labor & delivery

Question 1

uterine contractions & pushing effort

Answer 1

power

Question 2

anatomy of mom’s bony pelvis & soft tissues; ability of soft passageway to stretch

Answer 2

passageway

Question 3

fetal factors

Answer 3

passenger

Question 4

maternal state of mind

Answer 4

psyche

Question 5

maternal position

Answer 5

position

Question 6

ideal pelvis shape for birthing

Answer 6

gynecoid

Question 7

soft spots on baby’s head since head bones not fused at birth

Answer 7

anterior & posterior fontanel

Question 8

attitude is ideally ______, which is full flexion

Answer 8

vertex

Question 9

relationship of spine of fetus & spine of mother

Answer 9

lie

Question 10

baby & mom’s spines are parallel

Answer 10

longitudinal lie

Question 11

baby & mom’s spines are perpendicular

Answer 11

transverse lie

Question 12

position of the presenting part of fetus as it comes down the birth canal

Answer 12

presentation

Question 13

what presentation is ideal?

Answer 13

cephalic - vertex, brow, face

Question 14

-3/-2

Answer 14

floating station

Question 15

-1

Answer 15

fixed station

Question 16

0

Answer 16

engaged station

Question 17

-5/+5

Answer 17

station

Question 18

baby’s head is so far down that its not going back up

Answer 18

engagement

Question 19

+1/+2

Answer 19

midpelvis

Question 20

+3/+4

Answer 20

crowning

Question 21

labor is confirmed by

Answer 21

cervical chnsgee/dilation

Question 22

3 types of labor

Answer 22

latent, active, transition

Question 23

T/F: you can lay moms flat on their back

Answer 23

F

Question 24

opening of cervical os

Answer 24

dilation

Question 25

thinning of cervix

Answer 25

effacement

Question 26

level of decent of presenting part in relation to mom's pelvic ischial spines

Answer 26

station

Question 27

T/F: vaginal exams are sterile procedures

Answer 27

T

Question 28

pink, contains mucous, scant at first, increases with effacement/dilation

Answer 28

bloody show

Question 29

positing "pool" of fluid in vagina

Answer 29

pooling

Question 30

positive when amniotic fluid turns pH paper dark blue/black

Answer 30

nitrazine test

Question 31

smear fluid dried on one side, positive text shows presence of fern-like patterns indicating amniotic fluid crystals

Answer 31

ferning

Question 32

concern of meconium-stained amniotic fluid at ROM

Answer 32

aspiration of baby

Question 33

- facilitates uterine contractions - control bleeding after placenta delivery

Answer 33

pitocin/oxytocin

Question 34

4 stages of labor

Answer 34

labor, pushing, placental delivery, recovery

Question 35

engagement, descent, flexion, extension, external rotation, expulsion

Answer 35

cardinal movements

Question 36

immediately after delivering the placenta, what does the nurse do?

Answer 36

pitocin blous (999)

Question 37

T/F: the uterus contracts after delivery of placenta to prevent PP hemorrhage

Answer 37

T

Question 38

vaginal bleeding PP

Answer 38

lochia