Process of Childbirth
Components of Birth Process
Admission to L&D
Childbirth Settings
Potpourri
100
This stage begins with onset of regular contractions until full dilation of the cervix (10 cm)
What is first stage of labor?
100
The four "P"'s.
What are the powers, passage, passenger, psyche?
100
Characterized by cervical effacement and dilation.
What is true labor?
100
Childbirth setting that is designed to provide maternity care to low risk women outside the hopsital setting.
What is a Free-standing Birth Center?
100
Thinning of the cervix, described as a percentage of the original length of the cervix.
What is effacement?
200
This phase of the first stage of labor is when the cervix dilates from 4-7 cm
What is the active phase?
200
Shaping of the fetal head during movement throught the birth canal.
What is molding?
200
A key nursing intervention after AROM (artificial rupture of membranes)
What is monitor heart fetal rate for at least one full minute?
200
A disadvantage of a free-standing birth center.
What is they are not equipped to handle major obstetrical emergencies?
200
Three phases/components of a contraction.
What is increment, acme or peak, and decrement?
300
Delivery begins with complete dilation at 10 cm and ends with the birth of the baby.
What is the second stage of labor?
300
Influences intensity and effectiveness of contractions (list one)
What is walking, medications/drugs, maternal anxiety and vaginal exams?
300
Four components used when assessing uterine contractions. (list two)
What is frequency, duration, intensity, and interval?
300
Guidelines given to a first-time mom for reporting to the birthing facility. (HINT: the contraction pattern you would advise the mom to have)
What are contractions that are five minutes apart for one hour?
300
The type of delivery that is required when the spine of the fetus is in a transverse lie with the shoulders presenting first.
What is a cesarean section?
400
Nursing interventions during the fourth stage of labor. (list two)
What are monitor vital signs, uterine tone, vaginal drainage (lochia), perineum.
400
Contractions that occur less than 2 min apart and last 90 to 120 seconds.
What are hypertonic contractions?
400
A sample of amniotic fluid is spread on a microscope slide, allowed to dry and viewed for leaf-like crystals.
What is fern test or ferning?
400
Type of room where infant is never separated from the mother unless there is a complication which necessitates further critical care intervention.
What is an LDR or LDRP?
400
True or False: Anxiety and fear can inhibit uterine contractions and slow labor?
What is true?
500
Five components of Apgar scores.
What is heart rate, respiratory effort, muscle tone, reflex response, and color?
500
Factors that affect pushing. (list one)
What is maternal exhaustion and epidural anesthesia?
500
The normal, average fetal heart rate range.
What is 110-160?
500
A disadvantage of this type of setting is a significant delay in reaching emergency care if complications occur.
What is a home delivery?
500
Fluctuations in the FHR baseline that cause the printed line to have an irregular rather than smooth appearance.
What is variability?
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