Podcast
Questions and Answers
What is the primary characteristic of contractions during the first stage of labor?
What is the primary characteristic of contractions during the first stage of labor?
- Contractions are only experienced during the fourth stage
- Contractions become stronger and more frequent (correct)
- Contractions are infrequent and irregular
- Contractions are mild with no significant effect
Which maternal behavior is commonly observed during the second stage of labor?
Which maternal behavior is commonly observed during the second stage of labor?
- Increased calmness and relaxation
- Minimizing physical movement
- Active participation and pushing (correct)
- Expressing fears and anxiety
Which of the following describes physical discomforts experienced in the third stage of labor?
Which of the following describes physical discomforts experienced in the third stage of labor?
- Minimal discomfort as the placenta is delivered (correct)
- Mild cramping and the urge to push
- Intense pressure and fear of tearing
- Severe abdominal pain without contraction
What is a significant characteristic of the fourth stage of labor regarding maternal behaviors?
What is a significant characteristic of the fourth stage of labor regarding maternal behaviors?
Which parameter is primarily assessed during the first stage of labor?
Which parameter is primarily assessed during the first stage of labor?
Which characteristic is NOT associated with normal labor at term pregnancy?
Which characteristic is NOT associated with normal labor at term pregnancy?
For a primigravida woman, what is the expected duration of vaginal birth under normal circumstances?
For a primigravida woman, what is the expected duration of vaginal birth under normal circumstances?
What type of presentation is ideal for a normal labor process?
What type of presentation is ideal for a normal labor process?
Why is monitoring uterine contraction patterns important for a nurse during labor?
Why is monitoring uterine contraction patterns important for a nurse during labor?
What defines labor as abnormal?
What defines labor as abnormal?
Which of the following is a requirement for a labor to be classified as normal?
Which of the following is a requirement for a labor to be classified as normal?
What is the primary function of monitoring uterine contractions during labor?
What is the primary function of monitoring uterine contractions during labor?
At what point would a nurse consider a labor abnormal regarding the duration for a multigravida woman?
At what point would a nurse consider a labor abnormal regarding the duration for a multigravida woman?
What does the term 'bloody show' refer to?
What does the term 'bloody show' refer to?
What should a woman monitor if she experiences ruptured membranes?
What should a woman monitor if she experiences ruptured membranes?
What might cause gastrointestinal disturbances before labor?
What might cause gastrointestinal disturbances before labor?
Why is it important for women to manage their energy during the nesting phase?
Why is it important for women to manage their energy during the nesting phase?
What is an expected characteristic of healthy amniotic fluid?
What is an expected characteristic of healthy amniotic fluid?
What condition is often confused with ruptured membranes?
What condition is often confused with ruptured membranes?
What role does adrenaline play during the nesting phase?
What role does adrenaline play during the nesting phase?
What is cervical effacement?
What is cervical effacement?
What is the typical duration for the third stage of labor?
What is the typical duration for the third stage of labor?
Which clinical indicator is NOT associated with placental separation?
Which clinical indicator is NOT associated with placental separation?
Which mechanism of placental expulsion is characterized by the shiny fetal side presenting first?
Which mechanism of placental expulsion is characterized by the shiny fetal side presenting first?
What happens to the umbilical cord during the process of placental separation?
What happens to the umbilical cord during the process of placental separation?
Which statement about the Duncan mechanism of placental expulsion is true?
Which statement about the Duncan mechanism of placental expulsion is true?
What is a common effect on the uterine cavity immediately after the baby is born?
What is a common effect on the uterine cavity immediately after the baby is born?
Which of the following indicates that the placenta has detached from the uterus?
Which of the following indicates that the placenta has detached from the uterus?
Which characteristic is true of the Schultze mechanism during placental expulsion?
Which characteristic is true of the Schultze mechanism during placental expulsion?
Study Notes
College of Nursing Overview
- Located in Cebu City, Philippines.
- Recognized as a Center of Excellence (COE) with Level IV Re-Accreditation by AACCUP.
- Contact information:
- Telephone: (+63 32) 254 4837
- Email: [email protected], [email protected]
- Website: www.cnu.edu.ph
Stages of Labor
First Stage
- Contractions become rhythmic and regular.
- Cervical dilatation occurs, leading to significant physical discomfort.
- Maternal behaviors may include increased focus and anxiety.
Second Stage
- Characterized by the intense urge to push as the baby's head descends.
- Complete dilation has occurred.
- Physical discomfort persists, and maternal behaviors usually intensify.
Third Stage
- Timeframe from the birth of the baby to the delivery of the placenta.
- Usually takes 5 to 10 minutes but can extend to 30 minutes.
- Clinical indicators of placental separation include:
- Lengthening of the umbilical cord
- Changes to a globular shape of the uterus
- Gush of blood upon placenta detachment
Fourth Stage
- Post-delivery period focusing on maternal recovery.
- Monitoring for any complications post-delivery, such as excessive bleeding.
Key Features of Normal Labor
- Begins spontaneously without medical intervention.
- Regular uterine contractions with vertex presentation of the fetus.
- Vaginal delivery occurs within 12 hours for multigravida and 18 hours for primigravida.
- Absence of maternal or fetal complications characterizes normal labor.
Pre-Labor Signs
- Cervical Effacement: Thinning of the cervix may cause a bloody show indicating labor within 24 to 48 hours.
- Ruptured Membranes: 12% of women may experience this before labor's onset; note color, amount, and odor of amniotic fluid.
- Energy Spurt: "Nesting" behavior may emerge as a sign of impending labor.
- Gastrointestinal Disturbances: Symptoms such as nausea or diarrhea can be present as labor approaches.
Placenta Expulsion Mechanisms
- Schultze Mechanism: Placenta detaches from the uterus, presenting the shiny fetal side first—most common.
- Duncan Mechanism: Placenta rolls and presents sideways, noted for its rough surface—termed "dirty Duncan."
Learning Outcomes and Assessments
- Complete two sets of academic tasks post-study session:
- Part 1: Think-Pair-Share with a partner, brainstorming based on scenarios related to labor and delivery.
- Part 2: Individual completion of a 20-item quiz after finishing Part 1.
- Task completion in 15 minutes, requiring references in APA 7th edition format.
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Description
Explore the details of the College of Nursing in Cebu City, Philippines. This institution is recognized as a Center of Excellence and is Level IV Re-Accredited by AACCUP. Learn about contact information and academic focus within nursing education.
