Pregnancy and Normal Labor Exam

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Questions and Answers

Hypertensive disorders of pregnancy are the most common medical complications, affecting what percentage of pregnancies?

  • 2-5%
  • 7-15% (correct)
  • 20-25%
  • 30-35%

Gestational hypertension is diagnosed when blood pressure is 120/80 mmHg or higher.

False (B)

What is defined as the stage of labor that ends with the delivery of the placenta?

Third stage of labor

Severe preeclampsia is defined when blood pressure is ____ mmHg or higher.

<p>160/110</p> Signup and view all the answers

Which is considered the 2nd most common cause of maternal mortality?

<p>Preeclampsia (A)</p> Signup and view all the answers

Match the following terms related to labor stages with their definitions:

<p>First Stage of Labor = Onset of true uterine contractions Second Stage of Labor = Delivery of the baby Third Stage of Labor = Delivery of the placenta Uterine Contractions = Rhythmic tightening of the uterus</p> Signup and view all the answers

Signs of placental separation include vaginal bleeding and lengthening of the umbilical cord.

<p>True (A)</p> Signup and view all the answers

What condition is characterized only by hypertension and proteinuria during pregnancy?

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

Which of the following factors affects the process of labor?

<p>All of the above (D)</p> Signup and view all the answers

The fourth stage of labor begins after the delivery of the placenta.

<p>True (A)</p> Signup and view all the answers

What is the duration of the first stage of labor in a primigravida?

<p>10-16 hours</p> Signup and view all the answers

The period from the beginning of one contraction to the beginning of the next contraction is called the ______.

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

Match the stages of labor to their descriptions:

<p>First stage = Cervical dilatation begins Second stage = Delivery of the baby Third stage = Delivery of the placenta Fourth stage = Recovery phase</p> Signup and view all the answers

Which of the following physiological changes occur during the first stage of labor?

<p>All of the above (D)</p> Signup and view all the answers

Preeclampsia is diagnosed only by the presence of hypertension.

<p>False (B)</p> Signup and view all the answers

What happens during the second stage of labor?

<p>Delivery of the baby</p> Signup and view all the answers

Flashcards

Preeclampsia

A serious pregnancy complication characterized by high blood pressure and protein in the urine.

Gestational Hypertension

High blood pressure that develops during pregnancy.

Eclampsia

The most severe form of preeclampsia, characterized by seizures.

Normal Labor

The process of childbirth, involving regular uterine contractions that cause the cervix to dilate and the baby to move down the birth canal.

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First Stage of Labor

The longest stage of labor, beginning with the onset of regular and painful uterine contractions and ending with complete cervical dilatation.

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Second Stage of Labor

The stage of labor where the baby is pushed out of the birth canal.

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Third Stage of Labor

The shortest stage of labor, starting from the delivery of the baby and ending with the delivery of the placenta.

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Uterine Contractions

Muscular contractions of the uterus that help dilate the cervix and push the baby out during labor.

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Contraction interval

The period between the beginning of one uterine contraction and the beginning of the next.

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Contraction duration

The period from the beginning to the end of a single uterine contraction.

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Contraction intensity

The intensity of a contraction refers to its strength.

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Fourth stage of labor

The stage of labor that begins with the delivery of the placenta and continues for about two hours after delivery. During this stage, the uterus contracts to stop bleeding and the mother recovers physically.

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False labor

A type of labor where contractions are irregular and not strong enough to cause cervical dilation.

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Study Notes

Pregnancy and Normal Labor Exam

  • Exam Part 1: Definitions (10 points)

    • Preeclampsia: Hypertensive disorder, a complication of pregnancy.
    • Gestational hypertension: High blood pressure during pregnancy, not associated with protein in the urine.
    • Eclampsia: Severe preeclampsia, characterized by seizures.
    • Normal Labor: Typical physiological process of childbirth.
    • First Stage of Labor: Begins with uterine contractions and ends with full cervical dilation.
    • Second Stage of Labor: Characterized by strong contractions and pushing efforts to deliver the baby.
    • Third Stage of Labor: Includes delivery of the placenta.
    • Uterine Contractions: Regular muscular contractions of the uterus.
    • Cervical Dilation: Opening of the cervix enabling passage of the baby.
  • Exam Part 2: Multiple Choice (20 points)

    • Hypertensive disorders in pregnancy prevalence: Affecting 20-25% of pregnancies.
    • Leading cause of maternal mortality: Preeclampsia.
    • Diagnosis of pregnancy hypertension: Blood pressure of 140/90 mmHg or higher.
    • Preeclampsia definition: Hypertension and proteinuria during pregnancy.
    • Severe preeclampsia blood pressure: 160/110 mmHg or higher.
    • Risk factors for preeclampsia: First pregnancy, age under 18 or over 35, obesity, and multiparity.
  • Exam Part 3: True/False (20 points)

    • True facts and false facts for pregnancy complications, stages of labor, and related concepts.
      • Age less than 18 & obesity are risk factors for preeclampsia.
      • Preeclampsia is diagnosed based on hypertension.
      • Eclampsia can not occur before week 20 of pregnancy.
      • Normal labor isn't consistently characterized by complications for the mother and developing baby.
      • False labor does not include consistent & strong contractions.

Additional Information (from the OCR)

  • Proteinuria: Protein in the urine, a sign of preeclampsia. Higher than 300 mg in 24 hours is indicative in pre-eclampsia.
  • Serious stage of preeclampsia: Eclampsia.
  • First stage of labor: Onset of regular, true contractions.
  • Second stage of labor: Includes contractions and baby delivery.
  • Third stage of labor: Placenta delivery.
  • Signs of placental separation: Vaginal bleeding, shrinking & mobile uterus.
  • Factors affecting labor: Fetal size, uterine contraction strength, and maternal condition.
  • Contraction phases (interval, frequency, duration): Details of contraction durations in maternal labor.
  • Stages of labor (phases): First, second and third stages of cervical dilatation and delivery.
  • Physiological changes during labor: Changes are physiological, and in the stages of cervical dilatation.
  • Duration of first stage of labor: Can last for 10-16 hours or more or 4-6 hours in a secondary pregnancy.
  • Postpartum period: The time after delivery.

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