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2ND YEAR- MCN LEC > Normal Labor > Flashcards

Normal Labor Flashcards

1
Q

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

A

labor/partuition/childbirth

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2
Q

3 true labor signs

A

painful & regular uterine contractions

bloody show

rupture of membranes

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3
Q

Factors for succesful labor (4 ps)

A

Passenger
Passage
Power
Psyche

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4
Q

the fetus, fetal lie, attitude, preentation, position

A

passsenger

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5
Q

the birth canal

A

passage

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6
Q

uterine contractions and intra-abdominal pressure

A

power

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7
Q

maternal psychological status during labor

A

psyche

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8
Q

determines the fetal position

A

leopold’s maneuver

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9
Q

L1, L2, L3, L4 description

A

L1 : assess which fetal pole occupies fundus
L2 : assess fetal orientation
L3 : confirm fetal presentation
L4 : determine degree of descent

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10
Q

L1 is also called? and what does it find out

A

Fundal Grip
-cephalic presentation (large, nodular mass
buttocks in fundus)
- breech presentation (hard, round, ballotable
head in fundus)

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11
Q

L2 is also called? and what does it find out

A

Umbilical Grip
- fetal back (hard, resistant, convex)
-fetal small parts (numerous, small, irregular, mobile)

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12
Q

L3 is also called? and what does it find out

A

Pawlick’s Grip
-Engaged fetal head
(mass not moveable)
Unengaged fetal head
(moveable mass can be displaced upward)

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13
Q

L4 is also called? and what does it find out

A

Pelvic Grip
Head flexed
(cephalic prominence same side w/ small parts)
Head extended
(cephalic prominence same side w/ back)

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14
Q

relation of fetal long axis to that of the mother
longitudinal, transverse, oblique

A

Fetal lie

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15
Q

presenting part
portion of fetal body foremost within the birth canal
felt during IE
cephalic, breech, shoulder, compound

A

Fetal Presentation

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16
Q

head is the presenting part

A

cephalic presentation

17
Q

buttocks / foot is the presenting part

A

breech presentation

18
Q

shoulder / acromion is the presenting part

A

shoulder presentation

19
Q

fetal hand / foot prolapses alongside the presenting part

A

compound presentation

20
Q

posture of the habitus
characteristic posture of fetus in later months of pregnancy
relation of fetal parts to one another//
ovoid mass
folded / bent upon itself
back markedly convex
head sharply flexed
chin in close contact to chest
thighs flexed over abdomen
legs bent at the knees
arms crossed over thorax
umbilical cord lies in space between extremities

A

fetal attitude

21
Q

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

A

fetal position

22
Q

pelvis is divided into false pelvis and true pelvis
descent of fetus through pelvis occur through 3 important planes

A

passage

23
Q

descent of fetus through pelvis occur through 3 important planes

A

Pelvic Inlet - Superior

Midpelvis

Pelvic Outlet - Inferior

24
Q

Anterior, Posterior, Lateral borders of the pelvic inlet

A

Anterior- Pubic symphysis
Posterior- Sacral promontory
Lateral- Iliopectineal line

25
Q

Anterior, Posterior, Lateral borders of the pelvic outlet

A

anterior border- the pubic arch
posterior border- tip of coccyx
lateral border- ischial tuberosity and the sacrotuberous ligament

26
Q

Fetal head pushes against perineum
fetal scalp appears at vaginal opening

A

crowning

27
Q

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

A

episiotomy

28
Q

repair of genital laceration

A

episiorrhaphy

29
Q

1st degree lacerations

A

vaginal mucosa torn

30
Q

2nd degree laceration

A

perineal muscles torn

31
Q

3rd degree

A

anal sphincter torn

32
Q

4th degree

A

rectum torn

33
Q

pain of labor is due to

A

hypoxia of contracted myometrium

compression of cervical nerve ganglia and lower uterus

cervical stretching during dilatation (Ferguson reflex)

stretching of peritoneum overlying the fundus

34
Q

series of movements that occur with fetal head during its passage through the pelvis
happens at second stage of labor
in nulliparas, engagement of the head happens before onset of labor

A

Cardinal Movements of Labor

35
Q

4 signs of placental seperation and when is it seen

A
  1. sudden gush of blood
  2. uterus becomes globular & firmer (Calkins sign)
  3. lengthening of the cord
  4. rise of uterus into the abdomen

seen on third stage of labor

36
Q

Mechanism of placental expulsion (schultze model)

A

Shiny schultze

37
Q

Mechanism of placental expulsion (Matthews-duncan method)

A

Dirty duncan

2ND YEAR- MCN LEC (4 decks)

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