Labor And Delivery

Question 1

14 hours total
1st contractions change your cervix
Ends when completely dilated

Is what stage of labor

Answer 1

1st stage

Question 2

Ends with explosions of the fetus
Pushing at 10cm dilated

Is what stage of labor

Answer 2

2nd stage

Question 3

Delivery of placenta
Take up to 30 min

Is what stage of delivery

Answer 3

3rd stage

Question 4

Recovery
As soon as the placenta is passed start VS
Bonding
Breast feeding

Is what stage of delivery

Answer 4

4th stage of delivery

Question 5

Mechanisms of labor

Answer 5

Flexion- fetal head movement to help pass

Internal rotation- head enters pelvis diagonally

Extension- as head passes symphysis change from flexion to extension

External rotation- head is born spontaneously, baby rotates

Question 6

If amniotic fluid is green indication

Answer 6

indicates meconium (fetal BM in utero)
●can affect respiration at birth
Resuscitation team have to be present

Question 7

Fluid cloudy or yellow with offensive odor

Answer 7

indicates infection

Question 8

nitrazine test

Answer 8

turns dark blue if amniotic fluid

Question 9

Fern test

Answer 9

sample of amniotic fluid with cotton-tipped swab, smear on slide and view under microscope-looks like fern leaves

Question 10

Cervical ripening agents

Answer 10

Cervadil,
Prostin,
Cytotec- cause miscarriage in early pregnancy
laminaria -is a seaweed substance that swells within the cervix, dilating it slightly

Monitor 2hours after receiving for contractions

Question 11

Artificial oxytocin

Stimulates uterine

Answer 11

Pitocin

Question 12

treatment postpartum hemorrhage

Answer 12

Methergine- contraindicated pt. Cardiac disease, hypertension, increased BP

Hemabate- contraindicated pt. W/asthma give with limodil causes diarrhea

Question 13

causes relaxation of smooth muscles

CNS depressant

Answer 13

Magnesium sulfate

Antidote- Ca gluconate

Question 14

Action
●alters perception of pain
Use
●pain relief

Answer 14

Stadol

Question 15

opiod antagonist, rapid acting

Answer 15

Narcan

Question 16

Anesthesia for child birth

Answer 16

Local-lidocaine 
Epidural-catherter remain intact
Local-
Pudendal-
Spinal-injection of medication catheter is removed, use for c/s
General-loss of consciousness

Question 17

Non Pharmacologic Coping

Answer 17

Dick Read
●Fear, tension, pain cycle
Bradley Method
●Slow abdominal breathing
Lamaze
●Teaches conditions to respond to
Gate control theory
●Massage, fingertip pressure, heat/cold
Relaxation
●Massage, water
Hypnosis
Diversion

Question 18

Complications of labor

Answer 18

Dystocia- baby body part to big to come out/ mc Roberts maneuver
Hypotonic labor-ctx to weak to be effective labor
Ineffective maternal push-mom can’t push
Hypertonic labor-frequent ctx no change in cervix(terbutaline)
CPD cephalopelvic disppoportion- enlarge head
Abnormal position- breech, face position
Cord prolapse- cord comes out first baby head suppresses it
Precipitate birth- born outside medical facility
Uterine rupture-
Hemorrhage
Inversion
Amniotic fluid embolism

Question 19

suction cup placed over fetal head, vacuum applied

Can only use 3 times, when cap come off

Answer 19

Vacuum extraction

Question 20

If vacuum don’t work use ____ to help escort baby down. Do not pull on baby.

Answer 20

Forceps

Question 21

If pt. Had a previous c section and come in for natural birth this is called

Answer 21

TOLAC - trail to labor after c section

Question 22

VBAC

Answer 22

Vaginal birth after c section

Question 23

Rpt c/s

Answer 23

Repeated c section

Question 24

Umbilical cord consist of

Answer 24

AVA

Whartons jelly

Question 25

Baby side of the placenta is called

Answer 25

Shiny Shultz

Question 26

Placenta side is called | Beefy side

Answer 26

Dirty Duncan

Question 27

When baby first come out you want to

Answer 27

Skin to skin contact (Stabilize BP, temp,vs) helps to facilitate breastfeeding Clamp and cut cord

Question 28

Most important baby comprising

Answer 28

Cold stress Dry and warm

Question 29

Baby lose heat by

Answer 29

Convection- air passing/ cool breeze Conduction- warm to cold surface Radiation- heat leaves

Question 30

1st few hours after birth the baby will receive which 2 medications

Answer 30

Erythromycin- eye drops | VIT. K

Question 31

A baby should be washed _____ unless mom has HIV, hepatitis, corial then it's done immediately

Answer 31

12-24hours after birth

Question 32

Check baby's frontenal for

Answer 32

Dehydration

Question 33

Stages of labor

Answer 33

Stage one- dial ati on til pt. 10cm Stage 2- expulsion of baby Stage3- expulsion of placenta Stage 4- recovery

Question 34

What is the most accurate way to discribe contractions

Answer 34

5 min apart with change in cervix 3 to 6 cm

Question 35

Vomiting and nausea are caused by

Answer 35

Hormone changes

Question 36

If a pt has a history of methadone use do not give them

Answer 36

Neubaine

Question 37

Pt is suppose to urinate

Answer 37

Every 2-3 hours if not catherter is placed

Question 38

ABGAR is first performed ___ after birth. Then ___ after that. If less then 7 perform again in 5 min(10min) keep performing till MD orders otherwise.

Answer 38

1 min | 5min

Question 39

4 P's of labor

Answer 39

Power- contractions Passage- route infant takes Passenger- fetus/ baby Psyche- mental state( most variable)

Question 40

Pelvis position most favorable for birth

Answer 40

Gynecoid

Question 41

Best candidate to deliver at home

Answer 41

Pt with no complications

Question 42

Pt plans to deliver at home. Cord becomes present when water breaks what do you do.

Answer 42

Call 911 | Take baby's head hold it off cord

Question 43

What are Braxton hicks

Answer 43

Not intense contractions | Do not cause cervix change

Question 44

If pt has GBS would you break their water

Answer 44

No can cause baby to go into respiratory distress if they pass infection

Question 45

Greatest influence on birth is

Answer 45

Culture

Question 46

Medication that rippen cervix

Answer 46

Cevidal, cytotec

Question 47

If pt is diabetic do baby come out extra fat

Answer 47

No