Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Maternal-Newborn (Josh) > T2 - Labor and Birth Process PPT (Josh) > Flashcards

T2 - Labor and Birth Process PPT (Josh) Flashcards

1
Q

With a — woman, Effacement precedes Dilation.

With a — woman, Effacement and Dilation occur together.

A

Primagravida

Multigravida

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is effacement?

A

thinning and shortening of cervix

**Measured in % (ex: 100%)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

How is fetal position determined?

A

identify the presenting part (ex: head)

identify the maternal quadrant the presenting part is facing (ex: right anterior)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Which women can experience a slowed or ineffective progress of cervical dilation?

A

history of STD or PID

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the four basic pelvic shapes?

A

Gynecoid (classic and most favorable)

Android (resembles male pelvis)

Anthropoid (oval shaped w/ wider AO diameter)

Platypelloid (flat pelvis)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are Premonitory Signs of Labor

A

Braxton Hick (strong)

Lightening

Energy INCREASED

Ripening of cervix

Mucus plug expelled

Bloody Show (as effacement ruptures cervical capillaries)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What do the stretch receptors in cervix do when stretched by fetal head?

A

release oxytocin which causes mom to have urge to push

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

How is Descent measured?

A

station (+5 to -5)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

The normal uterus is about — thick and has a neck that is — long.

A

1 cm thick

2-3 cm long

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What do following abbreviations mean? - ROP- LOT- RMA

A

Right Occipitoposterior

Left Occipitotransverse

Right Mentoanterior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Phases of First Stage of Labor:

1st Phase =

2nd Phase =

3rd Phase =

A

0-3 cm

4-7 cm

8-10 cm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What happens to mom’s Hematopoietic System during labor?

A

leukocytosis (WBCs increase)

fibrinogen increase

***More blood loss in vaginal delivery than open heart surgery b/c blood volume increased by 50%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What degrees mean baby is ABOVE spines?

What degrees mean baby is BELOW spines?

A

-1, -2, -3, -4, -5

+1, +2, +3, +4, +5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are signs of Placental Separation?

A

Cord lengthens

Uterus changes shape to GLOBULAR

Gush of blood from vagina

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is Dilation?

A

widening of cervical canal to accomodate head of baby

**measured in cm (1-10)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

The anterior fontanel is at the junction of which bones?

What about the posterior fontanel?

A

anterior = frontal and parietal

posterior = occipital and parietal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is Fetal Position?

A

relationship of fetal presenting parts to a DESIGNATED POINT on maternal pelvis

ex: ROA (Right Occipitoanterior)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Anterior position has the OCCIPITAL bone facing —

Posterior position has the OCCIPITAL bone facing —

A

symphisis pubis

sacrum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

When can the cervix no longer e palpated by examiner’s finger?

A

when it is fully dilated and completely retracted

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

When does the First Stage of Labor end?

A

dilation at 10 cm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What happens to mom’s CV system during labor?

A

CO increases

Intrathoracic pressure increases from pushing in 2nd stage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Which Cardinal Movement is AKA restitution?

A

External Rotation

  • when head realigns to original position after rotating internally
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

When does the Ferguson Reflex occur?

A

maternal urge to push and happens at 7-10 cm through second stage of labor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

UC Frequency =

UC Duration =

A

Frequency is BEGINNING of one UC to the BEGINNING of next

Duration is BEGINNING of one UC to the END of same UC

25
Q

Which stage of Labor is True Labor?

A

First Stage

**until cervix is effaced and dilated 10cm

26
Q

Involuntary UC cause what to take place in the cervix?

A

effacement and dilation

27
Q

What are disadvantages of Breech Presentation?

A

not effective at dilating cervix

head is last part to be born

umbilical cord can become compressed

28
Q

Where are True Contractions first felt?

A

lower back and sweep around to abdomen in a wave

***false UC felt in abdomen and groin

***ATI DOESN’T SAY THIS

29
Q

Which presentation CANNOT be delivered vaginally?

A

shoulder

30
Q

What are Leopold’s Maneuvers?

