Physiology of Labor/Fetal assess

Question 1

The term gravity refers to

Answer 1

Number of conceptions

Question 2

Parity refers to

Answer 2

number of live births

Question 3

Abortus refers to

Answer 3

of preterm dead births

Question 4

FPAL mnemonic stands for

Answer 4

full-term, premature, abortus, and living children

Question 5

G1P2A0

Answer 5

Twins

Question 6

Trouble with epidural catheter

Answer 6

Just remove, take it out or stop infusion

Question 7

Bupivacaine in the intravascular space would cause

Answer 7

Code

Question 8

When giving medication, aspirate back

Answer 8

Make sure not in blood vessels

Question 9

No specific time frame as to last time during labor

Answer 9

Epidural can be administered (up to crowning you can)

Question 10

Unmyelinated C fibers responsible for

Answer 10

Dull pain, slow pain

Question 11

A-delta fibers responsible for

Answer 11

Sharp pain

Question 12

First stage is from

Answer 12

onset of true labor until cervix is completely dilated (10 cm)

Question 13

Subdivision of First stage Early labor phase

Answer 13

time of onset until cervix dilated 3cm

Question 14

Subdivision of first stage Active labor phase:

Answer 14

cervix dilates from 3cm to 7cm

Question 15

Subdivision of first stage Transition phase:

Answer 15

from 7cm to 10 cm

Question 16

Subdivision of First stage

Answer 16

Early Labor
Active labor
Transition

Question 17

Second stage is

Answer 17

period after cervix dilated to 10 cm until the baby is delivered.

Question 18

Third stage of labor is

Answer 18

Delivery of the placenta.

Question 19

Cervical dilation mediated by

Answer 19

small, unmyelinated “C fibers”

Question 20

Unmyelinated C fibers are ______pain transmitters

Answer 20

Dull pain transmitters

Question 21

First stage, where is the pain?

Answer 21

T10 -L1(L2) DERMATOMES

Question 22

What happens during the second stage

Answer 22

Cervical dilatation progresses
 Fetal head descends into pelvis
 Stretches and compresses pelvic structures

Question 23

Second stage mediated by

Answer 23

the sacral plexus T12-L1, S2-S4

Question 24

Pudendal nerve provides sensory innervation of

Answer 24

perineum

Question 25

Not always completely anesthetized with epidural is

Answer 25

Pudental nerve; Pudendal block may be done (high risk)

Question 26

In GYN cases

Answer 26

Have atropine and Glycopyrrolate because of bradycardia from parasympathetic stimulation

Question 27

Innervate diaphragm

Answer 27

C3, C4, C5

Question 28

Dermatomes:

“back labor”

Answer 28

cutaneous innervation

Question 29

Sclerotomes: innervation of bone/muscle

Answer 29

Referred pain

Question 30

Located below the vertebral level of involvement

 Referred pain

Answer 30

Sclerotomes

Question 31

Pain Pathways During Labor

Answer 31

Multiple factors:
 Contraction of myometrium
 Dilatation of cervix and uterine segment
 Stretching and compression of pelvic structures

Question 32

Visceral:

Answer 32

due to acute pain from disease processes or abnormal function of internal organ or its lining

Question 33

Visceral pain examples

Answer 33

 Ex: parietal pleura, peritoneum

 Dull, diffuse, midline

Question 34

Somatic

Answer 34

nociceptive input from skin, SQ, mucous membranes

Question 35

Types of SOMATIC pain

Answer 35

• Superficial or deep
   Localized
   Sharp, pricking, throbbing, and/or burning sensation

Question 36

Area Uterus and cervix level is ________

Pain type

Answer 36

T10-L1(L2) visceral afferent

type C fibers

Question 37

Perineum Pain Leve is _________fibers carried by

Answer 37

S2, S3, and S4

somatic nerve fibers: pudendal n.