Week 3- During Labor

Question 0

First Stage of Labor

Answer 0

Onset of regular contractions
Ends with full dilation an effacement
3 phases

Question 1

In Labor

Answer 1

Cervical change

Regular contractions

Question 2

Latent Phase

Answer 2

1st stage of labor 
Not a lot happening 
Usually at home for this portion 
No regular contractions 
Up to 3 cm

Question 3

Active Phase

Answer 3

1st stage of labor 
4-7 cm 
Aware of in labor 
Contractions 10-12 minutes a part
Harder to breath
No pain in between contractions

Question 4

Transition Phase

Answer 4

1st stage of labor 
8-10 cm
Extreme pain!
Contractions 2-3 minutes apart
Lasting about 1 min long
STRONG!

Question 5

Membrane Rupture

Answer 5

GO TO THE HOSPITAL

Question 6

EMTALA

Answer 6

Cannot turn away a patient that is in ACTIVE labor

Question 7

1st Stage Assessment

Answer 7

True or false labor?
Fetal heart rate
Healthy: 110-160bpm accelerations when moving, no late decelerations, some variability

Question 8

Frequency of Contractions

Answer 8

Beginning of one contraction to another

Question 9

Intensity of Contractions

Answer 9

How high up the contraction goes on the strip

Question 10

Duration of Contractions

Answer 10

Upward to downward swoop on the contractions

Question 11

Effacement

Answer 11

100% thinning

Question 12

Dilation

Answer 12

10cm

Question 13

Descent

Answer 13

-5 to +5

Question 14

1st Stage Assessment Labs

Answer 14

Look for UTIs
Look for ruptured membranes
Signs for potential problems

Question 15

Second Stage of Labor

Answer 15

Begins with full dilation 
Complete 100% effacement
Ends with birth of a baby!
Around 50 minutes for 1st baby 
Around 30 minutes for 2+ baby

Question 16

Latent Phase- 2nd Stage

Answer 16

Calm

Passive descent of baby

Question 17

Descent Phase- 2nd Stage

Answer 17

Active pushing

Urge to bear down

Question 18

Transition Phase- 2nd Stage

Answer 18

Presenting part is on perineum

Bearing down efforts are most effective

Question 19

Episiotomy

Answer 19

Not routinely done
Allows extra room
Last minute decision
Cutting is better than tearing

Question 20

Trauma r/t Childbirth

Answer 20

Perineal lacerations
Vaginal lacerations
Urethral lacerations
Cervical lacerations

Question 21

Third Stage of Labor

Answer 21

Birth to placental birth
Fundas contracts 
Uterus changes shape 
Gush of dark blood
Contractions stop, cord is cut, contractions start again 
About 1 minute to 40 minutes

Question 22

Fourth Stage of Labor

Answer 22

2hr after placenta birth 
Recovery 
Skin to skin 
Care of newborn and family
#1 job- make sure baby is breathing!