Normal Labor Dr/ Treza Saber 2023-2024 Objectives

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What is a characteristic of true labor pain?

Short duration and not progressive

Progressive (increase in frequency, intensity, and duration) (correct)

Irregular contractions

Not relieved by sedation

What is the response of true labor pain to walking, hot fluids, and enema?

Mucous tinged/stained with blood

Relieved by walking, hot fluids, & enema

No show

Increased with walking, hot fluids, & enema (correct)

What are the primary powers in the process of labor?

Fetus, placenta membranes, blood, fluids, size of fetal head, fetal lie, fetal attitude

Abdominal muscles & diaphragm in the form of bearing down efforts (partly voluntary & partly involuntary)

Uterine contraction & retraction (involuntary) (correct)

Maternal psychological status

What affects the progress of labor by inhibiting uterine activity?

Stress & anxiety Signup and view all the answers

Which stage of labor is known as the 'Dilating Stage'?

First stage Signup and view all the answers

What is the definition of normal labor?

Spontaneous expulsion of a single full term viable fetus presented by the vertex, left occipito-anterior (LOA), through the birth canal, within 24 hours without interference or complications Signup and view all the answers

What is the premonitory sign known as Lightening in labor?

Descent of the mother's abdomen due to engagement of the fetal presenting part Signup and view all the answers

What is the condition referred to by 'Shelfing' during labor?

Falling forwards of the uterine fundus making the upper abdomen look like a shelf during standing position Signup and view all the answers

Which symptom indicates the engagement of the fetal head into the true pelvis during labor?

Frequency of micturition & difficulty in walking Signup and view all the answers

What is the term for the false labor pains experienced during the last few weeks of pregnancy?

Prodromal labor Signup and view all the answers

Puerperium is also known as postnatal period or ______

postpartum period Signup and view all the answers

Uterine involution is the process whereby the pelvic reproductive organs return to their pre-pregnant size and position, with the uterus losing weight from 900-1000gm after delivery to 60 gm at the end of 6 weeks. This process is influenced by factors such as uncomplicated labor and birth, breast feeding, and early, frequent ______

ambulation Signup and view all the answers

Subinvolution is the incomplete or delayed return of the uterus to its pre-gravid size during the ______

puerperium Signup and view all the answers

Hyperinvolution is the process by which the general organs return back to normal within a short time, while factors that slow uterine involution include prolonged labor, incomplete separation and expulsion of placenta, previous labors, distended (full) bladder, and ______

anesthesia Signup and view all the answers

The postpartum period begins as soon as the placenta is expelled and lasts for approximately ______

6 weeks Signup and view all the answers

LOCHIA Definition:- it is a uterine discharge coming through the vagina during the first 3-4 wks ______ Duration: 3-6 wks

postpartum Signup and view all the answers

Lochia rubra ( 1-3 days) bright red in ______

color Signup and view all the answers

Lochia serosa ( 4-9 days ) yellow pale in ______

color Signup and view all the answers

Lochia alba (10-15 days) ______ in color

white Signup and view all the answers

Suckling stimulates prolactin secretion which causes milk production and ______ secretion

oxytocin Signup and view all the answers

Normal Labor Dr/ Treza Saber 2023-2024 Objectives

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