Labor Keppler

Question 1

What stage of labor is affected by epidural?

Answer 1

Stage 2

Also affected by past gravida

Question 2

how many CM per hour should labor progress?

Answer 2

1 cm per hour

Question 3

stage 3 of labor is?

Answer 3

time from delivery of baby to delivery of placenta

Question 4

90% of babies are in which orientation for delivery

Answer 4

OA (occipital anterior)

Question 5

What are the categories of fetal monitoring

Answer 5

I- nl baseline, no path decels
II - everything not I or III
III - bradycardia (<110); absent variability with pathologic decels or sinusoidal pattern

Question 6

What are the 3 Ps to remember in arrested / protracted labor.

Answer 6

Pelvis
Passenger - baby (size, position)
Powers - contractions

Question 7

Vasa Previa

Answer 7

Similar to placenta previa but its the cord is over opening of cervix and can tear (bad)

Question 8

Which would change the fetal heart tracing to cetegory 2?

Answer 8

A baseline freq of 165 beats per min (nl is 110-150)

Question 9

Bishop score of _____ is likely to result in a vaginal delivery

Answer 9

8

Question 10

Which of the folwing is most accurately indicates that a patient is in first stage of active labor

Answer 10

the slope of cervical change over time increasing

Question 11

the orientation of the fetal head is assessed bases on the location of which feature

Answer 11

occipital region

Question 12

which of the following character of a fetal heart rate begin monitored in labor not found in category 1

Answer 12

late decels

Question 13

puerperium definition

Answer 13

Birth to 6 weeks

maternal physiology gradually returns to baseline

Question 14

Postpartum visit

Answer 14

21-56 days postpartum

often seen earlier if high risk

Question 15

Colostrum occurs when? Milk occurs when

Answer 15

first 2-3 days

Milk after 3 days