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202A Exam One > Week 2 Part 2 > Flashcards

Week 2 Part 2 Flashcards

1
Q

What two spines does a baby have to fit through to be delivered? “The smallest diameter of the pelvis”

A

Ischial spines

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2
Q

What are the three parts of a true pelvis?

A
  1. Pelvic Inlet
  2. Mid Pelvis
  3. Pelvic Outlet
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3
Q

What is the narrowest part of the pelvis?

A

Pelvic Outlet

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4
Q

What happens when the baby’s head emerges?

A

The baby’s skull bones overlap, and looks pink/bluish

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5
Q

When does the posterior fontanelle usually close?

A

6 weeks

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6
Q

When does the anterior fontanelle usually close?

A

18 months

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7
Q

What is fetal attitude?

A

degree of body flexion, relationship of fetal parts to one another

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8
Q

What fetal attitudes will not fit down the pelvis?

A

Military, Extension

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9
Q

Which fetal attitudes will fit down pelvis?

A

Flexion, hyperextension

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10
Q

What is the fetal lie?

A

Relationship of fetal spine to maternal spine

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11
Q

Which fetal lie ARE able to fit down pelvis?

A

vertex presentation

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12
Q

Which fetal lies are usually UNABLE to fit down the pelvis?

A

breech presentation

Shoulder presentation

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13
Q

What is the fetal presentation?

A

The part of fetus entering the pelvis first

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14
Q

What are the three main fetal presentations?

A
  1. Head (cephalic)
  2. Breech
  3. Shoulder
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15
Q

What is the fetal position?

A

The body part of the fetus that enters the pelvic inlet first.

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16
Q

When describing the position of the baby in labor, what does the first letter mean?

A

Side of mom’s pelvis that presenting part is directed towards. R/L

17
Q

When describing the position of the baby in labor, what does the second letter mean?

A 
Fetal presenting part. 
O=Occiput (back of head)**on test
M=Mentum (chin)
S=Sacrum (bottom)
Sc=Scapula (shoulder)
18
Q

When describing the position of the baby in labor, what does the third letter mean?

A

Location of presenting part in relation to front or back of maternal pelvis.
A=anterior
P=posterior
T=transverse

19
Q

What is the fetal station?

A

The relationship of the top of the presenting part to an imaginary line between the ischial spines

20
Q

What fetal station is 3cm above spines?

A

-3

21
Q

What is fetal station 2 cm below spines?

A

+2

22
Q

What is fetal station at level of spines?

A

0

23
Q

What fetal station will the head be at, when it’s said to be “engaged”

A

0 station

24
Q

What are the two maternal forces of labor?

A

Primary force: Involuntary uterine contractions

Secondary force: Voluntary use of abdominal muscles during second stage

25
Q

Which stage of labor does a woman push?

A

2nd stage

26
Q

What is cervical effacement?

A

The softening and thinning of tissues in the cervix.

27
Q

When doing a vaginal exam, what would the nurse or dr report?

A
  1. Station
  2. % Effacement
  3. Dilation
28
Q

What are three factors of a uterine contraction?

A
  1. Duration (length of contraction)
  2. Frequency (time from onset of one to onset of next)
  3. Intensity (strength of contraction)
29
Q

When measuring contractions, when do we measure from?

A

Beginning of one, to the beginning of the next

30
Q

What are three maternal labor positions?

A
  1. Squatting position
  2. Semi-sitting position
  3. Semi-reclining
31
Q

What are 6 signs indicating labor is near?

A
  1. Lightening (baby dropping/moving down)
  2. Bloody show
  3. Cervical ripening
  4. Stronger Braxton Hicks
  5. Energy burst
  6. Spontaneous rupture of membranes (SROM)
32
Q

When does lightening happen for first time moms compared to those who have birthed before?

A

Earlier for first-time moms

33
Q

When is it true labor?

A

When contractions are increasingly regular, longer, stronger and more frequent

34
Q

What are the four stages of labor?

A
  1. Onset of labor to complete dilation/10cm
  2. Complete dilation to birth
  3. Birth to expulsion of placenta
  4. First few hours after birth

202A Exam One (3 decks)

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