Chapter 26

Front 1

what are signs of impending labor

Back 1

lightening - baby drops down
cervix dilates and effaces
water breaks
bloody show
braxton hicks are present

Front 2

true labor is marked by

Back 2

onset of regular, rhythmmic conttractions that causes progressive dilation and effacement

Front 3

passageway means

Back 3

pelvis and soft tissue

Front 4

passenger is

Back 4

fetus and placenta

Front 5

powers is

Back 5

contractions

Front 6

gynecoid is

Back 6

round and found in 50% if women
it also is the best for vaginal births

Front 7

android

Back 7

occurs in 23% of women and is heart shaped
vaginal birth with forceps

Front 8

anthropoid

Back 8

24% of pts
oval
hard for vaginal
forceps

Front 9

platypelloid

Back 9

3% of women
worst for vaginal birth, usually csection
flattened shape

Front 10

during labor he walls of the upper section of hte uterus have a _________ that provides the force during contractions

Back 10

thickened musculature

Front 11

palpation of hte sutures ad fontanelles through the cervix permits primary care practitioner to determine what

Back 11

presentation of the fetus during labor

Front 12

the relationship of fetal bdy parts to one antoher is called the

Back 12

attitude

Front 13

the ideal attitude is

Back 13

flexion - back is bowed outward, chin is touching the sternum, the arms are crossed on the chest, thighs are flexed at the abdomen

Front 14

the relationship of cephalocaudal axis of hte fetus to the cephalocaudal axis of hte mother

Back 14

fetal lie

Front 15

if the spine of the fetus i parallel to the spne of the mother the lie is

Back 15

longitudinal

Front 16

the spine of the fetus is perpendicular to that of the mother it is called

Back 16

transverse

Front 17

the part of the fetus that first enters the pelvis and lies over the inlet describes the part that will be incontact with the cervix

Back 17

fetal presentation

Front 18

fetal presentation is determined by

Back 18

attitude and lie

Front 19

this occurs when the buttocks present and the thighs are well flexe on the abdomen

Back 19

complete breech

Front 20

buttocks are present and the thighs are extended aross the abdomen and chest, up towards head

Back 20

frank breech

Front 21

no flexion and one foot or two feet are pressent

Back 21

footling breech

Front 22

one one knee or two knees are present

Back 22

knee breech

Front 23

fetal position can be determeined by

Back 23

abdominal inspection and palpation (leopolds maneuvers)
vaginal and rectal exam
US
Xray

Front 24

the normal fhr is

Back 24

20 - 160

Front 25

the increase or decrease of 30 beats per min can indicate

Back 25

fetal distress

Front 26

what are some indicators of fetal distress

Back 26

nonreasurring FHR (increase or decrease in fhtones)
greenish stained amiotic fluid in a cephalic presentation

Front 27

the color is a rsult of

Back 27

stool called meconium being released because of fetal hypoxia

Front 28

a prolapsed cord is

Back 28

when it comes out before the baby

Front 29

what do you do for a prolapsed cord

Back 29

put a sterile gloved hand into the vagina and hold the presenting part off the umbilical cord

Front 30

the women should be in what position for prolapsed cord

Back 30

modified sims
knee chest
trendeleburgs

Front 31

placental separation is indicated bythe following signs

Back 31

firmly contracting fundus
change in the uterus from a disklike to a ovoid (egg shape)
sudden gush of dark blod from the introitus
lengthening of the umbilical cor
vaginal fullness, noted on vaginal or rectal exam

Front 32

inoluntary uterine contractions are called

Back 32

primary powers

Front 33

primary powers signal what

Back 33

the beginning of labor

Front 34

once the cervix has dilated voluntary bearing down efforts by the women called ______ agment the force of he involuntary contractions

Back 34

secondary powers

Front 35

primary powers are responsible for

Back 35

the dilation and effacement of the cervix and descent f the fetus

Front 36

full cervical dilation marks the end of

Back 36

the first stage of labor

Front 37

what position is mostly used in first part of labor

Back 37

standing, sitting upright

Front 38

if pt wants to lay down what is the best posiion

Back 38

lateral position

Front 39

this occurs the biparietal ddiameter of the fetal head crosses the inlet of hte pelvis. head is said to be engaged in the pelvis

Back 39

engagement

Front 40

downward progress of hte presenting part

Back 40

descent

Front 41

as soon as the head is deliverred it moves to realign with the body this is called

Back 41

restitution

Front 42

first stage of labor begins with

Back 42

the onset of reg. contractions and ends with complete dilations

Front 43

first stage is usually the

Back 43

longest ne averavge 10 -12 hours new parents
8 - 10 for multiparas

Front 44

early latent stage is

Back 44

0 - 3 cm
contractions are 5- 8 min and last 20 - 35 seconds
women is generally alert, talkative
pain is mild and easily controlled
backache is common
many women walk in this stage

Front 45

mid/active phase

Back 45

4- 7 cm
contractions are 3 - 5 min apart
last 40 - 60 sec.
less talkative, focus on breathing
breathing techniques should be used

Front 46

transitional phase

Back 46

7- 10 cm
contractions are 2 - 3 min apart
last up to 80 seconds
not talkative
need of pain meds

Front 47

second stage of labor begins with

Back 47

complete dilation up to 10 cm and ends with the birth of the baby

Front 48

the third stage begins with the

Back 48

delivery of the infant and ends with the delivery of the placenta

Front 49

the fourth stage is

Back 49

stabilization