Chapter 13 mother baby

One of the premonitory signs of labor, cervical softening, is also known as:

Effacement (correct)

Dilatation

Engagement

Station

This premonitory sign of labor is when the baby drops.

Lightening (correct)

Engagement

Fetal descent

False labor

When __________ happens, mothers will feel more pelvic pressure, less acid reflux, and breathing becomes easier.

bloody show

lightening (correct)

ROM

none of the above

What does slight blood tinged on toilet paper indicate in the context of premonitory signs of labor?

It is known as a bloody show. Signup and view all the answers

Braxton Hicks contractions are positional. So if you are walking and then you stop walking and the contraction stops, it is not true labor.

True Signup and view all the answers

After rupture of membranes (ROM), what is the first thing you should do?

Put the baby on the monitor Signup and view all the answers

With AROM (artificial rupture of membranes) the biggest risk is

Prolapsed cord Signup and view all the answers

What are the signs of true labor? Select all that apply.

Patient can't talk or walk Signup and view all the answers

Contraction _____________ is determined by measuring from the start of one contraction to the start of another contraction.

timing Signup and view all the answers

How can you measure contraction strength?

By checking the nose, chin, and forehead Signup and view all the answers

A true labor contraction starts at the back and radiates around to the front.

True Signup and view all the answers

When do we want a laboring patient to come to the hospital? (Select all that apply)

When contractions are 5 minutes apart lasting 45-60 seconds Signup and view all the answers

What are the 'Five P's' affecting labor and birth?

Passageway, Passenger, Powers, Position, and Psychological response Signup and view all the answers

Critical factors affecting labor (4 out of 5 of them)

Passageway = Birth canal: pelvis and soft tissue Passenger = Fetus and placenta Powers = contractions Position = maternal Signup and view all the answers

This factor of labor is the last of the 5 P's and is how the mother is feeling, who is there with her, her breathing control, etc.

Psychological response Signup and view all the answers

Out of the five additional factors affecting the labor process, which of the following factors pertains to comfort measures?

Pain control Signup and view all the answers

Five ADDITIONAL factors affecting the labor process (4 out of 5)

Philosophy = Low tech, high touch (do they want to be on all the monitors or very few) Partners = Support caregivers (we want them to be ACTIVE participants) Patience = Natural timing Patient preparation = Childbirth knowledge base Signup and view all the answers

What hormones cause the connective tissues to become more relaxed and elastic and cause the joints to become more flexible to prepare the mother’s pelvis for birth? (Select all that apply)

Estrogen Signup and view all the answers

The division of the false and true pelvis happens at the:

Linea terminalis Signup and view all the answers

What does the true pelvis consist of? (Select all that apply)

inlet Signup and view all the answers

The pelvis is large enough for birth if the diagonal conjugate measures at least cm and the true or obstetric conjugate measures cm or more.

11.5 and 10 Signup and view all the answers

What is the preferred pelvis shape for childbirth?

Gynecoid Signup and view all the answers

A birth can happen naturally if the pelvis has this shape: (Select all that apply)

Gynecoid Signup and view all the answers

Which pelvis shape indicates a male pelvis?

Android Signup and view all the answers

Which presentations are considered cephalic (vertex)? (Select all that apply)

Military Signup and view all the answers

What are the three types of breech presentations?

Frank breech, Complete/Full breech, Footling/incomplete breech Signup and view all the answers

What is the preferred way for a baby to present during labor?

Cephalic position Signup and view all the answers

At what station does fetal engagement occur?

Station 0 Signup and view all the answers

What are the two optimal positions for vaginal birth?

LOA and ROA Signup and view all the answers

What term is used when engagement has not occurred because the presenting part is freely movable?

