Narm: Holistic Midwifery V. Ii

Front 1

How often should you listen to the FHR during early labor?

Back 1

every 30-60 min 343

Front 2

How often should you listen to the FHR during active labor?

Back 2

every 15-30 min 343

Front 3

How often should you listen to the FHR during pushing?

Back 3

every 5-15 min or after every contraction 343

Front 4

What is the definition of tachycardia?

Back 4

>160 343

Front 5

What is the definition of bradycardia?

Back 5

<110 343

Front 6

Is shouldering normal or abnormal?

Back 6

normal 343

Front 7

Heart rate patterns that are most likely to spell trouble are almost always detectable just after ____ or as the contraction subsides and thereafter.

Back 7

the peak of the contraction 344

Front 8

Fetal movement during strong contractions often indicates ....

Back 8

hypoxia 345

Front 9

When evaluating fetal heart rate, which four factors do you assess?

Back 9

baseline rate, reactivity, variability and the association between any changes and uterine activity 346

Front 10

Fetal distress is very likely is the heart rate drops to less than ___ bpm during the first phase of labor, even if it recovers to a normal range before the next contraction.

Back 10

100 page 346

Front 11

There are a small minority of perfectly normal babies whose heart rate is slow than ___ or whose upper range extends a little beyond ___.

Back 11

110 or 160 page 346

Front 12

The biparietal diameter passes transversely through the skull at the level of the ____, and is the widest transverse plane of the skull.

Back 12

parietal eminences 28

Front 13

Flexion describes...

Back 13

how near the baby's chin is to his chest 28

Front 14

The suboccipitobregmatic diameter extends from ____ to ____.

Back 14

the junction of the scalp and the back of the neck below the occipital protuberance to the center of the anterior fontanelle 28

Front 15

Which is the smallest, most circular anteroposterior diameter of the baby's head?

Back 15

suboccipitobregmatic 28

Front 16

The longest axis of the skull will always be an _____ diameter.

Back 16

anteroposterior 29

Front 17

Which is the longest diameter of the skull?

Back 17

verticomental (tip of chin to crown of vertex) 29

Front 18

What is the name of the diameter that extends from the tip of the chin to the crown of the vertex?

Back 18

verticomental 29

Front 19

In a baby with complete flexion, the verticomental diameter is ____, in line with the axis of the pelvic cavity.

Back 19

vertical (directed straight downward) 29

Front 20

Flexion of the head and spine usually commence and are often complete prior to the onset of labor, especially in ___ ___ ___.

Back 20

first time moms 29

Front 21

The ___ ___ is more of less centered in the birth canal when the head is completely flexed.

Back 21

posterior fontanelle 29

Front 22

Which diameter is related to asynclitism of the head?

Back 22

the subsuperparietal diameter 32

Front 23

The subsuperparietal diameter extends from ___ to ___.

Back 23

above one parietal eminence to below the other parietal eminence 32

Front 24

Which 4 skull bones undergo the most obvious repositioning during moulding?

Back 24

parietal, temporal, occipital and upper portion of frontal bones 38

Front 25

TRUE or FALSE: During moulding,the skull bones can flex, flatten, compress, bend, separate, move together and pivot along suture lines.

Back 25

True 38

Front 26

As soon as the head is born and pressure is released, the parietal, occipital and frontal bones spring outward, increasing head circumference by as much as ___

Back 26

1/2 cm 41

Front 27

Occipital osteodiastasis, a rare and usually fatal moulding accident where excessive pressure on the suboccipital region compresses the brain stem, occurs most often in ___ births, as the fetal neck is forceably hyperextended while the occipital eminence is still trapped behind the symphisis pubis.

Back 27

breech 43

Front 28

A caput is a (usually) benign by-product of birth. It presents as a soft, diffuse edematous swelling that pits on finger-pressure and usually overlies suture lines. Caputs may contain serum with or without some ___ mixed in.

Back 28

blood 45

Front 29

A caput forms as a result of impaired

Back 29

venous return 46

Front 30

TRUE or FALSE: Caputs form in babies who have died.

Back 30

False 46

Front 31

A caput usually disappears completely after __ to __ hours.

Back 31

24 to 36 hours page 46

Front 32

With a caput, the fluid collects between the...

Back 32

subcutaneous scalp tissue and the pericranium 46

Front 33

Distinct from a caput, a cephalhematoma occurs when bleeding becomes trapped beneath the ___ of one or more skull bones.

Back 33

pericraneum 46

Front 34

Occipital osteodiastasis, a rare and usually fatal moulding accident where excessive pressure on the suboccipital region compresses the brain stem, occurs most often in ___ births, as the fetal neck is forceably hyperextended while the occipital eminence is still trapped behind the symphisis pubis.

Back 34

breech 43

Front 35

Which is the most clinically significant diameter of the shoulder girdle?

Back 35

bisacromial 46

Front 36

A caput is a (usually) benign by-product of birth. It presents as a soft, diffuse edematous swelling that pits on finger-pressure and usually overlies suture lines. Caputs may contain serum with or without some ___ mixed in.

Back 36

blood 45

Front 37

A caput forms as a result of impaired

Back 37

venous return 46

Front 38

Moulding can reduce the shoulder girdle by __% to __% or more, thus facilitating birth.

Back 38

25% to 33%, page 46

Front 39

TRUE or FALSE: Caputs form in babies who have died.

Back 39

False 46

Front 40

The ____ diameter is the widest diameter between the iliac crests.

Back 40

bisiliac 47

Front 41

A caput usually disappears completely after __ to __ hours.

Back 41

24 to 36 hours page 46

Front 42

With a caput, the fluid collects between the...

Back 42

subcutaneous scalp tissue and the pericranium 46

Front 43

Distinct from a caput, a cephalhematoma occurs when bleeding becomes trapped beneath the ___ of one or more skull bones.

Back 43

pericraneum 46

Front 44

Which is the most clinically significant diameter of the shoulder girdle?

Back 44

bisacromial 46

Front 45

Moulding can reduce the shoulder girdle by __% to __% or more, thus facilitating birth.

Back 45

25% to 33%, page 46

Front 46

The ____ diameter is the widest diameter between the iliac crests.

Back 46

bisiliac 47

Front 47

Before the baby can be born, she must pass through which 3 muscular gates?

Back 47

1) the cervix
2) the levator ani sling
3) the genital opening consisting of the urogenital diaphragm, perineum and vulva 50

Front 48

It is uncommon for a cephalhematoma to be obvious at the time of birth; it usually takes several ___ for it to develop.

Back 48

hours 46