MCN 3F

Question 1

Labor that has started spontaneously but not effective

Answer 1

Augmentation of Labor

Question 2

Labor is starting artificially

Answer 2

Induction of Labor

Question 3

Artificial rupturing of membranes during labor if they do not rupture spontaneously

Answer 3

Amniotomy

Question 4

Sluggishness of contractions, or that the force. of labor that is less than usual

Answer 4

Dysfunctional Labor

Question 5

Highest peak of contraction

Answer 5

Acme

Question 6

Building up phase

Answer 6

Increment

Question 7

Letting up phase

Answer 7

Decrement

Question 8

Normal labor

Answer 8

Eutocia

Question 9

Difficult labor

Answer 9

Dystocia

Question 10

Given to mothers who have undergone cesarean section

Answer 10

Trial of Labor / TOLAC

Question 11

Reliefs from diaphragmatic pressure, sinking of fetal

Answer 11

Lightening

Question 12

changes in ratio of estrogen to progesterone occurs, increasing estrogen in relation to progesterone; interpreted as progesterone withdrawal

Answer 12

Progesterone Deprivation

Question 13

stretches from increasing size of fetus, release in prostaglandin; increase estrogen decrease progesterone

Answer 13

Uterine Stretch Theory

Question 14

Fetus presses on cervix, stimulates release of oxytocin from posterior pituitary; stimulates prostaglandin to initiate contractions

Answer 14

Oxytocin Theory

Question 15

Placenta reaches set age, triggers contractions

Answer 15

Placental Degeneration

Question 16

Rising fetal cortisol levels reduce progesterone formation and prostaglandin formation

Answer 16

Fetal Endocrine Control Theory or Adrenal Theory

Question 17

fetal membrane begins to produce prostaglandins to stimulate contractions

Answer 17

Prostaglandin Theory

Question 18

Premonitory Signs of Labor

Answer 18

Lightening

Slight Loss of Weight

Excess Energy

Backache

Braxton Hick’s Contraction

Ripening of the Cervix

Show

Rupture of Membranes

Uterine Contractions

Question 19

Begins at onset of regularly perceived uterine contractions

Answer 19

Latent Phase

Question 20

Mild and Short Contractions; 20-40s

Answer 20

Latent Phase

Question 21

Analgesia may be given if too early, it may prolong stage

Assist mother to prepare psychologically

Teach breathing exercises

Encourage nonpharmacologic measures

Provide Ice chips

Answer 21

Pain Management: Latent

Question 22

Uncomfortable phase for the mother

Stronger contractions 40-60s

Bloody show and spontaneous rupture

Answer 22

Active Phase

Question 23

Frequent perineal care

Encourage to keep active and assume most comfortable position except flat on back

Anticipate mood swings

Upright

Left side lying

Answer 23

Nursing Care: Active Phase

Question 24

Peak contractions

60-70s

Full cervical dilatation and effacement

ROM may occur at full cervical dilation

Strong urge to push

Answer 24

Transition Phase

Question 25

Experience intense discomfort Help direct maternal focus to birthing of baby Provide support Stay with mother

Answer 25

Nursing Care: Transition Phase

Question 26

Complete cervical dilatation to delivery of the neonate Fetus moved along the birth canal by mechanism of labor

Answer 26

Second Stage of Labor

Question 27

Assist with second stage pushing Prepare birthing area Assist in birthing position Ready for episiotomy Assist with delivery

Answer 27

Nursing Care: Second Stage

Question 28

Begins with the birth of the infant and ends with the delivery

Answer 28

Third Stage

Question 29

Placenta detaches from uterine wall

Answer 29

Placental Separation

Question 30

Lengthening of the umbilical cord Sudden gush of blood Placenta is visible at vaginal opening Uterus contracts and feels firm Schultz & Duncan

Answer 30

Signs of Placental Separation

Question 31

Placenta is delivered through natural bearing down/gentle pressure (Crede’s Maneuver) No pressure on noncontracted uterus - causes uterine version and hemorrhage Note time Inspect intactness

Answer 31

Placental Expulsion

Question 32

Vaginal mucous membrane and skin of the perineum fourchette

Answer 32

First Degree Laceration

Question 33

Vagina, perineal skin, fascia, levator and muscle, and perineal body

Answer 33

Second Degree Laceration

Question 34

Entire perineum, extending to reach the external sphincter of the rectum

Answer 34

Third Degree Laceration

Question 35

Entire perineum, rectal sphincter, and some of the mucous membrane of the rectum

Answer 35

Fourth Degree Laceration

Question 36

First hour after delivery Beginning postpartum 6 weeks postpartum period High risk for hemorrhage

Answer 36

Fourth Stage

Question 37

Assess lochia, consistency and position of the fundus, episiotomy site Obtain vitals every 15mins

Answer 37

Nursing Care: Fourth Stage