Factors affecting labor
Stages of labor
Maternal Assessment during labor
Fetal assessment during labor
Pain Management
100

Provide 3 signs of false labor

Irregular contractions, no cervical change, activity does not increase contractions, sedation can decrease contractions.
100

Stage of placental separation and expulsion

Third stage of labor
100

4 items to include on an initial maternal assessment

Vital signs, FHT, contractions, vaginal exam, EDB, membrane status

100

The average heart rate over a period of at least 2 minutes

Baseling
100
Combination of an opioid and local anesthetic that is injected into the epidural space

Epidural anesthesia

200
What are the 4 points to assess concerning contractions?

Frequency, duration, strength and resting tone

200

What stage is from complete dilatation to delivery of fetus?

Second stage of labor

200

Provide 2 methods of assessing contractions

TOCO, IUPC, palpation
200
The most reliable indicator of fetal well being

Variability

200

Side effect of epidural and spinal anesthesia, and how it is prevented/treated

Hypotension- IV fluid bolus

300

What refers to the relationship of the presenting part of the fetus into the levels of the ischial spines of the mother's pelvis?

Station

300

What phase are contractions at peak intensity occurring every 2-3 minutes?

Transition

300

3 items to assess on pelvic exam

Dilatation, effacement, station, membrane status, presenting part.

300

Deceleration that requires immediate attention, usually a sign of utero-placental insufficiency 

Late decelerations

300
Provide 5 examples of non-pharmacological pain relief

Focused imagery, breathing techniques, hypnosis, aromatherapy, massage, distraction, hot/cold, music, position changes

400

Provide 4 signs of true labor

Regular contractions, cervical change, sedation does not diminish contractions, increase in intensity and frequency.

400

What phase begins at the onset of regular contractions, mild, lasting 20-40 seconds.

Latent phase

400

What is the maneuver used to determine the fetal presentation upon palpation

Leopold's maneuver

400

3 interventions for late decelerations

Stop Pitocin, IV fluid, oxygen, change position

400
What is a side effect of the mother being administered an IM, or IV pain medication close to delivery?

Respiratory depression in the newborn

500

What are the 4 P's that affect labor?

Passage, passenger, power, psyche

500

What stage is from initiation of true labor to complete dilatation?

First stage

500
Name 2 methods for determining if membranes have ruptured

Nitrazine paper, ferning

500

Usually indicates cord compression. Abrupt decrease in fetal heart rate at unpredictable times in relation to a contraction

Variable deceleration

500

What is the goal of pharmacologic pain medication administration during labor?

Relax and relieve discomfort and have minimal systemic effects on uterine contractions, pushing effort or fetus.

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