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MCN > Normal Labor > Flashcards

Normal Labor Flashcards

1
Q

other term for labor

A

parturition

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2
Q

onset of forceful, painful, & regular uterine contractions that effect cervical dilatation and effacement & cause fetus to descend through birth canal

A

labor

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3
Q

true labor signs

A

painful & regular uterine contractions
bloody show
rupture of membranes

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4
Q

Factors for successful labor

A

passenger
passage
power
psyche

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5
Q

the fetus
fetal lie, attitude, presentation, position

A

passenger

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6
Q

the birth canal

A

passage

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7
Q

uterine contractions
intra-abdominal pressure

A

power

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8
Q

maternal psychological status during labor

A

psyche

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9
Q

assess which fetal pole occupies fundus

A

L1 fundal grip

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10
Q

assess fetal orientation

A

L2 umbilical grip

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11
Q

confirm fetal presentation

A

L3 pawlick grip

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12
Q

determine degree of descent

A

L4 pelvic grip

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13
Q

arge, nodular mass
buttocks in fundus

A

cephalic presentation

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14
Q

hard, round, ballotable
head in fundus

A

breech presentation

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15
Q

hard, resistant, convex

A

fetal back

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16
Q

numerous, small, irregular, mobile

A

fetal small parts

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17
Q

moveable mass can be displaced upward

A

unengaged fetal head

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18
Q

cephalic prominence same side w/ small parts

A

head flexed

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19
Q

cephalic prominence same side w/ back

A

head extended

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20
Q

relation of fetal long axis to that of the mother

A

fetal lie

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21
Q

types of fetal lie

A

longitudinal (normal)
oblique
transverse

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22
Q

portion of fetal body foremost within the birth canal
felt during IE

A

fetal presentation

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23
Q

types of fetal presentation

A

cephalic
breech
shoulder
compound

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24
Q

head is the presenting part

A

cephalic

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25
Q

buttocks / foot is the presenting part

A

breech

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26
Q

shoulder / acromion is the presenting part

A

shoulder

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27
Q

fetal hand / foot prolapses alongside the presenting part

A

compound

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28
Q

posture of the habitus
characteristic posture of fetus in later months of pregnancy
relation of fetal parts to one another

A

fetal attitude

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29
Q

relationship of defined portion of presenting part to L or R side of maternal birth canal

A

fetal position

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30
Q

pelvis is divided into

A

false pelvis and true pelvis

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31
Q

descent of fetus through pelvis occur through 3 important planes

A

Pelvic Inlet - Superior
Midpelvis
Pelvic Outlet - Inferior

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32
Q

false pelvis consists of

A

pelvic inlet

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33
Q

true pelvis consists of

A

midplane and outlet

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34
Q

it is the pelvic inlet posterior border

A

sacral promontory

35
Q

the pelvic inlet lateral border

A

iliopectineal line

36
Q

the pelvic inlet anterior border

A

pubic symphysis

37
Q

pelvic outlet anterior border

A

the pubic arch

38
Q

pelvic outlet lateral border

A

ischial tuberosity and the sacrotuberous ligament (not visible)

39
Q

pelvic outlet posterior border

A

top of coccyx

40
Q

force supplied by fundus with every contraction
maternal pushing efforts/ bearing down
most important force in fetal expulsion
valsalva maneuver

A

power

41
Q

emotional state of the mother during her labor
levels of stress, underlying anxiety, adequate support from partner
ensuring the woman is in a welcoming and supportive environment

A

psyche

42
Q

phases of labor

A

phase 1 quiescence
phase 2 activation
phase 3 stimulation
phase 4 involution

43
Q

phase 1 of labor is the

A

prelude to parturition

44
Q

contractile, unresponsiveness, cervical softening

A

phase 1

45
Q

phase 2 of labor is the

A

preparation of labor

46
Q

uterine preparedness for labor, cervical ripening

A

phase 2

47
Q

phase 3 of labor is the

A

processes of labor

48
Q

includes uterine contraction, cervical dilation, fetal and placenta expulsion

A

phase 3

49
Q

phase 4 of labor is the

A

parturient recovery

50
Q

this phase of labor includes uterine involution, cervical repair, breast feeding

A

phase 4

51
Q

stage of labor including contractions and cervical dilatation

A

stage 1

52
Q

stage of labor which includes fetal descent and delivery

A

stage 2

53
Q

stage of labor where placenta is being delivered

A

stage 3

54
Q

functional divisions of labor

A

preparatory division
dilatational division
pelvic division

55
Q

phases of cervical dilatation

A

latent phase
active phase

56
Q

cervix dilates little but connective tissue components change
sedation and conduction analgesia can arrest

A

preparatory division

57
Q

dilation proceeds at its most rapid rate
unaffected by sedation

A

dilatational division

58
Q

from deceleration phase of cervical dilation
cardinal fetal movements take place

A

pelvic division

59
Q

corresponds to the preparatory division
ends once dilation of 6cm is achieved

A

latent phase

60
Q

prolonged latent phase for nullipara

A

> 20 hours

61
Q

prolonged latent phase for multipara

A

> 14 hours

62
Q

corresponds to the dilatational division

A

active phase

63
Q

active phase is subdivided into

A

acceleration phase
phase of maximum slope
deceleration phase

64
Q

cervical dilation of 3-6cm or more in the presence of uterine contractions
rate of cervical dilation for
nullipara 1.2 cm/hr
multipara 1.5 cm/hr
descent commences at 7-8cm for nulliparas

A

active phase

65
Q

it is the stage of cervical effacement and dilation. it begins when spaced uterine contractions of sufficient frequency, intensity, and duration are attained to bring about effacement to full cervical dilation

A

1st stage

66
Q

stage of fetal expulsion
complete cervical dilatation to fetal delivery

A

2nd stage

67
Q

stage of placental separation and expulsion
after delivery of fetus to placental delivery

A

3rd stage

68
Q

Fetal head pushes against perineum
fetal scalp appears at vaginal opening

A

crowning

69
Q

surgical incision of perineum made to prevent tearing and to release pressure on the fetal head with birth

A

episiotomy

70
Q

genital tract lacerations

A

1st degree
2nd degree
3rd degree
4th degree

71
Q

vaginal mucosa is torn

A

1st degree

72
Q

perineal muscle is torn

A

2nd degree

73
Q

anal sphincter is torn

A

3rd degree

74
Q

rectum is torn

A

4th degree

75
Q

repair of genital laceration

A

episiorrhaphy

76
Q

cervical stretching during dilatation

A

ferguson reflex

77
Q

series of movements that occur with fetal head during its passage through the pelvis

A

cardinal movements

78
Q

cardinal movements of labor happens at __ stage of labor

A

2nd stage

79
Q

cardinal movements of labor

A

head floating
engagement
further descent
complete rotation
complete extension
restitution
delivery of interior shoulder
delivery of posterior shoulder

80
Q

signs of placental separation

A

sudden gush of blood
uterus becomes globular & firmer
lengthening of the cord
rise of uterus into the abdomen

81
Q

what sign is the uterus becomes globular & firmer

A

calkins sign

82
Q

what to do if there are signs of placental separation

A

do controlled cord traction

83
Q

2 mechanisms of placental expulsion

A

schultz method
mathews-duncan method

MCN (8 decks)

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