A

1st Maneuver = palpate fundus (soft is butt, hard is head)

2nd Maneuver = run fingers along sides of pelvis (smooth is back, knobby is knees)

3rd Maneuver = determine presentation

4th Maneuver = determine attitude of head

31
Q

— is the degree of descent of presenting part above/below ischial spines

— is when presenting part is AT ISCHIAL SPINES

A

Fetal Station

Engagement

32
Q

What is an Extended Fetal Attitude?

A

when baby presents wider part of the skull in the inlet- examiner would palpate the mentum (chin) or brow

33
Q

How do we know if they’re false contractions?

A

Irregular

Begin and remain in abdominal and groin region (ATI DOESN’T SAY THIS)

Disappear w/ ambulation and sleep

Do not increase in duration, frequency or intensity

Do not dilate cervix

34
Q

Which fontanel is DIAMOND shaped?

Which fontanel is TRIANGLE shaped?

A

Anterior

Posterior

35
Q

The normal delivery position (feet in stirrups) is called?

A

Lithotomy

36
Q

What is BPD?

A

Bioparietal Diamter

  • the largest transverse diameter of fetal head
37
Q

When would Stadol be given?

A

at top of contraction to maximize profusion to mom and minimize profusion to baby

38
Q

What happens to mom’s Respiratory System during labor?

A

hyperventilation r/t increased O2 needs

***breathe into cupped hands or brown bag

39
Q

What happens to mom’s GI System during labor?

A

Gastric motility decreased

Blood shunted to major organs

***NPO except for ice chips

40
Q

— is known as secondary powers— is known as primary powers.

A

Voluntary bearing down (secondary)

Involuntary UC (primary)

41
Q

What is the Fetal Presentation?

A

body part of fetus that FIRST enters the pelvic inlet

42
Q

What signals the beginning of labor?

A

INVOLUNTARY uterine contractions

43
Q

What is difference b/t a Complete Breech and a Frank Breech?

A

Frank Breech = baby’s legs are extended up to face

Complete Breech = baby’s legs are crossed Indian Style

44
Q

Positional Abbreviations:

First letter means =

Second letter means =

Third letter means =

A

1st = R or L of maternal pelvis

2nd = specific presenting part (occiput, mentum, sacrum, acromium process)

3rd = location of presenting part in relation to maternal pelvis (Anterior, Posterior, Transverse)

45
Q

In the nulliparous woman, which comes first, effacement or dilation?

A

Effacement usually precedes Dilation

46
Q

Which part of pelvis is narrowest?

A

ischial spines

  • less space for baby’s head to get through
47
Q

Which position is best for delivery?

A

Occipitoanterial (OA)

48
Q

Nursing action w/ a Frank Breech Presentation?

A

don’t attempt to pull legs down post birth or you could break leg or pull muscle

49
Q

What is the Ferguson Reflex?

A

maternal urge to bear down “push”

***occurs when cervix is dilated 7-10 cm and continues through second stage of labor

50
Q

5 P’s of Labor

A

Passenger (fetus and placenta)

Passageway (birth canal)

Powers (UC)

Position of mother

Psychologic responses

51
Q

Which stage results in delivery of baby?

A

Second Stage

**from 10 cm to baby

52
Q

What is the Third Stage of Labor?

A

separation and delivery of placenta

53
Q

What are the 7 Cardinal Movements of Labor?

A

1) Engagement
2) Descent
3) Flexion (head bends down)
4) Internal Rotation (head rotates to OA)
5) Extension (head extends out of canal)
6) External Rotation (realignment of infant had to back/shoulders)
7) Expulsion

54
Q

What is the Fetal Lie?

A

relation of the long axis (spine) of the fetus to the long axis (spine) of the mother

  • Longitudinal (Vertical)
  • Transverse (Horizontal)
55
Q

What are the major fetal presentations?

A

Cephalic (Vertex)

Breech (butt or feet)

Shoulder

56
Q

What is the Fetal Attitude?

A

relation of the fetal body parts to one another

  • flexion or extension
57
Q

Where is the BPD when head is Engaged?

A

pelvic inlet

58
Q

In an appropriate fetal presentation, which part of the baby’s head would the nurse first be able to palpate?

A

posterior fontanel

59
Q

Mother’s will have a longer labor if baby is coming – –

A

face up (Occipitoposterior)

Maternal-Newborn (Josh) (29 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions