MPN CH 6 Nursing Care of Mother and Infant During

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Which term refers to the process of the cervix opening during labor?

Dilation

What is the term used to describe the thick mucus plug that is expelled from the cervix as a sign of impending labor?

Bloody show

What is the term used to describe the process of the baby's head appearing at the vaginal opening during labor?

Crowning

What is the term used to describe the rhythmic contractions of the uterus during labor?

Powers

Which fetal presentation is the most common and favorable for a vaginal birth?

Vertex presentation

Which fetal presentation is characterized by the head being fully extended and the face presenting?

Face presentation

Which fetal presentation is characterized by the head being neither flexed nor extended?

Military presentation

Which fetal presentation is characterized by the buttocks presenting at the cervix?

Frank breech

During labor, contractions cause the cervix to efface and dilate. Effacement is determined by a vaginal examination and is described as a percentage of the original cervical length. What is the cervix like when it is 100% effaced?

Thin and slick

What is the average duration of a contraction?

45 to 50 seconds

How is the intensity of a contraction described?

Mild, moderate, or strong

What is the interval in relation to contractions?

The amount of time between contractions

Which part of the pelvis is directly involved in childbirth?

The true pelvis

Which fontanelle is formed by the intersection of four sutures?

The anterior fontanelle

What can reduce or eliminate the natural urge to push during childbirth?

Epidural analgesia

What can excessive anxiety or fear during labor cause?

All of the above

Which of the following birth settings allows the mother and infant to remain in the same room until discharge?

Labor, delivery, recovery, and postpartum room

What is a disadvantage of giving birth at home?

Limited choice of birth attendants

What are the two powers of labor?

Uterine contractions and the mother's pushing efforts

What are some advantages of freestanding birth centers?

Homelike setting for the low-risk woman

Which of the following is a traditional birth practice that may vary depending on cultural background?

Presence of a support person during labor and delivery

What is the term for a vaginal birth after a previous cesarean section?

Trial of labor after cesarean

In which settings can a woman choose to deliver her child?

All of the above

What is the role of the bedside nurse in the labor and delivery unit?

To protect the privacy and rights of the mother

Which fetal presentation is considered most favorable for normal labor?

ROA

Which presentation is associated with a longer, 'back labor' birth process?

RMP

Which presentation is associated with the occiput facing the posterior section of the woman's pelvis?

RMP

Which presentation involves the mentum facing anteriorly on the left side?

LMA

Which presentation involves the sacrum facing posteriorly on the right side?

RSP

Which presentations are not included in the given text because they occur infrequently?

Brow, military, and shoulder presentations

Which of the following birth settings is commonly referred to as a labor, delivery, and recovery (LDR) room?

Hospital birthing room

What is the term used to describe the process of the cervix opening during labor?

Dilation

Which fetal presentation is characterized by the head being fully extended and the face presenting?

Face presentation

What is the term used to describe the rhythmic contractions of the uterus during labor?

Contractions

Which term refers to the bluish discoloration of the hands and feet of a newborn shortly after birth?

Acrocyanosis

What is the term used to describe the thinning and shortening of the cervix during labor?

Effacement

What is the term used to describe the process of the baby's head becoming visible at the vaginal opening during labor?

Crowning

What is the term used to describe the stretching and shaping of the baby's head to fit through the birth canal?

Molding

Which part of the pelvis is directly involved in childbirth?

Outlet

What is the term used to describe the rhythmic contractions of the uterus during labor?

Labor

What is the term used to describe the process of the cervix opening during labor?

Dilation

Which of the following is a traditional birth practice that may vary depending on cultural background?

Epidural analgesia

During labor, contractions cause the cervix to efface and dilate. What is effacement?

The cervix becomes thinner and shorter

What is the term used to describe the average time from the beginning of one contraction to the beginning of the next?

Frequency

What is the approximate strength of a mild contraction?

Fundus is easily indented with the fingertips

When the woman's cervix is fully dilated, she adds voluntary pushing to involuntary uterine contractions. What is this stage of labor called?

Stage 2

Which fetal presentation is the most common and favorable for a vaginal birth?

Vertex presentation

Which fetal presentation involves the head being fully extended and the face presenting?

Face presentation

Which fetal presentation involves the buttocks presenting at the cervix?

Frank breech

Which term is used to describe how the head is oriented if the fetus is in a cephalic vertex presentation?

Occiput

Which of the following birth settings is often operated by full-service hospitals and attended by certified nurse-midwives?

Freestanding birth center

What is the term used to describe the process of the cervix opening during labor?

Dilation

What are the two primary powers of labor?

Uterine contractions and maternal pushing efforts

What are some advantages of hospital-based birth settings?

Preregistration, easy access to specialized services, and family-centered care

Which fetal presentation is characterized by the head being fully extended and the face presenting?

LSA

What is the term for a vaginal birth after a previous cesarean section?

VBAC

Which presentation involves the sacrum facing posteriorly on the right side?

RSA

What is the term used to describe the rhythmic contractions of the uterus during labor?

Contractions

Which fetal presentation is considered most favorable for normal labor?

ROA

What can excessive anxiety or fear during labor cause?

Slower progress

Which term refers to the bluish discoloration of the hands and feet of a newborn shortly after birth?

Acrocyanosis

What is the term used to describe the stretching and shaping of the baby's head to fit through the birth canal?

Molding

Which fetal presentation involves the buttocks presenting at the cervix?

Footling breech

What is the term used to describe the process of the cervix opening during labor?

Dilate

Which part of the pelvis is directly involved in childbirth?

The outlet

What is the term used to describe the stretching and shaping of the baby's head to fit through the birth canal?

Molding

Which presentation involves the mentum facing anteriorly on the left side?

Brow presentation

What is the term used to describe the process of the cervix opening during labor?

Dilation

Which fetal presentation is the most common and favorable for a vaginal birth?

Vertex presentation

What is the term used to describe the process of the cervix opening during labor?

Dilation

Which presentation involves the sacrum facing posteriorly on the right side?

Right sacrum posterior

What is the term used to describe the rhythmic contractions of the uterus during labor?

Uterine contractions

During labor, contractions cause the cervix to efface and dilate. What is effacement?

The process of the cervix thinning

What is the term used to describe the period of increasing strength during a contraction?

Increment

What is the approximate strength of a moderate contraction described as?

Fundus can be indented with the fingertips but with more difficulty; the fundus of the uterus feels similar to the chin

What is the average time from the beginning of one contraction to the beginning of the next called?

Frequency

Which of the following birth settings allows the mother and infant to remain in the same room until discharge?

Hospital-based birth setting

What are some advantages of freestanding birth centers?

Low costs due to lack of expensive departments

What are the primary powers of labor?

Uterine contractions and the mother's pushing efforts

What are some disadvantages of giving birth at home?

Limited choice of birth attendants

Which term refers to a test used to determine the pH level of vaginal fluid during pregnancy?

Nitrazine test

What is the term used to describe the condition where the umbilical cord is wrapped around the fetus's neck?

Nuchal cord

What is the term for an infection of the eyes in a newborn, usually caused by exposure to a mother's sexually transmitted infection during delivery?

Ophthalmia neonatorum

What is the term for the condition where the fetal heart rate shows temporary decreases during labor?

Prolonged decelerations

Which fetal presentation is characterized by the head being fully extended and the face presenting?

Left mentum anterior

What is the term used to describe the process of the baby's head becoming visible at the vaginal opening during labor?

Crowning

Which fetal presentation is the most common and favorable for a vaginal birth?

Left occiput anterior

Which presentation involves the sacrum facing posteriorly on the right side?

Right sacrum posterior

What is the term used to describe the average time from the beginning of one contraction to the beginning of the next?

Frequency

Which part of the pelvis is directly involved in childbirth?

Sacrum

Which term refers to the process of the cervix opening during labor?

Dilation

What is the term used to describe the rhythmic contractions of the uterus during labor?

Tachysystole

Which fetal presentation involves the buttocks presenting at the cervix?

Breech presentation

What are the primary powers of labor?

Contractions and pushing

How is effacement of the cervix determined?

Through vaginal examination

What is the term used to describe the period of increasing strength during a contraction?

Increment

What is the average dilation for a fully dilated cervix?

10 cm

What is the approximate strength of a firm contraction described as?

Similar to the forehead

What is the term used to describe the bluish discoloration of the hands and feet of a newborn?

Acrocyanosis

What is the term used to describe the rupture of the amniotic sac during labor?

Amniotomy

What is the term used to describe the process of the cervix thinning and shortening during labor?

Efface

What is the term used to describe the rhythmic contractions of the uterus during labor?

Powers

Which part of the pelvis is directly involved in childbirth?

The true pelvis

What is the term used to describe the process of the cervix opening during labor?

Dilation

Which fetal presentation involves the buttocks presenting at the cervix?

Breech presentation

What is the term used to describe the stretching and shaping of the baby's head to fit through the birth canal?

Molding

Which fetal presentation is characterized by the head being fully flexed and the smallest possible diameter of the head entering the pelvis?