Floating Signup and view all the answers

Babies can do an internal rotation of up to ____ degrees

45 Signup and view all the answers

_______ is the downward movement of the fetal head until it is within the pelvic inlet.

Descent Signup and view all the answers

Descent occurs intermittently with contractions and is brought about by one or more of which of the following forces: (SATA)

Pressure of the amniotic fluid Signup and view all the answers

What term describes the process that occurs as the vertex meets resistance from the cervix, the walls of the pelvis, or the pelvic floor?

Flexion Signup and view all the answers

What occurs after internal rotation is complete?

Extension of the fetal head Signup and view all the answers

What rotation of the fetal head allows the shoulders to rotate internally to fit the maternal pelvis?

External Signup and view all the answers

Match

Latent phase = all the way up to 6cm. Contractions 5-10min apart, mom is still excited and can communicate. Active phase = 6-8cm dilated, contractions 2-5min apart Transitional = 8-10 cm, moms start shaking and can become anxious Second stage = cervical dilation of 10cm through birth of baby Signup and view all the answers

What are the 3 phases of the first stage of labor?

Latent phase, Active phase, Transition phase Signup and view all the answers

Match

First stage of labor = You have your latent, active, and transitional Second stage of labor = from 10cm dilated through birth of baby Third stage of labor = Birth of infant through placental separation and expulsion Fourth stage of laboe = 1 to 4 hours following delivery Signup and view all the answers

Chapter 13 mother baby

Questions and Answers

One of the premonitory signs of labor, cervical softening, is also known as:

This premonitory sign of labor is when the baby drops.

When __________ happens, mothers will feel more pelvic pressure, less acid reflux, and breathing becomes easier.

What does slight blood tinged on toilet paper indicate in the context of premonitory signs of labor?

Braxton Hicks contractions are positional. So if you are walking and then you stop walking and the contraction stops, it is not true labor.

After rupture of membranes (ROM), what is the first thing you should do?

With AROM (artificial rupture of membranes) the biggest risk is

What are the signs of true labor? Select all that apply.

Contraction _____________ is determined by measuring from the start of one contraction to the start of another contraction.

How can you measure contraction strength?

A true labor contraction starts at the back and radiates around to the front.

When do we want a laboring patient to come to the hospital? (Select all that apply)

What are the 'Five P's' affecting labor and birth?

Critical factors affecting labor (4 out of 5 of them)

This factor of labor is the last of the 5 P's and is how the mother is feeling, who is there with her, her breathing control, etc.

Out of the five additional factors affecting the labor process, which of the following factors pertains to comfort measures?

Five ADDITIONAL factors affecting the labor process (4 out of 5)

What hormones cause the connective tissues to become more relaxed and elastic and cause the joints to become more flexible to prepare the mother’s pelvis for birth? (Select all that apply)

The division of the false and true pelvis happens at the:

What does the true pelvis consist of? (Select all that apply)

The pelvis is large enough for birth if the diagonal conjugate measures at least ____ cm and the true or obstetric conjugate measures ____ cm or more.

What is the preferred pelvis shape for childbirth?

A birth can happen naturally if the pelvis has this shape: (Select all that apply)

Which pelvis shape indicates a male pelvis?

Which presentations are considered cephalic (vertex)? (Select all that apply)

What are the three types of breech presentations?

What is the preferred way for a baby to present during labor?

At what station does fetal engagement occur?

What are the two optimal positions for vaginal birth?

What term is used when engagement has not occurred because the presenting part is freely movable?

Babies can do an internal rotation of up to ____ degrees

_______ is the downward movement of the fetal head until it is within the pelvic inlet.

Descent occurs intermittently with contractions and is brought about by one or more of which of the following forces: (SATA)

What term describes the process that occurs as the vertex meets resistance from the cervix, the walls of the pelvis, or the pelvic floor?

What occurs after internal rotation is complete?

What rotation of the fetal head allows the shoulders to rotate internally to fit the maternal pelvis?

Match

What are the 3 phases of the first stage of labor?

Match

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The pelvis is large enough for birth if the diagonal conjugate measures at least cm and the true or obstetric conjugate measures cm or more.