Chapter 13 mother baby
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Questions and Answers

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?

    <p>It is known as a bloody show.</p> 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.

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

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

    <p>Put the baby on the monitor</p> Signup and view all the answers

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

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

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

    <p>Patient can't talk or walk</p> Signup and view all the answers

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

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

    How can you measure contraction strength?

    <p>By checking the nose, chin, and forehead</p> Signup and view all the answers

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

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

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

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

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

    <p>Passageway, Passenger, Powers, Position, and Psychological response</p> Signup and view all the answers

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

    <p>Passageway = Birth canal: pelvis and soft tissue Passenger = Fetus and placenta Powers = contractions Position = maternal</p> 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.

    <p>Psychological response</p> 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?

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

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

    <p>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</p> 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)

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

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

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

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

    <p>inlet</p> 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.

    <p>11.5 and 10</p> Signup and view all the answers

    What is the preferred pelvis shape for childbirth?

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

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

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

    Which pelvis shape indicates a male pelvis?

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

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

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

    What are the three types of breech presentations?

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

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

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

    At what station does fetal engagement occur?

    <p>Station 0</p> Signup and view all the answers

    What are the two optimal positions for vaginal birth?

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

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

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

    Babies can do an internal rotation of up to ____ degrees

    <p>45</p> Signup and view all the answers

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

    <p>Descent</p> 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)

    <p>Pressure of the amniotic fluid</p> 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?

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

    What occurs after internal rotation is complete?

    <p>Extension of the fetal head</p> Signup and view all the answers

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

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

    Match

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

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

    <p>Latent phase, Active phase, Transition phase</p> Signup and view all the answers

    Match

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

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