Term
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Definition
| A 4 stage process or sequence of events that begins with PROGRESSIVE CONSISTENT uterine contractions and ends 1 hour after delivery of baby |
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Term
| What is stage 1 of labor? |
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Definition
Rhythmic contractions to 10 cm cervix dilation
Latent phase
Active phase
Transition phase |
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Term
| Stage 2 is also called the? |
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Definition
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Term
| What is stage 2 of labor? |
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Definition
| Dilated cervix to birth of baby |
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Term
| What is the latent phase of stage 1 of labor? |
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Definition
Early stage of labor. Not much going on
Cervix will go from 1-3 cm dilated
Mild contractions |
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Term
| What is the active phase of stage 1 of labor? |
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Definition
More intense contractions
Cervix will go from 4-7 cm dilated |
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Term
| What is the transition phase of stage 1 of labor? |
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Definition
Very intense contractions
Cervix will go from 8-10 cm dilated |
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Term
| The transition stage is the most? |
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Definition
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Term
| What is stage 3 of labor? |
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Definition
| Birth of baby to delivery of placenta |
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Term
| What is stage 4 of labor? |
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Definition
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Term
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Definition
The structures the fetus passes through
Pelvis
Cervix
Vagina |
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Term
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Definition
Size and position
The baby |
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Term
| What are the 5 P's of labor? |
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Definition
Passageway
Passenger
Power
Position
Psyche |
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Term
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Definition
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Term
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Definition
Maternal position and gravity
Longer mom stays upright the better due to gravity |
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Term
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Definition
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Term
| What impacts whether or not mom can ambulate? |
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Definition
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Term
| What determines true and false pelvis? |
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Definition
The linea terminalis
Invisible line that goes across isheal spine
False on top and true on bottom |
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Term
| The fetus comes through the pelvic inlet then? |
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Definition
| Through the cavity then the outlet |
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Term
| What is the best pelvic shape for delivering the fetus? |
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Definition
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Term
| The cervix has to be what for the baby to be born? |
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Definition
Effaced and dilated
Open 10 cm |
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Term
| In order for the baby to be born mom has to be 100%? |
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
| Anything other then head is called? |
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Definition
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Term
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Definition
| Relationship of fetal parts to on another |
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Term
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Definition
| Head down arms up and legs up smallest part of head entering first |
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Term
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Definition
position of fetus long axis in relation to moms long axis
Longitudinal, transverse, oblique |
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Term
| What are the 3 phases of contractions? |
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Definition
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Term
| What does increment mean? |
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Definition
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Term
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Definition
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Term
| What does decrement mean? |
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Definition
| Letting up phase of contraction |
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Term
| What are the 3 descriptors of contractions? |
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Definition
Frequency
Duration
Intensity |
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Term
| What does Frequency mean? |
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Definition
How often
From beginning of one to start of the next |
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Term
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Definition
How long
From beginning to end of one contraction |
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Term
| What does intensity mean? |
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Definition
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Term
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Definition
Upper portion of the uterus
Detaches from wall with contractions |
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Term
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Definition
Traditional lithotomy position
Using gravity to assist with descent
Side lying (fetal distress)
Knee chest (prolapse cord_
Birthing beds
Water delivery |
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Term
| What is analgesic pain control? |
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Definition
| Provides emotional and physiological benefits but can interfere with respiratory system of new born. Not given if birth is anticipated within one hour |
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Term
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Definition
| Bring down perception of pain |
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Term
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Definition
| Used in latent phase allows mom to rest to conserve energy |
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Term
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Definition
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Term
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Definition
| Given during active phase |
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Term
| What are cultural implications? |
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Definition
| Some cultures view medications as a sign of maternal weakness |
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Term
| What is the general use of anesthesia? |
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Definition
| Used mostly during emergencies when quick intervention is necessary |
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Term
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Definition
Local in the perineum
Good for episiotomy |
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Term
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Definition
It blocks pain
Catheter in epidural space
Must have IV
P/T Maternal hypotension |
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Term
| What are the traits of spinal anesthesia? |
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Definition
Injection in to 3,4,5 space
Must lie flat/p/f headache |
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Term
| During continuous fetal monitoring you should? |
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Definition
FHR decreases during contraction
Temporary lack of oxygen
HR should return to 120 between contractions
Monitoring gives ongoing fetal status |
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Term
| During external fetal monitoring? |
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Definition
Fetal HR -120 -180
Intensity of contractions
Permanent record
Frequent adjustments needed |
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Term
| During internal fetal monitoring? |
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Definition
Saline filled catheter in place
Ruptured membranes
Accurate assessment
Monitors FHR
Intensity of contractions
Risk of infection
Permanent record |
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Term
| What are the S/S of impending labor? |
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Definition
Lightening
Braxton-Hicks contractions
Cervical changes
Increased energy
Weight loss
Rupture of amniotic membranes |
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Term
| What are the traits of true labor? |
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Definition
Regular intervals
Located in the back
Increased in frequency, duration and intensity
Walking intensifies
Cervical changes
Sedation doesn't decrease # |
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Term
| What are the traits of false labor? |
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Definition
Irregular intervals
Located in abdomen
No increase of frequency, duration, intensity
Walking eases
No cervical changes
Sedation decreases # |
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Term
| What are the mechanisms of labor? |
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Definition
Cardinal movements
-Engagement
-Descent
-Flexion
-Internal rotation
-Extension
-External rotation
-Explusion |
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Term
| During the latent phase of the first stage of labor it starts with? |
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Definition
Onset of contractions
Ends at 10 cm dilation |
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Term
| What are some more traits of the latent phase? |
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Definition
O-3 cm; longest
Effacement
Contractions q 20-q5
15-40 secs/mild |
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Term
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Definition
4-7 cm
Amniotic rupture
Contractions 2-5 mins
40-60 secs/mild-moderate |
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Term
| During the transition phase? |
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Definition
8-10 cm; fully effaced
Difficult for mom
Contractions q 2 mins/60-90 seconds |
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