Normal Labor (Pt1) Flashcards

Question 1

Q

Def of Normal Labor

Answer

A

Spontaneous expulsion of single, living, full term fetus, presented by vertex, through natural birth canal, ein reasonable time (3-24 hours), eout assistance ( except episiotomy or oxytocin drip) & eout complications to mother or fetus.

Question 2

Q

Causes (Theories) of Onset of Labor

Question 3

Q

Question 4

Q

Stages of Labor

Question 5

Q

Duration of 1st Stage of Labor

Answer

A

In nullipara: 10-16 hours.
In multipara: 6-8 hours.

Question 6

Q

Def of 2nd Stage of Labor

Answer

A

Stage of expulsion of fetus

Question 7

Q

Duration of 2nd Stage of Labor

Answer

A

In nullipara: 1-2 hours.
In multipara: 0.5-1 hour.

Question 8

Q

Phases of 2nd Stage of Labor

Answer

A

Vaginal descent phase
Perineal Phase
After Expulsion of Head

Question 9

Q

Crowning

Answer

A

Definition:
- Permanent distension of vaginal introitus by fetal head so that vulva appears like crown on head & head doesn’t recede in () contractions due to passage of BPD through pelvic outlet.

Importance:
- Natural test for pelvic outlet (if occurred → no contracted outlet).

Question 10

Q

Def of 3rd Stage of Labor

Answer

A

Stage of separation, descent & expulsion of placenta & membranes.

Question 11

Q

Duration of 3rd Stage of Labor

Answer

A

10-30 minutes in both nullipara & multipara.

Question 12

Q

Phases of 3rd Stage of Labor

Answer

A

Separation of placenta
Descent of placenta
Expulsion of placenta

Question 13

Q

Signs of Separation of Placenta

Question 14

Q

Restitution in Delivery of Head

Question 15

Q

Restitution in Delivery of Head

Def

Answer

A

Movement to undo twist of head on trunk caused by internal rotation (as head rotates anteriorly while shoulders remain in oblique diameter).

Question 16

Q

Restitution in Delivery of Head

Direction & Degree

Answer

A

In opposite direction of internal rotation to bring head at right angle to shoulders again.

Question 17

Q

External Rotation in Delivery of Head

Question 18

Q

External Rotation in Delivery of Head

Def

Answer

A

Movement that represents external manifestation of internal rotation of shoulders from oblique diameter of pelvic brim to A-P diameter of outlet.

Question 19

Q

External Rotation in Delivery of Head

Direction & Degree

Answer

A

It is continuation of restitution & it is in the same direction (head rotates another 1/8 circle in the same direction of restitution → occiput becomes direct lateral in position facing maternal thigh).