Quiz 1 Flashcards
passengers
fetus & placenta
passage way
birth canal
powers
contractions
postion…….
of the mother
psychologic….
psychologic response
Presentation meaning
part of the fetus that enters the pelvic inlet first & leads through the birth canal during labor at term
cephalic presentation
head first
breech presentation
butt, feet, or both first
shoulder presentation
shoulders first
presenting part
part of the fetus that lies closest to the internal os of the cervix
Will also be first part felt during finger vaginal exam
Lie
relation of the spine of the fetus to the spine of the mother
(long axis = spine)
Attitude
where fetal body parts are compared to one another
biparietal diameter
Largest transverse diameter and an important indicator of fetal head size.
9.25 cm at term usually
Position
Where a reference point is on the presenting part in relation to the four quadrants of moms pelvis
(Where a certain part of the baby is when using moms body as a guide)
Station
Where the presenting part of the fetus is in relation to an imaginary line drawn between the maternal ischial spines
- is a measure of the degree of descent of the representing part of the fetus through the canal
Engagement
indicated that the largest transverse diameter of presenting part has passed through mom’s pelvic brim or inlet in to the true pelvis
- corresponds to station 0
(largest, widest part of the fetus has passed into the pelvic area)
Plane
length of diagonal conjugate
Midplane
measurement of the interspinous diameter
outlet
use of thom pelvimeter to measured intertuberous diameter
primary powers
signal beginning of labor
secondary powers
voluntary bearing-down efforts
- augment the force of involuntary contractions
Effacement
when the cervix shortens and thins during the first stage of labor
dilation
when the cervix enlarges & widens before labor has begun
labor
process of moving the fetus, placenta, and membranes out of the uterus
ligthening/dropping
when the first parts of the fetus descend into the true pelvis
descent
progress of the presenting part through the pevlis
first stage of labor
begins w onset of regular uterine contractions and ends with complete cervical dilation
Nitrazine
ph
bloody show
not the same as vaginal bleeding - will notice it is pink and sticky
postural management
practice of positioning women with their pelvis elevated
moxibustion
chinese practice of burning mugwort close to acupuncture point 67 or tip of fifth toe
external cephalic version
ultrasound guided hand on procedure to manipulate fetus into cephalic lie
doula
female labor who is specially trained
second stage of labor
Stage at which the infant is born - cervix must be fully dilated and then then ends with baby’s birth
latent phase
a stage within the 2nd stage of birth: period of rest and relative calm so that the fetus descends passively down the canal
active pushing phase
woman will feel feel the need to bear down due to ferguson reflex being activated
valsalva maneuver
when pressure causes increase pressure which results in less perfusion to fetus
crowning
when widest area of the fetal head distends the vulva just before birth - or their head pops through
Episiotomy
incision into perineum to enlarge vaginal outlet
third stage of labor
time from birth of baby until placenta is expelled. very short
fourth stage of labor
begins with getting rid of placenta and lasts until post partum period
vocalizes
open - glottis pushing
