Labor

Question 1

labor

Answer 1

cervical change + regular contractions

Question 2

latent phase

Answer 2

mostly effacement (cervix <4cm)

Question 3

active phase

Answer 3

dilation occurs more rapidly (cervix >4cm)

Question 4

protraction of active phase

Answer 4

dilation <1.5/hr for multip

Question 5

arrest of active phase

Answer 5

no progress for >2hrs

Question 6

first stage of labor

Answer 6

onset to complete dilation

Question 7

second stage labor

Answer 7

complete dilation to delivery

Question 8

third stage labor

Answer 8

delivery infant to delivery placenta

Question 9

FHR: normal, tachy, brady

Answer 9

normal = 110-160

Question 10

adequate contractions

Answer 10

ev 2-3min, firm to palpation, last 40-60seconds (OR >200MVU)

Question 11

Category 1 tracing

Answer 11

normal baseline + variability, no late/variable decels

Question 12

Category 2 tracing

Answer 12

some concerning aspect, but not ominous (fetal tachy without decels)

Question 13

Category 3 tracing

Answer 13

omnious, high liklihood of fetal hypoxia (absent baseline variability with recurrent late or variable decels or bradycardia; or sinusoidal HR pattern)