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L&D 2
Test #3
Question | Answer |
---|---|
Lightening | Baby drops into pelvis (becomes engaged) |
Cause of diarrhea prior to onset of labor | release of prostaglandins |
1st stage of labor | from onset of cantractions to full dialation |
Latent phase of labor | uterine cx become established (up to 3cm dialated)6-8hrs for nullipara 3-5 for multipara |
Active Phase of labor | 4-7cm dialated, cxs increase in intensity, frequency and duration |
Transition Phase | 8-10 cm dialation (cxs q 1 1/2-2minutes, 60-90sec, >75mm Hg) no longer than 3 hrs in nullipara and no longer than 1hr in multi |
Second Stage of Labor | from complete dialation to expulsion of baby |
Ferguson's reflex | urge to push (+1station) |
Third Stage of Labor | from delivery of baby to the delivery of placenta |
Fourth Stage of Labor | physiologic readjustment (1-4 hrs after birth) |
How to differentiate true labor from false labor | In true labor cxs increase with walking and in false labor cxs decrease |
Palpating contractions | *Mild= easily indentable (chin)*Moderate= slight indentable (bridge of nose) Strong= unable to indent (forehead) |
Intrauterine Pressure Catheter | only true way to measure intensity of cxs (membranes must be ruptured and dialated 2-3cm) |
Normal uterine resting tone | 12-20mm Hg |
Fetal Spiral Electrode | attached to parietal portion of fetal scalp to monitor fetal hr |