Topic 8: The Placenta

Question 1

signs of placenta separation

Answer 1

1. calkin’s sign
2. the fundus rising in the abdomen
3. sudden gush of blood
4. lengthening of the cord

Question 2

2 types of placental delivery

Answer 2

duncan delivery and schultz delivery

Question 3

this refers to the pushing effort of the mother that help the fetus push itself downward.

Answer 3

power

Question 4

it refers to the rise of the abdomen and the hardening

Answer 4

increment

Question 5

peak of the hardening

Answer 5

acne

Question 6

relaxing of the hardened abdomen and the going down

Answer 6

decrement

Question 7

this refers to the time of one contraction. the beginning of the contraction to the end of the next contraction

Answer 7

duration

Question 8

this refers to the beginning of the contraction to the beginning of the next contraction

Answer 8

frequency

Question 9

this refers to the strength of the contraction which is measured by the consistency of the fundus to the peak of the contraction. It is expressed in mild, moderate and strong

Answer 9

intensity

Question 10

the time of the resting phase starting from the end of the 1st contraction to the beginning of another contraction

Answer 10

intervals

Question 11

this is connected to the patient to monitor of the fetal

Answer 11

electrical fetal monitoring

Question 12

the difference between true labor and false labor

Answer 12

FALSE LABOR:
irregular interval contractions
pain in the abdomen
the intensity remains the same
intervals remain long
walking gives relief
no bloody show
no cervical changes
contraction stop with sedation

TRUE LABOR:
regular interba; of contractions
pain starts on the back of the abdomen
the intensity worsten
intensified by walking
bloody show
does not stop with sedation
intervals gradually shorten

Question 13

preliminary signs of labor 7

Answer 13

lightening, loss of weight, bloody show, increase in activity level, rupture of membranes, braxton hicks contraction, ripening of the cervix/cervical changes

Question 14

signs of labor 4

Answer 14

uterine changes, uterine contraction, dilatation, effacement

Question 15

explain physiological retraction ring

Answer 15

this happens between the boundary of the upper and lower uterine segment. Where in during delivery, the upper segment becomes thick and active to expel out the fetus, while lower becomes thin and pressure will increase so that the fetus can be push out easily.

Question 16

stages of labor

Answer 16

dilatation, fetal expulsion, placental stage, recovery

Question 17

phases of dilatation

Answer 17

latent, active, transitional

Question 18

the longest stage in delivery takes about 6-12 hours wherein there would be dilatation of the cervix until 10 cm

Answer 18

dilatation

Question 19

early labor with 3-4 cm cervical dilatation. During this time the mother is still sane with short regular contractions. During this time, data gathering must be done, including physical assessment and Leopold’s maneuver.

Answer 19

Latent Phase

Question 20

t/f: it is okay to check for the FHT with contractions

Answer 20

false

Question 21

mother is in accelerated phase with 4-7 cm dilatation. Increased duration contraction, as well as the intensity and frequency. Monitoring of FHT and contractions must be done regularly.

Answer 21

Active Phase

Question 22

in this phase, checking of the FHT every 15 mins is essential. 8-10 cervical dilatation. This is the phase where the baby is almost out where the doctor will facilitate amniotomy to rupture the BOW of the mother.

Answer 22

Transitional Phase

Question 23

stage where cervical dilatation reaches its peak and the delivery of the newborn will start with the aid of the pushing power of the mother

Answer 23

fetal expulsion

Question 24

define SUBIRBA

Answer 24

severe uterine contractions
Urge to defecate
bearing down sensation
increase bloody show
ruptured bag of water
bulging of the perinuem
anal dilation

Question 25

define cardinal movement of labor DFIRE ERE

Answer 25

descent
flexion
internal rotation
extension
external rotation
expulsion

Question 26

maternal side of the placenta, rough and dirty

Answer 26

duncan delivery/ placenta

Question 27

fetal side of placenta, shiny

Answer 27

schultz delivery

Question 28

the action of massaging the abdomen to assist in the separation for the placenta

Answer 28

Crede’s maneuver

Question 29

this is action of coiling the umbilical cord to prevent it from dangling on the floor

Answer 29

brandt andrews maneuver

Question 30

the repair of the episiotomy

Answer 30

episiorrhaphy

Question 31

deegree of laceration

Answer 31

1st deg: skin and vagina

2: skin, vagina and musce
3. skin, vagina, muscle,. + external sphinter of the rectum
4: lahat + muscous membrane of the rectum