Normal Labor Dr/ Treza Saber 2023-2024 Objectives
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Questions and Answers

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?

    <p>Stress &amp; anxiety</p> Signup and view all the answers

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

    <p>First stage</p> Signup and view all the answers

    What is the definition of normal labor?

    <p>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</p> Signup and view all the answers

    What is the premonitory sign known as Lightening in labor?

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

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

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

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

    <p>Frequency of micturition &amp; difficulty in walking</p> Signup and view all the answers

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

    <p>Prodromal labor</p> Signup and view all the answers

    Puerperium is also known as postnatal period or ______

    <p>postpartum period</p> 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 ______

    <p>ambulation</p> Signup and view all the answers

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

    <p>puerperium</p> 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 ______

    <p>anesthesia</p> Signup and view all the answers

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

    <p>6 weeks</p> 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

    <p>postpartum</p> Signup and view all the answers

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

    <p>color</p> Signup and view all the answers

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

    <p>color</p> Signup and view all the answers

    Lochia alba (10-15 days) ______ in color

    <p>white</p> Signup and view all the answers

    Suckling stimulates prolactin secretion which causes milk production and ______ secretion

    <p>oxytocin</p> Signup and view all the answers

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