Exam 1

Question 1

Hegar’s Sign

Answer 1

Softening & compressibility of the lower uterus
around 6-12 weeks

Question 2

Chadwick’s Sign

Answer 2

Blue/purple color of the cervix & vaginal mucosa
around 4 weeks

Question 3

Goodell’s Sign

Answer 3

Softening of cervical tip
around 6-8 weeks

Question 4

Ballottement

Answer 4

Rebound of unengaged fetus
returning of fetus when pushed on by the doc/nurse

Question 5

Quickening

Answer 5

fluttering sensation in the lower abdomen
“baby kicks”
around 16-20 weeks

Question 6

Chloasma

Answer 6

increased pigmentation of face

Question 7

Linea nigra

Answer 7

dark line from belly to the pubic area

Question 8

Striae gravidarum

Answer 8

stretch marks related to pregnancy

Question 9

Fetal Presentation

Answer 9

part of the fetus that is entering the birth canal first (what is visible from vag exam, hopefully head/occiput)

Question 10

Lie

Answer 10

baby’s spine in relation to the mom’s spine

Question 11

Parallel/longitudinal Lie

Answer 11

baby is straight up and down, parallel with mom

Question 12

Oblique Lie

Answer 12

baby is lying diagonally across the abdomen

Question 13

Transverse Lie

Answer 13

baby is lying straight across the abdomen

Question 14

Attitude

Answer 14

relationship of fetal parts to one another
We want chin to be flexed (tucked to chest)

Question 15

Station

Answer 15

how far down into the birth canal the baby is in relation to the presenting part of the baby in relation to the mom’s pelvis

Question 16

Position

Answer 16

baby’s position

Question 17

Position:
1st letter

Answer 17

R/L
presenting part on the mom’s left or right

Question 18

Position:
2nd letter

Answer 18

O (occiput)
S (sacrum)
A (acromion process/shoulder)
M (mentum/chin)
references the presenting part
we want the occiput
sacrum is the butt = breach

Question 19

Position:
3rd letter

Answer 19

A (anterior)
P (posterior)
T (transverse)
presenting part in relation to the mom’s pelvis (which way the head is facing)

Question 20

The position letter answer is hopefully always…

Answer 20

ROA
Right, occiput, anterior

Question 21

Cervical Dilation

Answer 21

enlargement or widening of the cervical opening & canal

Question 22

Effacement

Answer 22

shortening & thinning of the cervix

Question 23

Rupture of membranes

Answer 23

labor usually occurs within 24 hours of membranes rupture (infection can occur after 24 hours)

Question 24

What should be done immediately after ROM?

Answer 24

assess FHR

Question 25

What is the pH of amniotic fluid?

Answer 25

7-7.5

Question 26

leopold's maneuver

Answer 26

helps to determine the position of the baby (fetal lie, position, & attitude) need to know where the baby's back is because that's where we listen for their HR

Question 27

Latent phase of labor dilation

Answer 27

0-3cm

Question 28

Active phase of labor dilation

Answer 28

4-7cm

Question 29

Transition phase of labor dilation

Answer 29

8-10cm

Question 30

Second stage of labor

Answer 30

full dilation to birth

Question 31

Third stage of labor

Answer 31

delivery of baby to delivery of the placenta

Question 32

Shiny schultze

Answer 32

shiny surface of the placenta that was facing the baby and touching the amniotic fluid comes out first WANT THIS

Question 33

Dirty Duncan

Answer 33

Surface of the placenta that was attached to the uterus comes out first we are worried about fragements left behind which leaves the mom at risk for PP hemorrhage

Question 34

Fourth stage of labor

Answer 34

delivery of the placenta to the maternal stabilization of the mom's vital signs

Question 35

Resting tone

Answer 35

tone of the uterine muscle between ctx If there's not enough time for uterine relaxation (<30 sec) in between can decrease blood flow to the placenta which will cause fetal hypoxia & decrease FHR

Question 36

Duration of CTX

Answer 36

time from the beginning to end of the CTX

Question 37

Frequency of CTX

Answer 37

time inbetween the beginning of one CTX to the beginning of the next CTX

Question 38

Intensity of CTX

Answer 38

Strength of the CTX at its peak