Vertex presentation

Which fetal presentation is characterized by the head being neither flexed nor extended?

Military presentation

Which fetal presentation is characterized by the head being fully extended and the face presenting?

Face presentation

Which presentation involves the sacrum facing posteriorly on the right side?

Right sacrum posterior

What are the advantages of hospital-based birth settings?

Preregistration, access to specialized personnel, family-centered care

What are the advantages of freestanding birth centers?

Homelike setting, lower costs, certified nurse-midwives

What are the advantages of a home birth?

Control over who is present, low risk of acquiring pathogens, low-technology birth

What are the primary powers of labor?

Uterine contractions and the mother's pushing efforts

Which fetal presentation is most favorable for normal labor?

LOA

What is the term for the presentation where the occiput faces the posterior section of the woman's pelvis?

ROA

Which presentation involves the mentum facing anteriorly on the left side?

LMA

What are the abbreviations for the right occiput transverse and left occiput transverse presentations, respectively?

LOT, RSP

Which presentation is associated with a longer, 'back labor' birth process?

OP

Which fetal presentation is characterized by the head being fully extended and the face presenting?

LMA

Which term refers to the process of the cervix thinning and shortening during labor?

Effacement

What is the term used to describe the rupture of the amniotic sac during labor?

Amniotomy

Which part of the pelvis is directly involved in childbirth?

Outlet

What is the term used to describe the rhythmic contractions of the uterus during labor?

Contractions

What is the term used to describe the process of the cervix thinning and shortening during labor?

Effacement

What is the average duration of a contraction?

30 to 45 seconds

What is the approximate strength of a mild contraction?

Similar to the tip of the nose

What is the term used to describe the period of increasing strength during a contraction?

Increment

Which fetal presentation is characterized by the head being fully extended and the face presenting?

Face presentation

What is the most common presentation in childbirth?

Vertex presentation

What is the term used to describe how the head is oriented if the fetus is in a cephalic vertex presentation?

Occiput

Which fetal presentation involves the buttocks presenting at the cervix?

Frank breech

Which term refers to the process of the cervix opening during labor?

Dilation

What is the term used to describe the rhythmic contractions of the uterus during labor?

Powers

Which presentation involves the sacrum facing posteriorly on the right side?

Right occiput posterior

What is the term used to describe the average time from the beginning of one contraction to the beginning of the next?

Frequency

Which part of the pelvis is directly involved in childbirth?

The true pelvis

What is the term used to describe the process of the baby's head changing shape as it passes through the pelvis?

Molding

Which fontanelle is formed by the intersection of four sutures and has a diamond shape?

The anterior fontanelle

What is the most common orientation of the fetus to the mother's spine?

Longitudinal lie

Which of the following birth settings is operated by full-service hospitals and often attended by certified nurse-midwives?

Freestanding birth centers

What is the main advantage of hospital-based birth settings?

Preregistration

Which of the following is a disadvantage of giving birth at home?

Limited choice of birth attendants

What are the primary powers of labor?

Uterine contractions and the mother's pushing efforts

Which fetal presentation is associated with a longer, 'back labor' birth process?

OA

Which presentation involves the sacrum facing posteriorly on the right side?

RSA

Which presentation involves the mentum facing anteriorly on the left side?

LMA

What is the term used to describe the process of the cervix opening during labor?

Dilation

What are the primary powers of labor?

Contractions and pushing

What is the term used to describe the rhythmic contractions of the uterus during labor?

Contractions

True or false: Vertex presentations include LOA, ROA, ROT, and LOT positions.

True

True or false: Face presentations include LMA, RMA, LMP, and RMP positions.

True

True or false: Breech presentations include LSA, RSA, LSP, and RSP positions.

True

True or false: Brow, military, and shoulder presentations occur frequently.

False

True or false: The occiput facing the posterior section of the woman's pelvis is associated with a longer, 'back labor' birth process.

True

True or false: The ROA or LOA position is most favorable for normal labor.

True

True or false: Abbreviations for brow, military, and shoulder presentations are included in the text.

False

True or false: The vertex presentation involves the head being fully extended and the face presenting.

False

True or false: The right occiput transverse and left occiput transverse presentations are not included in the text.

False

True or false: The sacrum facing posteriorly on the right side is associated with a longer, 'back labor' birth process.

True

Test your knowledge on fetal attitude and presentation with this quiz. Learn about the normal fetal attitude of flexion and its implications during labor, as well as the concept of presentation and the different fetal parts that enter the pelvis first.

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