Stages of Labor
ROM
Vaginal Exams
Fetal Presentation
Phases of Labor
100
This is the stage of labor when the patient dilates from 0 to 10 centimeters.
What is the first stage of labor?
100
This is how we correctly document that the client's water broke on its own.
What is SROM or Spontaneous Rupture of Membranes?
100
This is the appropriate way to document that your patient's cervix is halfway thinned out.
What is 50% effaced?
100
When a baby is "head down," we correctly document this by referring to exact position of WHAT PART of the baby's head?
What is the occiput?
100
The 3 phases of labor are in this STAGE of labor.
What is the first stage of labor?
200
In this stage, the baby has been born and the provider awaits the delivery of the placenta.
What is third stage of labor?
200
For this assessment to rule out ROM, we place a small specimen of vaginal discharge on a slide, let it dry and look for this pattern.
What is ferning?
200
When we say that the baby is "engaged", we mean that the fetal presenting part is at __________ or lower.
What is zero station? also ok: What is at the level of the ischial spines?
200
When the provider tells you that the fetal presenting part is the sacrum, you know that this baby is in what position?
What is breech? or buttocks down
200
In this phase of labor, the client's cervix dilates from 0 to 3 centimeters.
What is the latent phase of labor?
300
This is commonly known as the stage when the placenta has delivered and mom is holding her newborn for the first time.
What is the fourth stage of labor?
300
In this test, after the patient has remained supine for at least 30 minutes, the provider inserts a vaginal speculum and attempts to visualize fluid in the vaginal vault.
What is pooling?
300
This is another way of saying, "She's ten centimeters dilated!"
What is "She's complete!"
300
This is the 3-letter abbreviation you would use to document that the fetal head is down, with this presenting part angled towards the mom's front of her body, on her right.
What is ROA? or What is right occiput anterior?
300
The active phase of labor typically spans these cervical dilation measurements.
What is 4-7 cm?
400
The laboring woman is in this stage when her cervix is fully dilated and effaced and she has the urge to push.
What is the second stage of labor?
400
The provider uses an amniohook to break the patient's bag of waters.
What is AROM or artificial rupture of membranes? OR What is an amniotomy?
400
This is the ideal type of pelvis to have for birthing babies.
What is a gynecoid pelvis?
400
This is one of the fast ways to convey that the baby's head is down.
What is cephalic? OR What is vertex?
400
This is typically the longest phase of labor.
What is the latent phase?
500
The first stage of labor is often the longest and is typically subdivided into this many stages.
What is three?
500
Rupture or leaking from the bag of water beginning at least an hour before the onset of labor at any gestational age.
What is PROM or premature rupture of membranes?
500
During a sterile vaginal exam (SVE), you can just fit 2 fingers into the cervix, which is as thin as paper. You feel the top of the baby's head about a centimeter above the ischial spines.
What is 3 centimeters, 100% effaced, minus 1, vertex also: 3-4cm/90-100%/-1/cephalic
500
This is the 3-letter abbreviation that you would use to document that the baby is presenting chin first and this presenting part is angled to the mother's left front.
What is LMA? OR What is left mentum anterior?
500
You suspect that your patient is entering this phase of labor when she vomits, complains of increased pelvic pressure and yells, "I can't do this anymore!"
What is transition?