L&D

Question 1

engagement

Answer 1

fetal presenting part widest diameter reaches level of the ischial spines of mother’s pelvis

Question 2

Extension

Answer 2

fetal head passess beneath the mother’s symphysis pubis

Question 3

internal rotation

Answer 3

allows the largest fetal head diameters to match largest maternal pelvic daimeters

Question 4

external rotation

Answer 4

• allows shoulders to rotate internally to fit mom’s pelvis

Question 5

maternal factor that can inhibit fetal descent

Answer 5

a full bladder

Question 6

normal FHR

Answer 6

110-160 bpm

Question 7

fetal tachycardia

Answer 7

> 160/min for 1 min

Question 8

fetal bradycardia

Answer 8

< 110/min for min or longer

Question 9

4 Ps

Answer 9

Powers, passageway, passenger, psyche

Question 10

Tachysystole

Answer 10

Contractions too frequent ( every 2 Mom), too long (>90-120 sec), minimal rest < 30 sec

Question 11

Pain med that does not affect fetus

Answer 11

Nitrous oxide

Question 12

Nuchal

Answer 12

Umbilical cord interrupted because of being wrapped around the neck

Question 13

Reassuring FHR

Answer 13

• average FHR 110-160
• regular rhythm
• accelerations from baseline rate
• no decrease in rate from baseline

Question 14

Non reassuring FHR

Answer 14

• HR outside normal limits unexplained tachy or brady
• irregular rhythm
• gradual abrupt decrease in rate

Question 15

Bishops score

Answer 15

• cervical dilation
• length of cervix
• stationing if presenting part
• consistency
• position

Question 16

Dystocia

Answer 16

Prolonged difficult labor

Question 17

Tocolytic med

Answer 17

Relax uterus , slows delivery

Question 18

Caput succedaneum

Answer 18

Swelling of the scalp

Question 19

Normal wbc level for Mom

Answer 19

14-16k

25k + not good

Question 20

Expected fetal response to active fetal movement is

Answer 20

Acceleration of at least 15 bpm for 15 seconds

Question 21

Tocotransducer

Answer 21

On Fundus, records uterine contractions

Question 22

Ultrasound transducer

Answer 22

Over abdomen, measures FHR pattern

Question 23

Normal infant scalp ph

Answer 23

7.25-7.35

Question 24

Biophysical profile

Answer 24

1. FHR
2. Fetal breathing movements
3. Gross body movement
4. Fetal tone
5. Qualitative amniotic fluid volume

Question 25

Pt with hydramnios, after amniotomy, risk for ____________ increases

Answer 25

Abruptio placentae because the uterus is distended r/t hydramnios

Question 26

Average blood loss during birth

Answer 26

500 ml

Question 27

Clotting factors during labor

Answer 27

Increased so is DVT risk

Question 28

Fetal protective factors

Answer 28

IncreAsed HMG, HCT & CO

Question 29

Normal fetal presentation

Answer 29

vertex

Question 30

Normal fetal attitude

Answer 30

Flexion head towards chest , arms flexed over thorax , back curved like convexshape

Question 31

Most important characteristic about true labor

Answer 31

Progressive effacement and dilation of the cervix

Question 32

Shultze

Answer 32

Shiny fetal surface of placenta

Question 33

Duncan

Answer 33

Dull maternal surface of placenta

Question 34

4 stages of labor

Answer 34

1. Cervical dilation and effacement 2. Expulsion of fetus 3. Expulsion of placenta 4. Maternal physiologic stabilization and parent-infant bonding

Question 35

IPC

Answer 35

Only way to measure accurate resting tone and intensity of contractions Intrauterine pressure catheter