processes of labor and delivery Flashcards
1
Q
signs of impending labor
A
- ‘Lightening’
- Cervical mucous/bloody show
- Weight loss due to ↑ in loose stools: Prostaglandins
- ‘Burst of energy’
- ‘Nesting’
- ↑ contractions, backache
- Change in sleep cycles, N/V/D
2
Q
lightening
@ what week
A
- The fetus drops into the pelvis Easier to breathe, harder to walk - ↑ in Braxton-Hicks push the fetus down into ‘ready’ position - after 36 w - feel lighter at top
3
Q
how many stages of labor
A
4
4
Q
first stage
A
- Cervical Change (dilation/effacement)- Has 3 phases
- Onset of regular contractions to complete effacement & dilation:
- 0-10 centimeters dilation (opening)
- 0-100% effacement (thinning)
5
Q
second stage
A
- Birth of the BABY
- Full dilation until delivery of the neonate
- 10 centimeters with descent of presenting part to birth
6
Q
third stage
A
- Birth of the PLACENTA
- Delivery of neonate to delivery of placenta
7
Q
fourth stage
A
Recovery
- Postpartum Stabilization: 1st 4 hours after delivery
- Maternal-newborn bonding & breastfeeding
8
Q
true labor
A
- Regular contractions- becoming stronger and closer together (nothing makes them go away)
- Contractions start in the back and radiate to the front of the abdomen
- Leads to cervical change
- When to go to the hospital: “ 511” or “411”- When contractions are 4-5 minutes apart, lasting 1 minutes long, for at least 1 hour OR water breaks OR if pain is intolerable
9
Q
false labor
A
- Irregular contractions- lasting different lengths (braxton hicks)
- They go away with movement, rest, position change, or drinking water
- Felt in the front/groin
- No cervical change: stays tight and thick
10
Q
latent phase
A
0-3 cm
11
Q
active phase
A
4-7
12
Q
transition phase
A
8-10cm
13
Q
babys positon (passenger)
A
The baby’s position (Passenger)
- Presentation
- Lie
- Attitude
- Fetal position in pelvis: ccephalic, breech, oblique, transverse
(want them cephalic/vertex)
14
Q
ROA
A
back of head pointing front
15
Q
LOA
A
back of head pointing towards left side
16
Q
ROP
A
sunny side up, back of head posterior
- makes labor harder
- back pain
- lot of first time parents
17
Q
LOP
A
back of head facing back towards left
18
Q
first letter
A
expectants pelvis side right or left
19
Q
second letter
A
fetus occiput