processes of labor

Question 1

why do nurses feel cervix in LND

Answer 1

to see the position of the baby we want to feel : back of head (do not want to feel eyebrows or eyes)

Question 2

land marks of fetal skull

Answer 2

mentum, sinicput, bregma, vertex, posterior fontanelle, occiput

Question 3

we want the baby to be in

Answer 3

flexion fetal atittuide

Question 4

do not want the baby to be

Answer 4

extension

Question 5

fetal lie should be

Answer 5

longitudinal (parallel) head down

Question 6

fetal lie should not be

Answer 6

transverse (right angles)

Question 7

fetal presentation

Answer 7

Determined by fetal lie and by the fetal body part entering pelvis first
should be: cephalic for vaginal delivery

Question 8

cephalic variations

Answer 8

vertex (easiest), military, brow, face

Question 9

vertex cephalic

Answer 9

head flexed (easiest) occiput presents

Question 10

military cephalic

Answer 10

head straight, top of head presents

Question 11

brow cephalic

Answer 11

head extended sinciput presents

Question 12

face cephalic

Answer 12

head hyper-extended, face presents

Question 13

breech (butt and legs)

Answer 13

presenting in the pelvic (c-section)

frank, complete, footling

Question 14

frank breech

Answer 14

legs against body, buttocks first

Question 15

complete breech

Answer 15

all flexed, buttocks and feet first

Question 16

footling breech

Answer 16

extended legs, one or two feet first

Question 17

shoulder

Answer 17

c-section; fetus is a transverse lie

Question 18

engagement

Answer 18

when largest diameter of the presenting part is in the pelvic inlet

Question 19

station

Answer 19

relationship of presenting part of ischial spines

Question 20

fetal position

Answer 20

relationship of presenting part landmarks to maternal pelvis

Question 21

baby is engaged at…

Answer 21

at level station 0 (ishial spine)

Question 22

engaged baby

Answer 22

The biparietal diameter (B P D) of the fetal head is in the inlet of the pelvis. In most instances, the presenting part (occiput) will be at the level of the ischial spines (0 station) - babies head cannot be pushed away

Question 23

ischial spine is at ____ station

Answer 23

zero

Question 24

fetal position

Answer 24

occiput - back of head
mentum- chin
sacrum - butt
acromino - shoulde r

Question 25

anterior landmark

Answer 25

babies bakc is going ot be facing moms betlly

Question 26

posterior landmark

Answer 26

babys back is going to be towards moms back (back to back) -- well have to reach far back to feel occiput

Question 27

presentation

Answer 27

is the fetal body part entering the pelvis first

Question 28

position

Answer 28

is the relationship of presenting part landmarks to maternal pelvis

Question 29

3 phases of contractions

Answer 29

increment, acme, decrement

Question 30

contraction are measured in mm Hg using...

Answer 30

IUPC - to see if contractions are strong enough | intrauterine pressure catheter

Question 31

labor usually begins when

Answer 31

between 38-42 weeks gestation | no full understanding of cause of labor

Question 32

effacement

Answer 32

drawing up of cervix; Occurs from longitudinal traction of cervix with contractions and Cervix goes from thick to paper thin (described in %)

Question 33

dilation

Answer 33

opening up cervix; Uterus elongates and straightens fetal body and pushes baby/amniotic sac against cervix --> this causes cervix to open (up to 10cm)

Question 34

Effacement of the Cervix in the Primigravida (1)

Answer 34

At the beginning of labor, there is no cervical effacement or dilatation. The fetal head is cushioned by amniotic fluid.

Question 35

Effacement of the Cervix in the Primigravida (2)

Answer 35

Beginning cervical effacement: As the cervix begins to efface, more amniotic fluid collects below the fetal head.

Question 36

Effacement of the Cervix in the Primigravida (3)

Answer 36

Cervix is about one-half (50%) effaced and slightly dilated. The increasing amount of amniotic fluid below the fetal head exerts hydrostatic pressure on the cervix.

Question 37

Effacement of the Cervix in the Primigravida (4)

Answer 37

Complete effacement and dilatation.

Question 38

why do we need to know what time woman's water broke

Answer 38

infection

Question 39

main difference b/w true and false labor

Answer 39

in true labor, after walking around for awhile there IS PROGRESS SOME CHANGE

Question 40

true labor

Answer 40

- Regular UCs - UCs get closer - UCs longer/harder - Pain radiates - More intense with walking - No decrease in UCs w/ bath & rest - Progressive cervical changes!

Question 41

false labor

Answer 41

- Irregular UCs - Not closer - Not longer/harder - Pain in abdomen - No effect or decrease intensity with walking - Rest & bath eases UCs -No cervical changes