Signs of True Labor

Question 1

Surest sign of labor onset

Answer 1

Uterine Contraction

Question 2

3 signs of uterine contraction in true labor

Answer 2

occuring at regular interval
increases in duration and intensity
intensity usually increases in walking

Question 2

4 causes of pain during uterine contractions

Answer 2

1. contraction of uterine msucles when in an ischemic state (decrease in blood supply)
2. pressure or nerve ganglia in the cervix and lower uterine segment (impede blood supply).
3. stretching of ligaments adjacent to the uterus and pelvic l joints
4. stretching and displacement of the tissues of the vulva and the perineum

Question 2

phases of uterine contraction

first phase during which intensity of contraction increases

Answer 2

inclement / crescendo

Question 2

phases of uterine contraction

height of the uterine contraction

Answer 2

acme / apex

Question 2

phases of uterine contraction

last phase during which intensity of contraction decreases

Answer 2

decrement / descresendo

Question 2

2 Distinct Portions of the uterus

Answer 2

Upper uterine segment
Lower uterine segment

Question 2

the only part of uterus that contracts; it becomes thick and active in order to expel the uterus

Answer 2

upper uterine segment

Question 2

becomes think wall, supple, and passive that the fetus can be pushed out easily

Answer 2

lower uterine uterus

Question 3

formed at the boundary of lower and upper uterine segment

Answer 3

physiological retraction ring

Question 4

when the fetus is larger than the birth canal, the round ligament of uterus becomes tense during expalsion. this causes the formation of “abdominal indentation” what do you call this indentation?

Answer 4

pathological retraction ring / band’s ringss

Question 5

danger sign of labor that signifies impending uterine fracture

Answer 5

Pathological Retraction Ring

Question 6

2nd and MOST important signs
indicative of true labor

Answer 6

Cervical Dilatation and Effacement

Question 7

elargement of the external cervical walls up to 10 cm as a result of uterine contraction and pressure of presenting part and bag of water

Answer 7

Dilatation

Question 8

shortening and thinning of the cervical canal from 1-2 cm to one in which no canal as distinct from the uterus exists

-express in percentage

Answer 8

Effacement

Question 9

3rd sign of true labor

Answer 9

Pain in the back that radiates around to the abdomen

Question 10

4th signs of true labor

Answer 10

Bloody Show/Show

Question 11

expalsion of the mucus blood

Answer 11

Bloody Show/Show

Question 12

when does labor may be observed?

Answer 12

1-2 days after bloody show

Question 13

cause of bloody show

Answer 13

pressure of the descending part of the fetus causes rapture of manu capillaries in the mucus membraned of the cervix, after this rupture, blood mixes with operculum when released

Question 13

what is the bloody show

Answer 13

pinkish vaginal discharge

Question 14

how to know if it’s active bleeding?

Answer 14

blood is bright red