Labor and Birth Processes
Occurs when fetal skull bones overlap during labor to adapt to the birth canal
What is molding?
This stage of labor begins with the onset of regular contractions and ends with complete dilation
What is the 1st stage?
What is 37 wks of gestation?
Elective induction of labor should not be initiated until the pt reaches ____ wks of gestation
What is 39 wks?
The major risk of meconium-stained fluid
What is meconium aspiration?
Cephalic presentation where the fetus's chin is on the chest and the occiput is the presenting part
What is vertex?
This stage is typically when the pt is pushing?
What is the 2nd stage?
The term used when fetal weight is less than the 10th percentile
What is IUGR?
*intrauterine growth restriction
A rating system used to evaluate inducibility or cervical ripeness? A 13 point scale.
What is Bishop score?
The major risk of a TOLAC (trial of labor after a cesearan)
What is uterine rupture?
Term used when the widest part of the baby's head has entered the pelvis (usually considered 0 station)
What is engagement?
The 3rd stage ends when this is delivered?
What is the placenta?
Tocolytic meds are given for this reason in preterm labor
What is to relax the uterus?
(will accept to buy time for transfer and for corticosteroids to work)
This is the most important predictor of a successful induction?
What is cervical ripeness?
The head is born but the anterior shoulder can't pass under mom's pubic arch?
What is a shoulder dystocia?
Fetal position when the baby comes out looking up toward the sky (sunny side up)
What is OP (occiput posterior)?
The active phase of the 1st stage of labor is when her cervix is dilated ___-___ cm.
She has moderate to strong contractions and contractions are 1.5 - 5 min apart
What is 6-10 cm dilated?
Glucocorticoids are given in pregnancy before 34 wks for this reason
to promote fetal lung maturity
The term used if there are more than 5 contractions in 10 minutes? What decel would you expect to see with this?
What is uterine tachysystole?
What is a late decel?
The acronym for interventions used in a shoulder dystocia
These are the 2 interventions that are the most effective
What is HELPER or HELPERR?
What are legs (McRoberts) and pressure (suprapubic)?
Term used for maternal urge to bear down
What is Ferguson reflex?
The phase of the 1st stage of labor when pt is 0-5 cm
What is latent phase (early labor)
Medication given to offer neuroprotection to a fetus at 24-34 wk gestation
What is magnesium sulfate?
A medication used to induce or augment labor that is progressing slowly
What is pitocin?
The decel that you would see with a prolapsed cord
What is a variable decel?