INTRAA

Question 1

The first 1 to 4 hours after delivery of the newborn and placenta

Answer 1

Intrapartum

Question 2

Refers to the medical and nursing care given to the pregnant woman during labor and delivery.

Answer 2

Intrapartum Care

Question 3

Series of events by which uterine contractions and abdominal pressure expel a fetus and placenta from the uterus.

Answer 3

Labor

Question 4

True or False:

Irregular contraction causes progressive dilatation of the cervix and create sufficient muscular uterine force to be pushed out into extrauterine life.

Answer 4

False - Regular contractions

Question 5

Which theories of onset labor:

A hollow organ once stretched to its maximum potential will always contract and expel content.

Answer 5

Uterine Stretch Theory

Question 6

Rising of fetal cortisol level reduce progesterone level which increases prostaglandin formation

Answer 6

Prostaglandin Theory

Question 7

Increased estrogen and sudden drop in progesterone near delivery stimulates labor

Answer 7

Progesterone Deprivation/Withdrawal

Question 8

Placenta begins to degenerate by 36 weeks where the body perceives it as a foreign body already, and make its own defense to expel it by contraction of the uterus.

Answer 8

Theory of Aging Placenta

Question 9

The posterior pituitary gland produces oxytocin which causes contractions.

Answer 9

Oxytocin Stimulation Theory

Question 10

Largest part of the newborn’s body and 1/4 of the newborn’s length.

Answer 10

Fetal head

Question 11

Connects 2 parietal bones

Answer 11

Sagittal

Question 12

Connects parietal and frontal bones

Answer 12

Coronal

Question 13

Connects parietal and occipital bones

Answer 13

Lambdoidal

Question 14

Overlapping of the sutures of the skull to permit passage of the head to the pelvis

Answer 14

Molding

Question 15

Diamond in shape and measures 3x4 cm in size

Answer 15

Bregma (Anterior Fontanel)

Question 16

Triangular in shape and measures 1x1 cm in size

Answer 16

Lambda (Posterior Fontanel)

Question 16

Are used as landmarks for internal examination during labor to determine position of fetuses.

Answer 16

Fontanels

Question 16

May be manipulated during delivery to allow passage.

Answer 16

Fetal Shoulder

Question 17

Largest Transverse diameter measurement

Answer 17

Biparietal (9.25 cm)

Question 18

Relationship of spine of fetus to spine of the mother

Answer 18

Lie

Question 19

Fetus’ long axis parallel with mother’s long axis where 99% of cases assume this position

Answer 19

Longitudinal or Vertical

Question 20

Relationships of fetal parts to each other

Answer 20

Attitude

Question 21

Complete flexion, most common where head is fully flexed, chin touches sternum.

Answer 21

Vertex/ Occiput Position

Question 22

Moderate flexion, head is moderately flexed, occipital frontal or sinciput to birth canal

Answer 22

Sinciput / military position

Question 23

Brow to birth canal, back is arched, neck is extended

Answer 23

Partial Extension

Question 24

Complete extension but with poor flexion, back is arched and neck is extended.

Answer 24

Face

Question 25

Denotes the body part that will first contact the cervix or be born first. It is determined by the combination of fetal lie and the degree of fetal flexion.

Answer 25

Presentation

Question 26

The fetal head is the body part that first contacts the cervix

Answer 26

Cephalic

Question 27

Means either the buttocks or the feet are the first body parts that will contact the cervix.

Answer 27

Breech

Question 28

Types of breech presentation: - thighs rest on abdomen while legs rest in thighs

Answer 28

Complete breech

Question 29

Type of breech presentation: Thighs rest on abdomen while legs extend to the head

Answer 29

Incomplete breech: Frank

Question 29

Type of breech presentation: 1 leg flexed and 1 foot is extended

Answer 29

Single footling

Question 29

Type of breech: 2 legs un-flexed and extended

Answer 29

Double footling

Question 29

A fetus lies horizontally in the pelvis, so the longest fetal axis is perpendicular to that of the pregnant person.

Answer 29

Shoulder/transverse

Question 29

Relationship of the fetal presenting part to specific quadrant of the mother's pelvis

Answer 29

Position

Question 30

External palpation of maternal abdomen to determine fetal contour or outline

Answer 30

Leopold's Maneuver

Question 31

Location of sutures and fontanels to determine relationship to maternal pelvis

Answer 31

Vaginal Examination

Question 32

To determine which quadrant that the fetal heart tone is best heard.

Answer 32

Auscultation of FHT

Question 33

Relationship of presenting part to ischial spines denoted in centimeters

Answer 33

Station

Question 34

Above the ischial spine, fetus is still floating and needs rest

Answer 34

-3 to -5 cm

Question 35

Fetus is at the level of the ischial spine and is already engaged.

Answer 35

0 cm

Question 36

Fetus is a 3 to 5 cm below the ischial spine and crowning occurs and signals the 2nd stage of labor.

Answer 36

+3 to +5 cm

Question 36

Female pelvis, has an inlet that is well rounded forward and backward, and has a wide pubic arch. This pelvic type is ideal for childbirth.

Answer 36

Gynecoid

Question 37

Male pelvis, the pubic arch forms an acute angle, making the lower dimensions of the pelvis extremely narrow.

Answer 37

Android

Question 38

Apelike pelvis, the transverse diameter is narrow; the anteroposterior diameter of the inlet is larger than usual.

Answer 38

Anthropoid

Question 39

Basis in getting the true conjugate, measures between the sacral promontory and inferior margin of the symphysis pubis and measures around 11.5 to 12.5 cm

Answer 39

Diagonal conjugate

Question 39

Flattened pelvis, has a smooth curved oval inlet but anteroposterior diameter is shallow.

Answer 39

Platypelloid

Question 40

Measures between the sacral promontory and superior margin of the symphysis pubis

Answer 40

True conjugate

Question 40

Intertuberous diameter may be measured by placing a closed fist against the perineum at the level of the tuberosities.

Answer 40

Pelvic outlet

Question 41

Transverse diameter + PSD > 1.5 cm = outlet is adequate

Answer 41

Thom's rule

Question 42

The force acting to expel the fetus and placenta

Answer 42

Power

Question 42

Involuntary contractions, voluntary bearing down efforts, wave like characteristics, timing, frequency, duration and intensity

Answer 42

Power

Question 43

Psychological stress exists when the mother is fighting the labor experience

Answer 43

Psyche and person

Question 44

Respect the belief /religion of the members of the family

Answer 44

Prayer