7 Ps
This includes the pelvis and soft tissues, pelvis shape and size impact labor outcome.
Passage (birth canal).
Bonus 100 points- What does relaxin do? Does it increase or decrease fall risk?
This includes pain perception.
Pain management.
Bonus 100 points- What is the affect of anxiety during labor?
What is the blood-tinged mucus plug called?
Bloody Show
Bonus 10 points- What is Nesting?
True or False:
Contractions are regular and increase intensity.
True.
False would be irregular and mild contractions.
In which stage has 3 phases?
Stage 1.
Bonus 100 points- What are the 3 main birth settings?
This includes fetal head, fetal lie, presentation, position, attitude, and station.
Passenger.
Bonus 300 points- What fetal lie is the best? What presentation is the best? What attitude is the best?
This includes taking your time and not rushing.
Patience.
Bonus 100 points- List some things that can promote a patient to remain calm and patient.
Your water breaks, what is this called?
Spontaneous Rupture Of Membranes (SROM)!
Bonus 100 points- What causes a concern with this?
True or False:
No cervical changes occur.
False.
True would have cervical changes like effacement and dilation.
Pushing and birth stage, begins once the cervix is fully dilated and ends with babys birth.
Bonus 100 points- Why is it better to delay cord clamping and cutting?
This includes contractions and pushing.
Powers.
Bonus 100 points- What are the 3 phases of contractions?
Name the system these affects relate to:
Blood flow to the placenta decreases during contractions, maternal blood volume increases, BP increases, pulse lowers.
Cardiovascular system.
Bonus 100 points- How does supine hypotension occur?
Bonus 100 points- How does anxiety affect respiratory system?
This is where the baby drops down into the pelvis by the 38th week.
Lightening.
True or False:
Contractions may stop with walking.
False.
True is regular and would not stop but intensify instead with walking.
This is the delivery of the placenta, starts after birth and ends with placental delivery.
Stage 3.
Bonus 100 points- What is an Apgar test?
Bonus 100 points- What can naloxone be used for?
This includes maternal positioning.
Position.
Bonus 100 points- What positions help shorten labor?
Bonus 100 points- What position should you avoid and why?
Name the system these effects relate to:
Fetal pressure on bladder reduces sensation on bladder.
Renal.
Bonus 100 points- How does a full bladder effect labor?
Explain Braxton Hicks contractions
False labor, irregular mild contractions, begin in 2nd tri. Do not change cervix.
True or False:
Not relieved by rest or a warm shower.
True.
False would be relieved by rest or a warm shower.
This is the recovery stage.
Bonus 100 points- What is the golden hour?
This includes mental and emotional state.
Psyche.
Bonus 100 points- List some positive influences for mental state.
Name the system these effects relate to:
Pregnancy increases blood volume, Hgb, Hct to compensate for blood loss. WBCs rise to 14,000-16,000.
Hematopoetic.
Bonus 100 points- What is the normal blood loss for a vaginal delivery?
Compare and Contrast effacement and dilation.
Effacement- Thinning of the cervix, measured by percents.
Dilation- opening of the cervix, measured by cm.
Bonus 100 points- How does effacement and dilation differ for primipara and multipara?
True or False:
Usually only in abdomen.
False.
True starts in the back and radiates to the front.
Explain each phase of the 1st stage if labor:
Latent:
Active:
Transition:
Latent: Mild irregular contractions, dilation of 0-4cm, lasts 20 hrs of primipara, 10-12hrs for multipara.
Active: Stronger contractions every 2-3mins, dilation of 4-8cm. Needs more pain management.
Transition: Most intense phase with contractions, cervix fully dilated, urge to push, irritability, nausea, shortest phase.