Signs and Symptoms of Labor
This occurs when the pregnant client has a burst of energy and begins to clean the entire house.
What is "nesting."
This is the cervical dilation that occurs in the First Stage of Labor
What is widening of the cervix to allow for the fetal head to pass through the vaginal canal. (0-10 cm)
True or False: A baby's head is built to pass through the vaginal opening from a front-facing position.
What is False. The head must internally rotate before passage can occur through the vaginal opening.
This is part of the 7 Cardinal Signs of Labor
Name an example of non-pharmacological pain relief methods during labor and delivery.
What is aromatherapy, massage, touch, walking, hydrotherapy, music, deep breathing, meditation, imagery, heat/cold, birthing ball, tub etc.
These are two tests that may be performed to determine if the amniotic membranes have ruptured.
What is the Fern test or the Nitrazine Paper Test.
This is when a woman says that her "water broke?"
What is the fluid (amniotic) sac around the baby breaks, causing a release of fluid to escape the vaginal opening. (SROM)
This is the effacement of the cervix & how it's measured.
What is thinning and shortening of the cervix to allow for easier passage of the fetal head during the first stage of labor. (measured from 0-100 %)
This is the most common position for labor and delivery in a hospital setting.
What is lithotomy position.
This has been found to be the most important factor for pain control during labor and delivery, according to research.
What is attendance of mother in childbirth preparation classes & personal support.
This is the MOST important intervention that a nurse can perform during labor and delivery.
What is support for the laboring woman.
This is referred to the "bloody show"
What is cervical mucus release or dropping of mucus plug.
This happens during the the third stage of labor.
What occurs right after the delivery of the baby & delivery of the placenta.
Name an indication for having a cesarean section over a vaginal birth.
What is cord prolapse, difficult labor or past c-section delivery, early separation of placenta, improper placement of the placenta, ecclampsia.
This is the reason why pain meds are not given within the hour of birth or after 7 cm.
What are some medications can impact the fetus if administered too close to the birth (causing respiratory depression).
This is the timeframe a nurse would initiate skin to skin contact.
Name at least one benefit of this.
What is immediately after birth (within the hour).
To promote breastfeeding and/or prevent heat loss in the newborn.
This is the feeling of the dropping of the fetal head into the lower pelvic area.
What is "lightening."
These are the names of the three phases during the 1st stage of labor.
What is Early (Latent), Active and Transitional phases.
This is the name of the desired cut upon either the abdomen or uterus for a cesarean section.
What is a "bikini cut" (a transverse incision of the uterus.)
This is an epidural, and what is the biggest side effect.
What is a form of anesthesia that is administered to mothers in labor both for vaginal and cesarean births that helps to numb the pain of labor (may affect the mother's ability to push.)
Hypotension (make sure IVF are given to prevent hypotension)
Name a complication that could occur during the process of labor and delivery that a nurse must monitor for.
What is dystocia (slow progression of labor), appearance of cord, decrease in fetal heart rate (signs of fetal distress: late decels on the monitor etc.)
This occurs when contractions become more intense with walking and changing of positions.
What is "True Labor" vs. "False Labor."
This occurs during the 4th stage of labor.
What is recovery, return of normal body processes and functions (postpartum during the first 4 hours).
These are the primary goals of the fourth stage of labor.
(Name at least two)
What is focus on postpartum bleeding, and bonding between Mom and Baby.
This may given to a patient who is undergoing laceration or epis. repair by the HCP.
What is a local anesthetic?
Name at least two of the four characteristics of uterine contractions that a nurse would assess and document based on the FHR pattern.
What is frequency, intensity, duration, and resting tone.