Chap 13-17 “perry book”

Question 1

What are the 5 P’s affecting labor

Answer 1

Passenger (fetus/placenta)
Passageway (Birth canal)
Powers (contractions)
Position (of mother)
Physiologic response

Question 2

Most important fontanelle(anterior or posterior) and when does it close?

Answer 2

Anterior
18months after birth

Question 3

What are the fontanelles/sutures

Answer 3

Fontanelles-Where two bones meet on the fetus head
Sutures- bones are connected by connective tissue

Question 4

Birth is imminent at how many cm
(Presentation)

Answer 4

4-5 cm

Question 5

What is the gynecoid
(Passenger)

Answer 5

Form of bony pelvis or “pelvis”

Question 6

Primary powers:
What is effacement
What is dilation

Answer 6

Shortening and thinning of cervix
2-3cm thick
1cm thick
= 1st stage

Enlargement of cervix= labors begun

Question 7

What is secondary powers

Answer 7

Bearing down-urge to push

Question 8

Common labor signs

Answer 8

Lightening/dropping
Bloody show
Backache
Stronger Braxton hicks

Question 9

Normal fetal heart rate

Answer 9

110-160

Question 10

What changes FHR

Answer 10

• periodic change with uterine contractions
  Accelerations
  Decelerations

Question 11

What are early deceleration caused by

Answer 11

Fetal head compression

Question 12

What are late deceleration caused by

Answer 12

Uteroplacental insufficiency

Question 13

Fetal tachycardia is most common during

Answer 13

Maternal fever

Question 14

First thing that happens in the First stage of labor

Answer 14

Onset of uterine contractions

Question 15

Last thing that happens with first stage of labor

Answer 15

Ends with full effacement and dilation

Question 16

Latent phase goes up to what cm

Answer 16

3cm dilation

Question 17

Active phase goes up to what cm

Answer 17

4-7cm dilation

Question 18

Transition phase goes up to what cm

Answer 18

8-10 cm dilation

Question 19

True labor vs false labor

Answer 19

True contractions do not go away with temporary do go away with getting comfortable

Question 20

What do you obtain during initial assessment in first stage of labor

Answer 20

See if membrane ruptured
Vitals
History
Physical exam
Urine specimen
Blood tests

Question 21

How often should a women void while waiting for deliver

Answer 21

Every 2 hours

Question 22

With early support what is the patient less likely to use during birth process

Answer 22

Pain meds

Question 23

What happens during the second stage of labor

Answer 23

Infant is born
Full dilation and effacement

Question 24

What is the Latent phase

Answer 24

Relatively calm with passive descent oh baby through birth canal

Question 25

What is descent

Answer 25

Active pushing and urge to bear down

Question 26

What is ritgen maneuver

Answer 26

Birth of head

Question 27

What happens in third stage

Answer 27

Placental separation and expulsion Firmly contracting fundus Potential problem- excessive blood loss

Question 28

Fourth stage entails

Answer 28

Assesment Care of new mother/family Post anesthesia recovery