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36 Cards in this Set
- Front
- Back
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What is the definition of labor?
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Progressive effacement and dilation of the uterine cervix resulting from rhythmic contractions of the uterine musculture
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What's the definition of braxton hicks contractions?
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Uterin muscle activity without cervical effacement and dilation
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How does coordinated muscular activity happen in the uterus?
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Gap junctions form!
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What is lightening?
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It's when the baby's head descends into the pelvis.
Good sign for pregnancy! |
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What are the early stages of labor?
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1. Braxton Hicks contractions
2. Lightening 3. Bloody show |
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What's the management of a longitudinal pregnancy?
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C-section
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What is the definition of "lie" with respect to delivery?
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Overall orientation of the baby
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What's the definition of presentation with respect to delivery?
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What part of the head is coming through the vagina
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What should you do when you do a vaginal exam?
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Wash hands
Use sterile/clean gloves Use lubricant! |
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What do you want to know about the cervix during an exam?
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Position
Consistency Effacement Dilation |
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What are the changes in a first time mom to the cervix during labor?
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1. Effacement
2.Dilation |
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What are the changes in a mom who has given birth before to the cervix during labor/
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Effacement and dilation simultaneously
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What's the most important part of the vaginal exam during labor?
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Station!
It measures the distance between the babies head and the ischial spines: important for determining whether or not the baby will fit through |
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What is the definition of the first stage of labor?
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Onset through full dilation
Latent: effacement and early dilation to 3-4 cm Active: rapid cervical dilation to 10 cm. |
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What's the definition of the second stage of labor?
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Full dilation through delivery
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What's the definition of the third stage of labor?
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Delivery of fetus through delivery of placenta
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What's the definition of the fourth stage of labor?
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First two hrs. after the delivery of the placenta
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What are the cardinal movements of the baby during cephalic presentation?
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1. Baby comes in looking ssideways
2. Baby flexes the head 3. Internal rotation (post. fontanelle is on the anterior pelvis) 4. Extension 5. External rotation |
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What do you do in the first stage of delivery?
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Listen to the heart: EKG
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What nerves transmit contraction pain?
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Sympathetic pathways
Enter at T10 |
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What nerves transmit vaginal and perineal pain?
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Sacral nerves S2-S4
Pudendal nerve |
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What is molding?
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Alteration in the relation of the fetal cranial bones during delivery
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What do we do in the second stage of delivery?
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Keep the babies' head flexed with one hand and then lift the chin with the other hand.
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What's an episiotomy?
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Cutting into the perineal wall either midline or mediolaterally to help with delivery
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What are the causes of a prolonged latent phase?
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Poor cervical condition
Excessive sedation Regional anesthesia >20 hrs for nullipara >14 hrs. for multipara |
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What's the treatment for a prolonged latent phase?
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REST:
They'll wake up in labor. |
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What is the presentation of abnormal labor during the active phase?
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Slow dilation:
<1.2 cm/hr for nullipara <1.5 cm/hr for multipara |
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What are causes of dystoci?
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Power
Passanger, presentation, position, attitude, and size Passage Pelvix |
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What is measured by an external monitor with regards to power?
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Frequency
Duration NOT STRENGTH. |
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How do we measure the strength of compressions?
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Put in an intrauterine pressure catheter
Manual |
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What do we give to increase power of contractions?
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Oxytocin
Vacuum |
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How do we describe the "passenger" coming through the pelvis?
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The position of the head is what we give information about.
Where is the occiput in relation to the mother's body |
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What are the different types of pelvises?
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Gynecoid (ideal, most common)
Androie (men) Platypoid (flat coccyx) Anthropoid (too narrow) |
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What's the widest diameter on a babies' head?
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Bitemporal diameter (9.5 cm)
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What is a manual maneuver that you can do to stop the vagina from bleeding after birth?
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Bimanual massage
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What do you do if the placenta doesn't come out?
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Take the placenta out.
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