Podcast
Questions and Answers
What is the duration of the first stage of normal labor in a primigravida?
What is the duration of the first stage of normal labor in a primigravida?
- 3-5 hours
- 6-8 hours (correct)
- 14-16 hours
- 10-12 hours
Which option best describes what happens at the end of the first stage of labor?
Which option best describes what happens at the end of the first stage of labor?
- Birth of the baby
- Rupture of the bag of waters
- Complete dilatation of the cervix (correct)
- Appearance of show
What should be carefully assessed during the fourth stage of labor?
What should be carefully assessed during the fourth stage of labor?
- Cervical lacerations
- Total uterine involution
- Early breastfeeding initiation
- Uterine atony (correct)
If a multipara has a cervix at 8 cm, completely effaced, and at 0 station, what phase of labor is she in?
If a multipara has a cervix at 8 cm, completely effaced, and at 0 station, what phase of labor is she in?
What observation would suggest that placental separation is occurring?
What observation would suggest that placental separation is occurring?
Which factor is NOT considered a premonitory sign of labor?
Which factor is NOT considered a premonitory sign of labor?
What is the term for the period between the start of one contraction and its end?
What is the term for the period between the start of one contraction and its end?
Which assessment finding is most indicative of fetal distress?
Which assessment finding is most indicative of fetal distress?
When does crowning occur in the process of normal delivery?
When does crowning occur in the process of normal delivery?
What is the primary mechanism of birth for the fetal head in normal labor?
What is the primary mechanism of birth for the fetal head in normal labor?
During which stage of labor does the complete delivery of the placenta occur?
During which stage of labor does the complete delivery of the placenta occur?
What defines the power or strength of uterine contractions?
What defines the power or strength of uterine contractions?
What phase of uterine contraction is described as the gradual increase to peak intensity?
What phase of uterine contraction is described as the gradual increase to peak intensity?
What term describes the period between the start of one contraction and its end?
What term describes the period between the start of one contraction and its end?
Which factors are included under the term 'passengers' affecting normal labour?
Which factors are included under the term 'passengers' affecting normal labour?
What is the term for the forward falling of the uterine fundus that makes the abdomen look like a shelf?
What is the term for the forward falling of the uterine fundus that makes the abdomen look like a shelf?
What is a common misconception about primary powers during labor?
What is a common misconception about primary powers during labor?
What is the purpose of expulsive uterine contractions?
What is the purpose of expulsive uterine contractions?
How is Duncan's placental separation defined?
How is Duncan's placental separation defined?
Which of the following statements about the active phase of labor is true?
Which of the following statements about the active phase of labor is true?
What does the physiological ring during labor indicate?
What does the physiological ring during labor indicate?
Flashcards
Interval of contraction
Interval of contraction
The period between the start of one contraction and its end.
Intensity of Contraction
Intensity of Contraction
The amount of pressure generated by the uterus during a contraction.
Effacement
Effacement
The process of the cervix thinning and opening during labor.
Engagement
Engagement
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Third stage of Labor
Third stage of Labor
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Second stage of Labor
Second stage of Labor
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Schultz's Placental Separation
Schultz's Placental Separation
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Duncan's Placental Separation
Duncan's Placental Separation
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Uterine Hypoplasia
Uterine Hypoplasia
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Frequency of contraction
Frequency of contraction
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Duration of contraction
Duration of contraction
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Primary powers of labor
Primary powers of labor
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Effacement of the cervix
Effacement of the cervix
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Expulsive contractions
Expulsive contractions
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Physiological ring
Physiological ring
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Study Notes
Premonitory Signs of Labor (Except)
- True labor pain is not an exception to premonitory signs of labor.
Crowning in Normal Delivery
- In normal delivery, crowning (the visible presentation of the fetal head at the vaginal opening) happens after the extension of the head.
- This is classified as False.
Mechanism of Head Birth in Labor
- The head is delivered during labor by both flexion and extension.
Fetal Distress Assessment
- A decrease in the amount of bloody show is most indicative of fetal distress.
Uterine Contraction Period
- The duration of a uterine contraction is the time between the start and the end of the contraction.
Placental Separation
- Schultz's placental separation describes the separation of the placenta first at its center, then at the edges.
Uterine Fundal Position
- Shelf-like presentation of the upper abdomen, due to the forward tilting of the uterine fundus, is called shelfing.
Uterine Contraction Phases
- Increment, acme, and decrement are the phases of uterine contraction.
True Labor Pain Characteristics
- Irregular uterine contractions with short durations are not considered true labor pains.
Neuromuscular Harmony
- Neuromuscular harmony between the upper and lower uterus segments is known as polarity.
Cervical Effacement
- Cervical effacement is the thinning and shortening of the cervix before and during labor.
Assessing Labor Intensity
- Nurses assess the power of uterine contraction by palpating the uterine fundus.
Intensity of Uterine Contraction
- The intensity of uterine contraction refers to the strength of the uterine contraction.
Stages of Labor - Third Stage
- The third stage of labor begins with the delivery of the baby and ends with the delivery of the placenta.
Placental Separation (True or False)
- Placental separation starting at the center and then along the edges is true. Placental separation is considered the beginning of the third stage of labor.
Primary Powers of Labor
- Uterine contractions and retractions are the primary powers of labor.
Physiological Ring Definition
- The physiological ring during labor refers to the neuromuscular harmony between the upper and lower segments of the uterine.
Physiological Changes During Second Stage of Labor
- Active bearing down by the abdominal and diaphragmatic muscles are the main physiological changes during the second stage of labor.
Expulsive Uterine Contractions
- Expulsive uterine contractions are not a sign of the first stage of labor.
Duration of First Stage of Labor
- The duration of the first stage of labor in a primigravida is typically 6-8 hours.
True vs. False Labor
- True labor pains are characterized by the absence of bloody show.
Latent Phase of Labor
- The latent phase is considered a part of true labor.
Definitions
- Effacement: Thinning and shortening of the cervix during labor.
- Polarity: The harmonious neuromuscular coordination between the upper and lower uterus segments.
Cervical Dilation in Labor
- Cervical dilation is essential for the fetus to pass through the birth canal.
Assessment Findings During Fourth Stage of Labor
- The nurse assesses for uterine atony in the fourth stage of labor.
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