QUIZ 4: NURSING CARE OF A FAMILY EXPERIENCING A SUDDEN COMPLICATIONS OF LABOR OR BIRTH Flashcards
Although labor often proceeds without any deviation from the normal, many potential complications can occur
Dystocia
Ineffective uterine force
Dysfunctional labor and associated stages of labor
Power = force that propels the fetus (uterine contraction)
Umbilical cord prolapse
Multiple gestation
Problems with fetal position, presentation, or size
Passenger = the fetus
Inlet contraction
Outlet contraction
Trial labor
External cephalic version
Forceps birth
Vacuum extraction
Passage = the birth canal
the woman’s and family’s perception of the event
Psyche
is a time-honared term to denote that sluggishness of contractions, or the farce of labor, has occurred.
Inertia
___can occur at any point in labor, but it is generally classified as
Dysfunction
(occurring at the onset of labor)
Primary
(occurring later in labor).
Secondary
___ are the basic force moving the fetus through the birth canal.
Uterine contractions
3 TYPES OF DYSFUNCTION
Hypotonic Contractions
Hypertonic Contractions
Uncoordinated Contractions
Contractions that become ineffective during the first stage of labor
Latent phase that is longer than 20 hours in a nullipara or 14 hours in a multipara.
Occur if the cervix is not “ripe” at the beginning of labor and time must be spent getting truly for labor.
May also occur if there is excessive use analgesic early in labor.
PROLONGED LATENT PHASE
A ____ is usually associated with cephalopelvic disproportion (CPD) or fetal malposition, although it may reflect ineffective myometrial activity.
This phase is prolonged if cervical dilatation does not occur at a rate of at least 1.2 cm/hr in a nullipara or 1.5 cm/hr in a multipara, or if the active phase lasts longer than 12 hours in a primigravida or 6 hours in a multigravida.
protracted active phase
Progress in dilation slows after 8 cm and uterine contractions become dysfunctional, even after oxytocin administration.
Extends beyond 3 hours in a nullipara or 1 hour in a multipara.
Most often results from abnormal fetal head position.
PROLONGED DECELARATION PHASE
A ____ has occurred if there is no progress in cervical dilatation for longer than 2 hours.
Again, cesarean birth may be necessary.
SECONDARY ARREST OF DILATION
____ of the fetus occurs if the rate of descent is less than 1.0 cm/hr in a nullipara or 2.0 cm/hr in a multipara.
Prolonged descent
____ results when no descent has occurred for 1 hour in a multipara or 2 hours in a nullipara.
Arrest of descent
A _____ is a hard band that forms across the uterus at the junction of the upper and lower uterine segments and interferes with fetal descent.
contraction ring
occur when uterine contractions are so strong that a woman gives birth with only a few, rapidly occurring contractions
It is often defined as a labor that is completed in fewer than 3 hours.
PRECIPITATE LABOR AND BIRTH
cervical dilatation that occurs at a rate of 5 cm or more per hour in a primipara or 10 cm or more per hour in a multipara
Such rapid labor is likely to occur with grand multiparity, or it may occur after induction of labor by oxytocin or amniotomy.
PRECIPITATE DILATION
___ means that labor is started artificially.
Induction of labor