Premonitory Signs of Labor
This state is sudden and usually occurs 24-48 hours before labor onset.
Burst of Energy or Nesting
Contractions every 5-15 minutes with intensity unchanged after an hour.
False - irregular contractions that do not increase in intensity
Gaps between the cranial bones that are not fused yet and allows the head to elongate and mold to the maternal bony pelvis
Sutures
Two phases of the first stage of labor.
Latent and Active
This fetal lie is the most conducive to a vaginal delivery
Longitudinal (and cephalic)
Pink-tinged mucus discharge
Bloody show
Cervix exam at 1100 3/50/-1
Cervix exam at 1300 4/50/-1
Cervix exam at 1700 5-6/30/-1
True labor - progressive cervical dilatation and effacement
Swelling or fluid collection on the scalp that crosses suture lines
Caput
Active phase of the first stage of labor begins when?
Cervical dilatation of 6 cm
This refers to the relationship between the presenting part and the ischial spine of the pelvis.
Station
Irregular contractions
Braxton-Hicks
Contractions every 4-6 minutes palpating mild
True labor - these are regular contractions
This fetal presentation has the buttocks presenting and both legs extended toward the head.
Frank breech
This stage of labor ends when the infant is delivered.
Second stage of labor
This maternal position(s) can reduce first and second stage of labor length, reduce episiotomies, and assisted births.
Upright and / or lateral
This is the most important assessment when membranes rupture.
FHR assessment / fetal assessment
Mild lower back cramping that is intermittent
True Labor
This fetal head position allows for the smallest diameter of the fetal head to present in the pelvis.
Flexion
This is the most important assessment during the fourth stage of labor.
Bleeding / fundus
Shortening of the cervix
Effacement
Pain that begins in the abdomen and radiates to the groin due to the downward and forward movement of the uterus
Lightening
Cervix exam 1000 4/50/-2 medium consistency
Cervix exam 1300 4/50/-2 soft consistency
False labor - cervix may be soft but there is no progressive change
This fetal lie occurs when the long axis of the maternal spine and fetal spine are perpendicular to each other.
Transverse
This occurs in the third stage of labor.
Placental separation and delivery
This is the primary power of labor.
Uterine contractions