Components of Labor Pt.2 Flashcards

1
Q

describes the degree of flexion a fetus assumes
during labor or the relation of the fetal parts to each other.

A

Fetal ATTITUDE

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2
Q

the relationship between the long (cephalocaudal) axis of the
fetal body and the long axis of a woman’s body

A

Fetal LIE

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3
Q

denotes the body part that will first
contact the cervix or be born first and is determined by the combination of fetal lie
and the degree of fetal flexion (attitude)

A

Fetal PRESENTATION

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4
Q

the relationship of the presenting part to a specific
quadrant and side of a woman’s pelvis

A

Fetal POSITION:

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5
Q

a fetus in good attitude; the fetal
head flexes so sharply that the chin
rests on the chest;
suboccipitobregmatic, presents to
the birth canal

A

Complete (Full) Flexion:

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6
Q

the chin is not touching the chest
but is in alert or “military position”;
the occipitofrontal diameter
presents.

A

Moderate Flexion:

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7
Q

poor flexion; the back is arched and
the neck is extended, presenting the
occipitomental diameter (the largest
diameter) of the head to the birth
canal presents.

A

Complete Extension:

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8
Q

horizontal

A

Transverse Lie

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9
Q

(vertical);
- (cephalic) the fetal
head will be the first
part to contact the
cervix, or
- (breech) with a
foot of the buttocks
as the first to
contact the cervix.

A

 Longitudinal Lie

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10
Q

The most common presentation; allows the
suboccipitobregmatic diameter to present to
the cervix.

A

Vertex (Good Full Flexion)

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11
Q

 The head is moderately flexed, the brow or the
sinciput becomes the presenting part.

A

Nrow (Moderate Military)

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12
Q
A
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13
Q
A
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14
Q

 The fetus has extended the head to make the
face the presenting part. From this position ,
extreme edema and distortion of the face may
occur.

A

Face (Poor)

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15
Q

The fetus has completely hyperextended the
head to present the chin, causing the
presenting diameter (occipitomental) to be so
wide that vagina birth may not be possible.

A

Mentum (Very poor)

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16
Q

breech good attitude

A

brings the fetal
knees up against the fetal
abdomen.

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17
Q

breech poor attitude

A

means the knees
and legs are extended

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18
Q

*In a Vertex presentation, the

A

Occiput (O)
is the chosen point.

19
Q

In a Face presentation, it is the

A

Chin
(mentum [M]).

20
Q

*In a Breech presentation, it is the

A

e Sacrum
(Sa).

21
Q

*In a Shoulder presentation, it is the

A

Scapula or the Acromion process (A).

22
Q

may be
more painful for
a woman because
the rotation of
the fetal head
puts pressure on
the sacral nerves.

A

ROP OR LOP

23
Q

refers to the relationship of the presenting part of the fetus to the level of ischial spines, the
midpoint and bony projections of the lower pelvis. It measures how far the presenting part has
descended into the pelvis

24
Q

indicate that the head is
above the ischial spines.

A

negative (-)

25
numbers indicate its head is below the ischial spines.
positive (+)
26
refers to the settling of the presenting part of a fetus far enough into the pelvis that it rests at the level of ischial spines.
Engagement
27
At a -4 station, the presenting part or the fetal head is unengaged or
floating
28
When the presenting part is at 0 station, its head is at the level of the ischialspines: Fetus is
engaged
29
At a +4 station, the presenting part is at the outlet or perineum and can be seen in the vulva:
crowning
30
of labor comes from the involuntary muscular contractions of the uterus; cause effacement and dilation of the cervix.
Primary Power
31
are voluntary muscle contractions of the maternal abdomen during the 2nd stage of labor; aids in fetal expulsion.
Secondary Powers
32
Building up of the contraction, is the longest phase. During the increment, the contraction gains strength until it reaches Acme.
Increment
33
Peak of the contraction
Acme
34
- the letting up phase, as the contraction relaxes gradually to baseline
Decrement
35
refers to how often the contractions are occurring.
Frequency
36
refers to the interval from the beginning of a contraction to its end
Duration
37
- refers to the strength of the contraction. : Mild, moderate, strong.
Intensity
38
(resting) period in between uterine contraction
relaxation
39
an external strain gauge placed on the maternal abdomen which records the frequency, duration, and relaxations of each contraction.
Tocodynamometer
39
allows the vessels to fill with oxygen-rich blood to supply the uterus and placenta.  prevents maternal muscles to not become overly fatigued and  Provide woman momentary relief from the pain of labo
benefits of relaxation period
40
Records frequency and duration; directly measures the pressure generated by uterine contractions, via a catheter inserted into the uterine cavity.
Intrauterine pressure catheters
41
refers to the psychological or emotional state or feelings a woman brings into labor.
psyche
42