Ch 19 Nursing Care of the Family During Labor & Birth

Question 1

the first stage of labor begins with the onset of

Answer 1

regular UC

Question 2

the first stage of labor ends with the complete cervical ______ and ________

Answer 2

effacement and dilation

Question 3

during the latent phase of the first stage of labor, the cervix dilates up to

Answer 3

3cm

Question 4

during the active phase of the first stage of labor, cervical dilation progresses from

Answer 4

4-7cm

Question 5

during the transition phase of the first stage of labor, the cervix dilates from

Answer 5

8-10cm

Question 6

the second stage of labor is the stage in which the

Answer 6

infant is born

Question 7

the second stage of labor begins with full cervical ______ and complete _______

Answer 7

dilation and effacement

Question 8

the second stage of labor ends with the

Answer 8

baby’s birth

Question 9

the phase in the second stage of labor that is a period of rest and calm (laboring down)

Answer 9

latent phase

Question 10

the phase of descent in the second stage of labor

Answer 10

active pushing

Question 11

the only certain objective that the second stage of labor has begin is the inability to

Answer 11

feel the cervix during a vaginal exam

Question 12

the third stage of labor lasts from ______ until _________

Answer 12

the birth of the baby to the delivery of the placenta

Question 13

detachment of the placenta from the wall of there uterus or separation is indicated by

Answer 13

• a firmly contracting fundus
• change in the shape of the uterus from discoid to globular ovoid
• a sudden gush of dark blood from the introitus
• apparent lengthening of the umbilical cord
• the finding of vaginal fullness or of fetal membranes at the introitus

Question 14

the fourth stage of labor is considered to be the first ____________
during this stage, the mother and newborn _________

Answer 14

1-2hrs after birth

recover from the physical process of childbirth and get to know each other

Question 15

federal regulation enacted to ensure that pregnant women obtain the care they require during emergencies and when in labor regardless of their insurance status or ability to pay

Answer 15

Emergency Medical Treatment and Active Labor Act (EMTALA)

Question 16

graphic chart on which cervical dilation and station are plotted to assist in early identification of deviations from expected labor patterns

Answer 16

partogram

Question 17

trained and experienced female labor attendant who provides a continuous one-on-one caring presence throughout the labor and birth of the woman she is attending

Answer 17

doula

Question 18

traditional labor position in which the woman lies on her back with her legs raised in stirrups

Answer 18

lithotomy

Question 19

appearance of fetal intestinal contents in the amniotic fluid, giving it a greenish color

Answer 19

meconium staining

Question 20

prolonged holding of breath while bearing down (closed-glottis pushing)

Answer 20

valsalva maneuver

Question 21

burning sensation of acute pain as vagina stretches and crowning occurs

Answer 21

ring of fire

Question 22

artificial rupture of membranes

Answer 22

amniotomy

Question 23

occurs when widest part of the head (BPD) distends the vulva just before birth

Answer 23

crowning

Question 24

incision into perineum to enlarge the vaginal outlet

Answer 24

episiotomy

Question 25

test to determine if membranes have ruptured by assessing pH of the fluid

Answer 25

nitrazine test

Question 26

technique used to control birth of fetal head and protect perineal musculature

Answer 26

modified ritgen maneuver

Question 27

method of breathing during bearing-down efforts characterized by a strong expiratory grunt or groan

Answer 27

open-glottis pushing

Question 28

maternal position that promotes optimal uteroplacental and renal blood flow

Answer 28

side-lying or lateral

Question 29

cord encircles the fetal neck

Answer 29

nuchal cord

Question 30

method used to palpate fetus through the abdomen

Answer 30

Leopold’s maneuver

Question 31

occurs when pressure of presenting part against pelvic floor stretching receptors results in a woman’s perception of an urge to bear down

Answer 31

Ferguson reflex

Question 32

frondlike crystalline pattern created by amniotic fluid when it is placed on a glass slide

Answer 32

ferning

Question 33

classification of medication that stimulates the uterus to contract (a uterotonic)

Answer 33

oxytocin

Question 34

assistive equipment used to support a woman’s body as she assumes a variety of labor and birth positions

Answer 34

birth ball

Question 35

associated with improved health outcomes of mother and baby

Answer 35

continuous labor support

Question 36

protrusion of umbilical cord in advance of the presenting part

Answer 36

prolapse of the umbilical cord

Question 37

the primary powers of labor that act involuntarily to expel the fetus and the placenta from the uterus

Answer 37

uterine contractions

Question 38

“building up” of a contraction from its onset

Answer 38

increment

Question 39

the peak of a contraction

Answer 39

acme

Question 40

“letting down” of a contraction

Answer 40

decrement

Question 41

how often uterine contractions occur

the time that elapses from the beginning of one contraction to the beginning of the next

Answer 41

frequency

Question 42

the strength of a contraction at its peak

Answer 42

intensity

Question 43

the time that elapses between the onset and the end of a contraction

Answer 43

duration

Question 44

the tension of the uterine muscles between contractions

Answer 44

resting tone

Question 45

period of rest between contractions

Answer 45

interval