Mcn Quiz

Front 1

Begins with the initiation of true labor contractions and ends when the cervix is fully dilated

Back 1

First Stage of Dilation

Front 2

Extending from the time of full dilation until the infant is born

Back 2

Second Stage

Front 3

Lasting from the time the infant is born until after the delivery of the placenta

Back 3

Third or Placental Stage

Front 4

First 1 to 4 hours after the birth of placenta; emphasizes the importance of close maternal observation

Back 4

"Fourth Stage"

Front 5

Plot of cervical dilation

Back 5

S shaped curve

Front 6

Fetal descent pattern

Back 6

Downward curve

Front 7

Cervical dilation and fetal descent cross at the point of

Back 7

Maximal Cervical Dilation

Front 8

Assessment of cervical dilation is

Back 8

Subjective

Front 9

Three separate divisions of the First Stage

Back 9

Latent

Active

Transition Phase

Front 10

Begins at the onset of regularly perceived uterine contractions and ends when rapid cervical dilation begins

Back 10

1st Stage: Latent Phase

Front 11

Contractions during this phase are mild and short, lasting 20-40secs

Back 11

1st Stage: Latent Phase

Front 12

Cervical effacement occurs, cervix dilates from 0-3cm

Back 12

1st Stage: Latent Phase

Front 13

Lasts approximately 6hrs for nullipara and 4.5hrs in multipara

Back 13

1st Stage: Latent Phase

Front 14

Cause only minimal discomfort

Back 14

1st Stage: Latent Phase

Front 15

A woman can and should continue to walk about and make preparations for birth

Back 15

1st Stage: Latent Phase

Front 16

During this phase, cervical dilation occurs more rapidly, increasing from 4 to 7cm

Back 16

1st Stage: Active Phase

Front 17

Contractions grow stronger, lasting 40 to 60 secs, occur approximately every 3 to 5 mins

Back 17

1st Stage: Active Phase

Front 18

Lasts approximately 3hrs for nullipara and 2hrs for multipara

Back 18

1st Stage: Active Phase

Front 19

Show (increased vaginal secretions) and perhaps rupture of membranes may occur

Back 19

1st Stage: Active Phase

Front 20

Cause true discomfort

Back 20

1st Stage: Active Phase

Front 21

Encourage women to remain active participants in labor by assuming what position is the most comfortable

Back 21

1st Stage: Active Phase

Front 22

Contractions reach their peak of intensity, occuring q 2 to 3 mins with a duration of 60 to 90 seconds causing maximum cervical dilation of 8 to 10cm

Back 22

First Stage: Transition Phase

Front 23

If the membranes have not previously ruptured or been ruptured by amniotomy, they will rupture as rule at the full dilation (10cm)

Back 23

First Stage: Transition Phase

Front 24

Intense discomfort accompanied by nausea and vomiting

Back 24

First Stage: Transition Phase

Front 25

The peak of this phase can be identified by a slight slowing rate of cervical dilation when 9cm is reached

Back 25

First Stage: Transition Phase

Front 26

The period from full dilatation and cervical effacement to birth of the infant; takes about 1hr

Back 26

Second Stage

Front 27

A woman feels contractions change from the characteristic cresendo-decresendo pattern to an overwhelming, uncontrollable urge to push or bear down with each contraction as if to move her bowels

Back 27

Second Stage

Front 28

Perineum begins to bulge, anus become everted, vaginal introitus opens, fetal scalp appears at the opening of the vagina

Back 28

Second Stage

Front 29

Crowning

Back 29

Second Stage

Front 30

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

Back 30

Third Stage

Front 31

Two Separate Phases of Third Stage

Back 31

Placental Separation

Placental Expulsion

Front 32

After the birth of an infant, the uterus can be palpated as

Back 32

Firm, round globe inferior to the umbilicus

Front 33

After a few minutes of rest, uterine contractions begin again, and the uterus assumes a

Back 33

Discoid shape

Front 34

Placenta is separated approximately ____ minutes after birth of the infant

Back 34

5

Front 35

Bleeding on the maternal surface of the placenta that begins with separation; helps to separate the placenta farther by pushing it away from its attachment site

Back 35

Active bleeding

Front 36

Indications of the loosening of the placenta

Back 36

Lengthening of the umbilical cord

Show or sudden gush of vaginal blood

Change of shape of the uterus

Firm contraction of the uterus

Appearance of the placenta at the vaginal opening

Front 37

If the placenta separates first at its center and last at its edges, it tends to fold onto itself like an umbrella and presents at the vaginal opening with the _____ evident

Back 37

Fetal Surface

Front 38

Appearing shiny and glistening from the fetal membranes

Back 38

Schultze presentation

Front 39

Placenta separates first at its edges, it slides along the uterine surface and presents at the vagina with the _______ evident

Back 39

maternal surface

Front 40

Normal blood loss

Back 40

300-500 mL

Front 41

After separation, the placenta is delivered either by the natural bearing down effort of the mother or by the gentle pressure on the contracted uterine fundus by a physician or nursemidwife

Back 41

Placental Expulsion

Front 42

the gentle pressure on the contracted uterine fundus by a physician or nursemidwife

Back 42

Credé's maneuver

Front 43

Result of putting pressure on uterus without contractions

Back 43

Hemorrhage or the uterus may evert