MIDTERMS REVIEW

Question 1

what do you call the first pregnancy; or when the mother bears her first offspring

Answer 1

Primipara

Question 2

what do you call a mother who has had more
than one pregnancy

Answer 2

Multipara

Question 3

The period that extends from the
beginning of contractions that cause
cervical dilation

Answer 3

Intrapartum

Question 4

Intrapartum is the the _____ after delivery of the
newborn and placenta

Answer 4

first 1 to 4 hours

Question 5

Series of events by which uterine
contractions and abdominal pressure
expel a fetus and placenta front the fetus

Answer 5

Labor

Question 6

The pressure on the nerve endings and
increased irritability of the uterine
musculature brought about by the developed fetus cause contraction
(fullness)

THEORIES OF ONSET OF LABOR

Answer 6

Uterine Stretch Theory

Question 7

Rising of fetal cortisol level reduce
progesterone level increases
prostaglandin formation

THEORIES OF ONSET OF LABOR

Answer 7

Prostaglandin Theory

Question 8

Change in ratio of estrogen to
progesterone occurs

THEORIES OF ONSET OF LABOR

Answer 8

Progesterone Deprivation/Withdrawal Theory

Question 9

Placenta begins to degenerate by 36
weeks the body perceives it as a foreign
body makes it own defense to expel it by
contraction of the uterus

THEORIES OF ONSET OF LABOR

Answer 9

Theory of Aging Placenta

Question 10

The production of the posterior
pituitary gland of this substance
will cause uterine contractions

THEORIES OF ONSET OF LABOR

Answer 10

Oxytocin Stimulation Theory

Question 11

THE 6 P’S OF LABOR

Enumerate

Answer 11

1.Passenger (fetus)
2.Passageway (birth canal)
3.Power (uterine contraction/ bearing down)
4.Psyche (mental status)
5.Placenta
6.Prayer (spiritual needs)

Question 12

Fetopelvic relationships

Enumerate

6 P’s of Labor (Passenger)

Answer 12

Lie
Attitude
Presentation
Position
Station

Question 13

connects 2 parietal bones

Answer 13

SAGITTAL

Question 14

connects the parietal and frontal bones

Answer 14

CORONAL

Question 15

connects the parietal and occipital bones

Answer 15

LAMBOIDAL

Question 16

connects the 2 frontal bones

Answer 16

METOPIC

Question 17

(Bregma)
Diamond in shape
3x4 centimeters in size

Answer 17

Anterior Fontanel

Question 18

(Lambda)
Triangular in shape
1x1 centimeter in size

Answer 18

Posterior Fontanel

Question 19

Used as landmarks for internal examination during labor to determine position of fetus

Answer 19

Fontanel

Question 20

Relationship of spine (long axis) of fetus to spine of the mother

Fetopelvic relationship

Answer 20

Fetal Lie:
Longitudinal or Vertical
Transverse or Horizontal
Oblique

Question 21

Relationship of fetal parts to each other
Describes the degree of flexion the fetus assumes during labor

Fetopelvic Relationship

Answer 21

Fetal Attitude

Question 22

Fetal attitude of fetus wherein head is fully flexed on the chest making the parietal bones of the space between the fontanels, the “Vertex”, the presenting part

Fetal Attitude

Answer 22

Vertex/Complete Flexion/Occiput

Question 23

head is moderately flexed; occipital frontal or sinciput to birth canal

Fetal Attitude

Answer 23

Sinciput/Military Attitude

Question 24

Back is arched, neck is extended

Fetal Attitude

Answer 24

Brow/Partial extension

Question 25

Head is extended and face is the presenting part Extreme edema and distortion of face may occur | Fetal Attitude

Answer 25

Face/Complete Extension

Question 26

Part of fetus that presents to or enters maternal pelvic inlet | Fetopelvic Relationship

Answer 26

Fetal Presentation | cephalic, breech, shoulder/transverse

Question 27

A type of incomplete breech presentation that the fetus's thighs rest on abdomen while legs extend to head

Answer 27

Frank breech presentation

Question 28

Relationship of presenting part to ischial spine denoted in centimeters | Fetopelvic Relationship

Answer 28

Station

Question 29

above the ischial spine and still floating, needs rest | Fetal Station

Answer 29

-3 to -5

Question 30

fetus is at the level of the ischial spine and is already engaged | Fetal Station

Answer 30

0

Question 31

fetus is at 3-5 cm below the ischial spine; crowning occurs and signals the 2nd stage of labor | fetal station

Answer 31

+3 to +5

Question 32

Relationship of the fetal presenting part to specific quadrant of the mother’s pelvis | Fetopelvic Relationship

Answer 32

Position

Question 33

- Normal female pelvis - Transversely rounded or blunt - Most favorable for successful labor and birth

Answer 33

Gynecoid pelvis

Question 34

- Wedge shaped or angulated - Seen in males - Not favorable for labor - Can be determine through pelvimetry

Answer 34

Adroid pelvis

Question 35

- Oval shaped - Adequate outlet

Answer 35

Anthropoid pelvis

Question 36

- Flat with oval inlet - Small transverse diameter

Answer 36

Platypelloid Pelvis

Question 37

Measures between sacral promontory and inferior margin of the symphysis pubis doing internal examination.

Answer 37

Diagonal Conjugate | : basis in getting the true conjugate

Question 38

Measures between the anterior surface of the sacral promontory and superior margin of the symphysis pubis Also known as ______

Answer 38

True Conjugate/Conjugate vera

Question 39

Diagonal Conjugate measures ____

Answer 39

11.5 - 12.5 cm

Question 40

True conjugate or Conjugate vera measures ____

Answer 40

11 cm

Question 41

5 small bones that compress during vaginal delivery

Answer 41

coccyx

Question 42

Placenta is made up from the ____ and ____

Answer 42

chorionic villi and decidua basalis

Question 43

from center to edges and presents the fetal surface which is shiny | types of placental separation

Answer 43

Schultz

Question 44

from edges to center and presents the maternal surface which is red beefy and dirty | types of placental separation

Answer 44

Duncan

Question 45

Birth according to gestational age: Preterm Term/Normal Post term

Answer 45

* PRETERM – less than 37 weeks * TERM or NORMAL – within 37 – 42 weeks; 2 weeks before or after EDD * POST TERM – beyond 42 weeks

Question 46

What are the impending signs of labor | enumerate

Answer 46

lightening engagement increased braxton-hick's contractions ripening of the cervix sudden bursts of energy of the mother allowable weight loss increase vaginal mucus discharge fetal movement less active

Question 47

what do you call when a fetus settles or descends into pelvic inlet

Answer 47

Lightening

Question 48

what is the term when the fetus sets its presenting part into pelvic inlet (station 0)

Answer 48

Engagement

Question 49

Thinning and shortening of cervix

Answer 49

effacement

Question 50

Phase of contraction wherein contracions are at height or peak of contraction; and continues at the side of abdomen

Answer 50

Acme

Question 51

From increment → decrement of same/single contraction | CHARACTERISTICS OF LABOR CONTRACTION

Answer 51

Duration

Question 52

# CHARACTERISTICS OF LABOR CONTRACTION From the beginning of increment → increment of another contraction

Answer 52

Frequency

Question 53

# CHARACTERISTICS OF LABOR CONTRACTION From decrement of 1 contraction → period of increment of next contraction

Answer 53

Interval of Rest