MModule 2 Labor and Birth: The Details

Question 1

when is a woman in labor?

Answer 1

when she has contractions and a cervical change

Question 2

What hormones play a role in starting labor?

Answer 2

prostaglandins and oxytocin

Question 3

What is the bloody show?

Answer 3

pink or brown mucousy discharge, sign of labor

Question 4

Can you still see mucusy discharge after losing your mucus plug?

Answer 4

yes. it’s normal

Question 5

what is effacement?

Answer 5

the shortening of the cervix in length during labor

Question 6

what is dilation?

Answer 6

the opening of the cervix during labor

Question 7

What two phases is the first stage of labor broken into?

Answer 7

The latent phase and the active phase

Question 8

What happens during the active phase of labor?

Answer 8

cervix is dilating from 5-10cm

baby is moving down into pelvis

most often done in hospital (if it’s a hospital birth)

Question 9

What happens during the latent phase of labor?

Answer 9

cervix is dilating from 0-5cm

mild, irregular contractions that get closer together and stronger with time

ideally done at home

Question 10

How long can the latent phase of labor be?

Answer 10

hours, days, or even weeks

Question 11

What is the second stage of labor?

Answer 11

begins with complete cervical dilation (10cm) and ends with birth of baby

Question 12

what is the third stage of labor?

Answer 12

period between delivery of baby and delivery of your placenta

Question 13

How long can the third stage of labor last and why?

Answer 13

up to 30 minutes; after that considered prolonged and doctor will have to go in and remove placenta manually

Question 14

Why do providers give pitocin during the third stage of labor?

Answer 14

to prevent bleeding

Question 15

what is maternal morbidity?

Answer 15

problems after pregnancy

Question 16

what is maternal mortality?

Answer 16

death after pregnancy

Question 17

what is the leading cause of maternal morbidity and maternal mortality?

Answer 17

severe bleeding after childbirth

Question 18

When a woman’s water breaks, what could brown or green coloration mean?

Answer 18

Could be a sign of meconium in the amniotic fluid

Question 19

What does it mean if a woman is GBS positive?

Answer 19

There is bacteria present in the vagina that could harm the baby

Question 20

Can a woman who is GBS positive continue to labor at home if her water breaks?

Answer 20

No. She has to go to the hospital so provider can start antibiotics, because risk of infection increases after water breaks.

Question 21

what is fetal monitoring?

Answer 21

checking on baby during labor by monitoring baby’s heartbeat and mamas contractions

Question 22

Why do providers do fetal monitoring?

Answer 22

Can help detect if baby is in distress so they can attempt to fix it

Question 23

what is a normal heart rate for a baby on the fetal monitor?

Answer 23

120-160 beats per min

Question 24

What is the most common method of fetal monitoring in the US?

Answer 24

electronic fetal monitoring

Question 25

what are the two types of electronic fetal monitoring (EFM) and how do they differ?

Answer 25

There is external and internal EFM methods.

External monitoring is two belts around belly with two transducers, one for baby’s heart rate and one for contractions.

Internal monitoring is something gently screwed into baby’s head for heartbeat, and then a catheter in uterus for contractions.

Question 26

What is intermittent fetal monitoring (auscultation)?

Answer 26

providers check you