MCN Recognizing Normal Labor Process Quiz

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Questions and Answers

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?

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?

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?

Mothers show increased bonding and attachment to their newborn (C) Signup and view all the answers

Which parameter is primarily assessed during the first stage of labor?

Extent of cervical dilatation (D) Signup and view all the answers

Which characteristic is NOT associated with normal labor at term pregnancy?

Active medical intervention during delivery (C) Signup and view all the answers

For a primigravida woman, what is the expected duration of vaginal birth under normal circumstances?

Less than 18 hours (B) Signup and view all the answers

What type of presentation is ideal for a normal labor process?

Vertex or cephalic presentation (D) Signup and view all the answers

Why is monitoring uterine contraction patterns important for a nurse during labor?

To recognize any abnormalities in labor progression (D) Signup and view all the answers

What defines labor as abnormal?

Presence of maternal and fetal complications (D) Signup and view all the answers

Which of the following is a requirement for a labor to be classified as normal?

Contractions that are regular and rhythmic (D) Signup and view all the answers

What is the primary function of monitoring uterine contractions during labor?

To assess the progress and safety of labor (B) Signup and view all the answers

At what point would a nurse consider a labor abnormal regarding the duration for a multigravida woman?

If birth occurs in more than 12 hours (C) Signup and view all the answers

What does the term 'bloody show' refer to?

Expulsion of a blood-tinged mucus plug (A) Signup and view all the answers

What should a woman monitor if she experiences ruptured membranes?

Color, amount, and odor of amniotic fluid (A) Signup and view all the answers

What might cause gastrointestinal disturbances before labor?

Hormonal changes or unknown etiology (A) Signup and view all the answers

Why is it important for women to manage their energy during the nesting phase?

To conserve energy for childbirth (D) Signup and view all the answers

What is an expected characteristic of healthy amniotic fluid?

Clear and odorless (A) Signup and view all the answers

What condition is often confused with ruptured membranes?

Urinary incontinence (B) Signup and view all the answers

What role does adrenaline play during the nesting phase?

Supports the woman during labor (D) Signup and view all the answers

What is cervical effacement?

Thinning and shortening of the cervix (D) Signup and view all the answers

What is the typical duration for the third stage of labor?

5 to 10 minutes (D) Signup and view all the answers

Which clinical indicator is NOT associated with placental separation?

The uterus becoming flat (A) Signup and view all the answers

Which mechanism of placental expulsion is characterized by the shiny fetal side presenting first?

Schultze mechanism (D) Signup and view all the answers

What happens to the umbilical cord during the process of placental separation?

It lengthens (C) Signup and view all the answers

Which statement about the Duncan mechanism of placental expulsion is true?

It is characterized by rolling up and presenting sideways (A) Signup and view all the answers

What is a common effect on the uterine cavity immediately after the baby is born?

It becomes smaller (B) Signup and view all the answers

Which of the following indicates that the placenta has detached from the uterus?

Absence of backflow pressure (C) Signup and view all the answers

Which characteristic is true of the Schultze mechanism during placental expulsion?

It leads to a gush of blood (C) Signup and view all the answers

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.