INTRAPARTUM 2; maternal responses to labor Flashcards
(20 cards)
__________% increase in circulating blood volume
50
With each contraction, ______ to _______ ml of blood
volume is forced back into the maternal
circulation
300 to 500
supine position the CO __________
lowers
lateral positon the CO ____________
increase
increase in systolic and diastolic BP is __________
mmHg with each uterine contraction
15
position of 2nd stage of labor
upright or
side lying position
______% increase in oxygen consumption
100
Using appropriate _____________________ during
labor can help avoid severe
hyperventilation
breathing patterns
what increased muscular
activity cause in temperature
slight elevation
increase in rate and depth of respirations and diaphoresis increase in _______________ water loss
insensible
decrease in fluid intake during labor & increased
insensible water loss= ____________ urine
concentrated
reduces bladder _____________ or the ability
of the bladder to _____________ filling
tone, sense
musculoskeletal
Release of __________
symphysis pubis and the sacral/coccyx joints
become more relaxed and ____________
increase the size of the pelvic ring by ___ cm
relaxin , movable, 2
Gastrointestinal System
Reduced gastric ___________ and absorption of
solid food
Gastric emptying time is ___________ and
gastric volume remains increased
motility, prolonged
Neurologic and Sensory Responses
Pain during the first stage of labor arises
from:
___________ of the cervix, which is the_______________
source of pain
stretching of the lower __________ segment
on adjacent structures
_____________a of the uterine muscle cells during
contractions.
dilation, primary
uterine
hypoxia
Neurologic and Sensory Responses
During the second stage of labor, pain is
caused by:
hypoxia of the ___________ uterine muscle
cells
___________ of the vagina and perineum
____________ on adjacent structures
contracting
distension
pressure
Neurologic and Sensory Responses
Pain during the third stage results
uterine ____________
cervical ____________ as the
placenta is expelled
contractions
dilation
Factors on perception and response to pain:
Childbirth preparation ___________
fatigue and __________deprivation
previous ______________ with pain
Anxiety
attention and _____________
classes, sleep, experience, distraction
integumentary vagina and _______________have a great ability to
stretch
perineum
Immune System and Other Blood Values
WBC count increases to ___________to
______________/mm3 during labor and early
postpartum period
increased __________________
Maternal blood glucose levels = decrease insulin
25 000 to 30 000
neutrophils
