26

From beginning of increment to the beginning of the increment of the following contraction

Question 27

The resting interval is measured from what to what

Answer 27

Decrement to next increment

Question 28

Effaced refers to

Answer 28

How thin the cervix is

Question 29

How is effacement expressed?

Answer 29

by percentage

Question 30

What does dilate refer to?

Answer 30

the opening of the cervix

Question 31

How is dilation expressed?

Answer 31

in cm

Question 32

What does the line of engagement refer to

Answer 32

The horizontal plane between left and right ischial spines

Question 33

How is the line of engagement expressed?

Answer 33

in + or - cm

Question 34

What is the nursing action post ROM?

Answer 34

``` Assess COAT Color Odor Amount Time ```

Question 35

What does 8/90/3 mean?

Answer 35

The cervix is 8cm dilated, 90% effaced and the fetal presenting part is +3 cm below the line of engagement. We're about to transition to stage 2 labor and deliver the baby.

Question 36

During labor there is a risk of hyperventilation due to pain. What are the s/s of hyperventilation to look out for?

Answer 36

Tingly fingers, light headedness

Question 37

True or False | A full bladder can inhibit fetal descent.

Answer 37

True

Question 38

Fetal lie refers to...

Answer 38

Relationship of maternal/fetal axis | Is it longitudinal or transverse

Question 39

What is the result of a transverse fetal lie?

Answer 39

It is malpositioned and a cesarean will need to be performed

Question 40

To what does fetal attitude refer?

Answer 40

Relationship of fetal body parts

Question 41

What are the two types of fetal attitude?

Answer 41

flexion; chin to chest | extension; chin up

Question 42

What is fetal presentation?

Answer 42

the part approaching the birth canal

Question 43

What are the two types of fetal presentation?

Answer 43

cephalic or breech

Question 44

What are the 4 types of cephalic presentation?

Answer 44

Vertex Military Brow Face

Question 45

Which presentation is ideal?

Answer 45

vertex

Question 46

To what does fetal position refer to?

Answer 46

the position of the fetus in relation to maternal pelvis

Question 47

What are the two positions regarding cephalic presentation?

Answer 47

Occiput | Menum

Question 48

What is the position called which a breech presentation?

Answer 48

Sacrum

Question 49

What does LOA stand for?

Answer 49

Left Occiput Anterior

Question 50

What does ROT stand for?

Answer 50

Right Occiput Transverse

Question 51

What does LMP stand for?

Answer 51

Left Mentum Posterior

Question 52

What does RSA stand for/

Answer 52

Right Sacral Anterior

Question 53

What are the three phases of stage 1 labor?

Answer 53

Latent Active Transition

Question 54

Describe the latent phase of stage 1 labor

Answer 54

0-3cm dilation, some effacement, contractions increase

Question 55

Describe the active phase of stage 1 labor

Answer 55

4-7cm dilation and rapidly increasing, progressive effacement Discomfort increases Woman's focus increasingly inward

Question 56

Describe the transition phase of stage 1 labor

Answer 56

8-10cm dilation Woman may become irritable, lose control Nausea, vomiting, leg tremors, diaphoresis are common

Question 57

The second stage of labor begins with what and ends with what

Answer 57

Begins with full dilation and ends with the delivery of the fetus

Question 58

What is a DYAD family?

Answer 58

A dyad family is a couple living alone without children

Question 59

What is a NUCLEAR family?

Answer 59

A nuclear family is a father, mother, and child living together.