Normal Labor and Delivery

Question 1

Most important defining feature between true and false labor is

Answer 1

if cervical change is present (usually recheck cervix after 2 hours).

Question 2

normal BP increase during labor

Answer 2

Systolic rises 10-20 mm/hg

Diastolic rises 5-10 mm/hg

Question 3

5 Ps of labor

Answer 3

Power- Cardinal movements of labor/mechanisms of labor & uterine contractions

Passenger- the fetus and placenta

Passageway- birth canal

Position- position of mother

Psychosocial-psychologic response of mother

Question 4

Effacement

Answer 4

-shortening and thinning of the cervix. Before labor cervix usually long (2-3cm) thick (1cm) and, closed(not dilated).

Question 5

Dilation

Answer 5

• widening of cervical opening. Cervical dilation progresses from closed to 10 cm.

Question 6

Stage 1 of labor

Answer 6

occurs from onset of contractions to complete dilation of cervix (10cm).

Question 7

Stage 2 of labor

Answer 7

Complete or “full” dilation of cervix (10cm) to delivery of the infant.

Question 8

Stage 3 of labor

Answer 8

from delivery of the infant through the delivery of the placenta. Usually takes 10-15 min but, may take up to 30 min.

Question 9

ideal fetus presentation? MC

Answer 9

vertex, left occiput anterior

Question 10

when is general anesthesia used?

Answer 10

emergency, C-section

Question 11

Perineal laceration degrees

Answer 11

1st degree- perineal skin may involve vaginal mucosa- *Easy to repair

2nd degree- involvment of muscles of the perineum and fascia. *Usually fairly simple repair

3rd degree- has extended and has involvement of anal sphincter. Takes some time to repair/good visualization

4th degree- involves all rectal mucosa and exposes rectal lumen. Difficult repair may need assistance/OR instruments.

Question 12

APGAR

Answer 12

Activity/muscle tone
Pulse
Grimace
Appearance (skin color)
Respiration

Question 13

When is colostrum secreted

Answer 13

• first 5 days
• high in protein and minerals
• immunoglobulins sereted

Question 14

when can pts resume sex?

Answer 14

after 6 weeks from delivery

Question 15

breech types

Answer 15

Frank: hips flexed, knees extended
Complete: hips and knees flexed
Double footling: hips and knees extended
Single footling: one hip and knee extended, the other hip flexed with knee flexed or extended

Question 16

fetal attitude

Answer 16

Degree of flexion of fetal head
*Vertex Presentation
Complete Flexion
Military Presentation
Moderate Flexion
Brow Presentation
Poor flexion (extension)
Face Presentation
Full Extension

Question 17

BISHOP score

Answer 17

pre-labor scoring system to assist in predicting whether induction of labor will be required