labor and delivery

Question 1

5 Ps tht affect labor

Answer 1

passage
passenger
powers
position
psyche

Question 2

presentation of the fetus

Answer 2

the part of the fetus that enters the pelvic inlet first

Question 3

types of fetal presentation

Answer 3

cephalic: head

breech: feet

transverse: baby across

Question 4

types of cephalic presentation

Answer 4

vertex: head fully flexed, chin to chest (good)

brow

face: head fully extended

Question 5

fetal lie

Answer 5

the relation of the spine of the fetus to the spine of the mother

Question 6

fetal attitude

Answer 6

is baby’s head flexed or not

Question 7

fetal position

Answer 7

reference point on the presenting part of the 4 quadrants of the mother’s pelvis

Question 8

fetal position acronym

Answer 8

1st letter: where is the occiput

2: presenting fetal part

3: fetal part in relation to pelvis

Question 9

fetal station

Answer 9

measure of the degree of descent of the presenting part of the fetus thru the birth canal
(ex: -4, 0, +2)

Question 10

powers

Answer 10

uterine contractions

maternal bearing down/pushing efforts

Question 11

signs and Sx of IMPENDING labor

Answer 11

braxton hicks contractions

lightening - fetus drops

increase in vaginal secretions

bloody show: mucus and blood

Question 12

true vs false labor

Answer 12

true:
changes in cervix (E+D)

rupture of membranes

contractions that dont go away w/ walking

false:
no cervical changes

no bloody show

contractions go away with walking or position change

Question 13

stages of labor

Answer 13

stage 1: dilation and effacement (3 phases)

2: birth of baby

3: placenta delivery

4: recovery

Question 14

3 phases of labor dilation

Answer 14

L: 3-4 cm

A: 4-7cm

T: 8-10cm

Question 15

latent phase and interventions

Answer 15

0-4cm dilated, backache, contractions 5-30 min apart

I:
anticipatory education
keeping Pt clean
water and ice chips
voiding
ambulation and positioning

Question 16

active phase and interventions

Answer 16

4-7cm, contractions 2-5 min apart, mom more irritable, bloody show

I: comfort measures, ice chips, pain control, empty bladder q2h, maternal and fetal assessments

Question 17

transition phase and interventions

Answer 17

8-10 cm, contractions strong and 2-3 min apart

I: breathe, comfort measures, support

Question 18

fetal monitoring techniques

Answer 18

external:
intermittent auscultation, ultrasound transducer, toco transducer

internal: spiral electrode, intrauterine catheter

Question 19

baseline fetal heartrate

Answer 19

110-160 bpm

Question 20

baseline variabilities

Answer 20

absence
minimal
moderate
marked

Question 21

absence variability

Answer 21

no variation in fetal heartrate

Question 22

minimal variability

Answer 22

fetal heart rate varies less than 5 beats from beat to beat

Question 23

moderate variability

Answer 23

fetal heart rate varies from 6-25 from beat to beat
- reassuring for adequate fetal oxygenation and normal brain function

Question 24

marked variability

Answer 24

fetal HR varies greater than 26 from beat to beat

Question 25

accelerations

Answer 25

fetal HR accelerates from its baseline level by 15 bpm and sustained for at least 15 second - Good thing because happens in response to fetal movement

Question 26

VEAL CHOP

Answer 26

Variable deceleration = Cord Compression Early deceleration = Head compression Accelerations = Okay! Late deceleration = Placenta insufficiency

Question 27

bradycardia

Answer 27

HR < 110 for 2 minutes or more

Question 28

late decels causes

Answer 28

acute: maternal HYPOtension chronic: maternal HYPERtension; diabetes

Question 29

increment, acme, decrement

Answer 29

I: beginning of contraction A: peak of contraction D: end of contraction

Question 30

tachystole

Answer 30

greater than 5 contractions in a 10 minute window

Question 31

turtle sign

Answer 31

sign of shoulder dystocia