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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
buttocks / foot is the presenting part
breech
26
shoulder / acromion is the presenting part
shoulder
27
fetal hand / foot prolapses alongside the presenting part
compound
28
posture of the habitus characteristic posture of fetus in later months of pregnancy relation of fetal parts to one another
fetal attitude
29
relationship of defined portion of presenting part to L or R side of maternal birth canal
fetal position
30
pelvis is divided into
false pelvis and true pelvis
31
descent of fetus through pelvis occur through 3 important planes
Pelvic Inlet - Superior Midpelvis Pelvic Outlet - Inferior
32
false pelvis consists of
pelvic inlet
33
true pelvis consists of
midplane and outlet
34
it is the pelvic inlet posterior border
sacral promontory
35
the pelvic inlet lateral border
iliopectineal line
36
the pelvic inlet anterior border
pubic symphysis
37
pelvic outlet anterior border
the pubic arch
38
pelvic outlet lateral border
ischial tuberosity and the sacrotuberous ligament (not visible)
39
pelvic outlet posterior border
top of coccyx
40
force supplied by fundus with every contraction maternal pushing efforts/ bearing down most important force in fetal expulsion valsalva maneuver
power
41
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
psyche
42
phases of labor
phase 1 quiescence phase 2 activation phase 3 stimulation phase 4 involution
43
phase 1 of labor is the
prelude to parturition
44
contractile, unresponsiveness, cervical softening
phase 1
45
phase 2 of labor is the
preparation of labor
46
uterine preparedness for labor, cervical ripening
phase 2
47
phase 3 of labor is the
processes of labor
48
includes uterine contraction, cervical dilation, fetal and placenta expulsion
phase 3
49
phase 4 of labor is the
parturient recovery
50
this phase of labor includes uterine involution, cervical repair, breast feeding
phase 4
51
stage of labor including contractions and cervical dilatation
stage 1
52
stage of labor which includes fetal descent and delivery
stage 2
53
stage of labor where placenta is being delivered
stage 3
54
functional divisions of labor
preparatory division dilatational division pelvic division
55
phases of cervical dilatation
latent phase active phase
56
cervix dilates little but connective tissue components change sedation and conduction analgesia can arrest
preparatory division
57
dilation proceeds at its most rapid rate unaffected by sedation
dilatational division
58
from deceleration phase of cervical dilation cardinal fetal movements take place
pelvic division
59
corresponds to the preparatory division ends once dilation of 6cm is achieved
latent phase
60
prolonged latent phase for nullipara
>20 hours
61
prolonged latent phase for multipara
>14 hours
62
corresponds to the dilatational division
active phase
63
active phase is subdivided into
acceleration phase phase of maximum slope deceleration phase
64
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
active phase
65
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
1st stage
66
stage of fetal expulsion complete cervical dilatation to fetal delivery
2nd stage
67
stage of placental separation and expulsion after delivery of fetus to placental delivery
3rd stage
68
Fetal head pushes against perineum fetal scalp appears at vaginal opening
crowning
69
surgical incision of perineum made to prevent tearing and to release pressure on the fetal head with birth
episiotomy
70
genital tract lacerations
1st degree 2nd degree 3rd degree 4th degree
71
vaginal mucosa is torn
1st degree
72
perineal muscle is torn
2nd degree
73
anal sphincter is torn
3rd degree
74
rectum is torn
4th degree
75
repair of genital laceration
episiorrhaphy
76
cervical stretching during dilatation
ferguson reflex
77
series of movements that occur with fetal head during its passage through the pelvis
cardinal movements
78
cardinal movements of labor happens at __ stage of labor
2nd stage
79
cardinal movements of labor
head floating engagement further descent complete rotation complete extension restitution delivery of interior shoulder delivery of posterior shoulder
80
signs of placental separation
sudden gush of blood uterus becomes globular & firmer lengthening of the cord rise of uterus into the abdomen
81
what sign is the uterus becomes globular & firmer
calkins sign
82
what to do if there are signs of placental separation
do controlled cord traction
83
2 mechanisms of placental expulsion
schultz method mathews-duncan method

MCN (8 decks)

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