Maternal
Fetal
Labor
Positions
Random Tidbits
100
Women who are in labor have decreased awareness of bladder fullness. A full bladder inhibits *THIS* during labor and *THIS* in the 4th stage of labor and early postpartum.
What is fetal decent in labor and uterine contraction in the 4th phase of labor and PP?
100
Fetal HGB, elevated HCT, and high CO are protective mechanisms to prepare for *THIS* occurring during contractions.
What is decreased oxygenation due to reduced placental perfusion?
(VESSELS ARE SQUISHED!)
100
These are coordinated, intermittent, and involuntary
What are contractions?
100
Longitudinal, Transverse, or Oblique
What is fetal lie?
100
*THIS* refers to the strength of the contraction and can be measured in comparison to the softness of the tip of the nose (mild), chin (moderate), and forehead (strong).
What is intensity?
200
Total effacement and dilation is documented as this.
What is 100% effaced and 10cm dilated?
200
"Lightening"
Sensation of fetus dropping lower into the pelvis as labor nears
200
Anesthesia prefers for laboring women *not* to eat. This is their concern.
What is aspiration under anesthesia?
200
Optimal presenting part
What is cephalic?
200
The cardinal movement that occurs as widest part of fetal presenting part reaches "0" station, or level of ischial spines of maternal pelvis.
What is engagement?
NOTE: watch this ->
https://www.youtube.com/watch?v=q1jmVN3ILpY (copyright, Dr. Cal Shipley)
300
Pregnancy is a hypercoagulable state which protects against anticipated blood loss in delivery, which is *THIS* in vaginal births and *THIS* in c-sections.
What is 500mL and 1000mL?
300
Priority assessment to determine wellbeing of fetus
What is FHR?
300
The powers of labor
What are uterine contractions and maternal pushing?
300
The "S" in RSA
What is sacrum (presenting part)?
300
Doing this may cause the cervix to become edematous, which can block fetal progress, or to be lacerated.
What is pushing before full dilation?
400
Risks to the mother include uterine rupture and water intoxication
What is induction?
400
Rapid evaluation of fetal wellbeing done at 1 and 5 minutes after birth, includes these five criteria and has a maximum value of "10".
What are heart rate, respiratory effort, muscle tone, reflex response, and color?
400
Short, intense phase of Stage I labor in which woman feels vulnerable and out of control. May vomit, shake, and verbalize feelings that she "cannot do this."
What is transition?
400
What is LOA?
400
From birth of baby to expulsion of placenta
What is the third stage of labor?
500
Once a standard of care, this intervention meant to prevent severe cervical tearing would only be used now in circumstances such as shoulder dystocia or forceps/vacuum assisted delivery
What is episiotomy?
500
This type of delivery increases risk of transient tachypnea and respiratory distress of the newborn caused by delayed absorption of lung fluid (no "wringing out")
What is c-section?
500
Meperidine is an opioid that may be given in labor. *THIS* reversal agent should be on hand in case of respiratory depression.
What is naloxone (Narcan)?
500
The "R" in ROA refers to the fetal occiput in reference to what?
What is the right side of the maternal pelvis?
500
When "water breaks", you should assess this.
What is color, clarity, and odor?