Normal Labor, Delivery, And Postpartum Care Flashcards

1
Q

Normal Labor definition

A

Progressive cervical effacement and dilation resulting from regular uterine contractions that occur at least every 5 minutes and last 30 to 60 seconds.

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2
Q

Base of the skull

A

Firm, noncompressible bones that protect vital structures of the brain stem.

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3
Q

Vault of the skull or cranium bones

A

Occipital, two parietal, two frontal, two temporal bones

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4
Q

Molding

A

Overlapping of the cranial vault bones

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5
Q

Sagittal suture

A

Between the parietal bones connecting fontanelles

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6
Q

Lambdoid suture

A

From posterior fontanelle laterally, separates occiput and parietal bones

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7
Q

Coronal suture

A

From the anterior fontanelle laterally, separates parietal bones and frontal bones

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8
Q

Frontal suture

A

Separates frontal bones, runs from the anterior fontanelle to the glabella

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9
Q

Palpate these to find fetal head position

A

Anterior and posterior fontanelles

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10
Q

Posterior fontanelle closes

A

6 to 8 weeks

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11
Q

Anterior fontanelle ossifies

A

About 18 months (allows brain growth)

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12
Q

Bregma

A

Another name for the anterior fontanelle

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13
Q

Normal size of bregma

A

2x3 cm

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14
Q

Nastiness

A

Root of the nose, just below the glabella

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15
Q

Sinciput

A

Brow - between anterior fontanelle and glabella

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16
Q

Stage I - Latent Phase

A

contracting w/ 0 to 6cm dilation

17
Q

Stage I - Active Phase

A

6cm to 10cm

18
Q

Stage II

A

10cm to complete delivery of baby

19
Q

Stage III

A

baby delivery until end of placental delivery

20
Q

Normal Latent Phase (nulli and multi)

A

20 hrs, 14 hrs

21
Q

Active Phase Cervical Dilation Rate (nulli and multi)

A

1.2 cm/hr, 1.5 cm/hr

22
Q

Stage II normal duration

A

nulliparous < 3 hrs, multiparous < 2 hrs

23
Q

Physiological cause of cervical change

A

breaking disulfide bonds

24
Q

Normal timing for stage 3

A

30 min

25
Q

cervical changes

A

softening, effacement, dilatation, positioning

26
Q

trigger for cervical change

A

fetal head engagement

27
Q

Fetal station

A

-5 to 5 relative to ischial spines (0)

28
Q

Footling breach

A

at least one leg not flexed at hip

29
Q

Frank breech

A

flexed hips extended knees

30
Q

complete breech

A

flexed hips and knees

31
Q

Prolonged active phase

A

whole process taking more than 5 hours

32
Q

Arrest of the active phase

A

no change after 4 hours

33
Q

ways to engage the cervix with fetal head

A

balloon, amniotomy, misoprostal, oxytocin