Theories of Labor Onset in Nursing and Midwifery

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Questions and Answers

According to the Fetal Adrenal Response theory, what initiates labor contractions?

  • Hormones from the fetal adrenal and pituitary glands (correct)
  • Uterine distention
  • Hormones from the maternal pituitary gland
  • Oxytocin production by the placenta

What effect does oxytocinase have on uterine contractions, according to the Oxytocin Stimulation theory?

  • Decreases maternal pituitary hormone production
  • Inhibits uterine contractions (correct)
  • Increases fetal adrenal hormone production
  • Stimulates uterine contractions

As per the Uterine Stretch theory, what stimulates uterine contractions?

  • Hormones from the maternal pituitary gland
  • Fetal adrenal hormone production
  • Oxytocin production by the placenta
  • Distention of the uterus (correct)

Which theory proposes that the uterus becomes increasingly sensitive to oxytocin as pregnancy nears term?

<p>Oxytocin Stimulation theory (C)</p> Signup and view all the answers

According to the Fetal Adrenal Response theory, what is responsible for initiating labor contractions?

<p>Fetal adrenal and pituitary glands (D)</p> Signup and view all the answers

What causes the uterus to contract and empty itself, according to the Uterine Stretch theory?

<p>Uterine distention (D)</p> Signup and view all the answers

What is the mechanism by which progesterone helps to maintain pregnancy?

<p>By relaxing the smooth muscles of the uterus (A)</p> Signup and view all the answers

What is the role of prostaglandin in initiating labor according to the Prostaglandin Theory?

<p>It initiates labor by promoting uterine contractions (A)</p> Signup and view all the answers

What is the impact of increased arachidonic acid in the amniotic fluid during labor?

<p>Increased production of prostaglandin (B)</p> Signup and view all the answers

According to the Theory of the Aging Placenta, what allows the concentration of prostaglandin and estrogen to rise steadily?

<p>Decreased efficiency of the placenta (A)</p> Signup and view all the answers

What are the preliminary signs of labor related to increased uterine activity?

<p>Stronger, longer, and more frequent contractions and significant degree of effacement (A)</p> Signup and view all the answers

What is the impact of 'Lightening' before or during labor?

<p>Relief of dyspnea and increased vaginal discharge (A)</p> Signup and view all the answers

What is 'Floating' in the context of labor?

<p>When the head is still moveable above the pelvic inlet on palpation (A)</p> Signup and view all the answers

What is 'Engagement' in the context of labor?

<p>The descent of the biparietal plane of the fetal head to a level of the ischial spine (A)</p> Signup and view all the answers

What is 'Fixation' in the context of labor?

<p>'Lightening' settling of presenting part to pelvic brim or inlet (C)</p> Signup and view all the answers

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