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Ch. 15 L&D

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show An increase of at least 15 beats per minute over the baseline fetal heart rate that lasts at least 15 seconds, often associated with fetal activity.  
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show The peak of a uterine contraction.  
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show The second part of the first stage of labor, with cervical dilatation from 4 to 7 cm.  
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show The expelled placenta and membranes following birth of a baby.  
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attitude   show
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baseline bradycardia   show
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baseline tachycardia   show
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baseline variability   show
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Bishop score   show
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show Pinkish-tinged vaginal discharge, often mixed with mucus, caused by rupture of capillaries in the cervix as it begins to efface and dilate.  
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Braxton-Hicks contractions   show
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bregma   show
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show Intermittent tightening of the uterine muscles during labor, which accomplishes cervical effacement and dilation and facilitates fetal descent through the pelvis.  
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show The length of a uterine contraction, measured from the beginning to the end of the contraction and recorded in seconds.  
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show Measurement of the interval of labor contractions, lasting from the beginning of one contraction to the beginning of the next, and recorded in minutes.  
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contraction intensity   show
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crowning   show
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deceleration   show
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show The arbitrarily chosen landmark on the fetal presenting part used to describe position.  
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show The opening of the cervical canal, measured from 0 to 10 cm.  
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doula   show
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early deceleration   show
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early labor   show
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show Thinning or flattening of the edge of the cervical os, measured from 0% to 100%.  
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show Continuous recording of the fetal heart rate and uterine contractions by an electronic fetal monitor using external or internal modes.  
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engagement   show
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show A surgical incision of the perineum made just prior to the birth of a baby.  
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first stage of labor   show
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show Soft spots at the top (anterior) and back (posterior) of the fetal head, covered with strong connective tissue where the unfused bones of the fetal skull intersect at the suture lines.  
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fourth stage of labor   show
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show The series of events by which the products of conception are expelled from the mother's body.  
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show A deceleration of the fetal heart rate that begins after the peak and finishes after the end of the contraction; it is associated with compromised uteroplacental perfusion.  
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show The relationship of the fetal long axis (spine) to the maternal long axis (spine).  
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lightening   show
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mechanisms of labor   show
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molding   show
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show Head.  
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pelvic inlet   show
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pelvic outlet   show
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show The relationship of a landmark on the presenting part of the fetus to the front, back, or side of the maternal pelvis.  
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presentation   show
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show The part of the fetal body that appears at the pelvic outlet first; also called presentation.  
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show A period of regular or irregular contractions toward the end of pregnancy that does not result in progressive cervical dilatation.  
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show The period of labor from 10 cm of cervical dilatation to the birth of the baby; also called expulsion.  
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show The natural breaking of the bag of waters, or amniotic sac, either before or during labor.  
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station   show
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third stage of labor   show
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show The last part of first-stage labor with cervical dilatation between 8 to 10 cm.  
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show A rapid decrease in the fetal heart rate followed by a rapid return to baseline during or between contractions (with a characteristic V shape). Variable decelerations usually are associated with compression of the umbilical cord.  
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vertex   show
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amnioinfusion   show
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amniotic fluid embolism   show
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show Dystocia that develops during active labor and is characterized by a prolonged deceleration phase (at least 3 hours in a nullipara and 1 hour in a multipara); secondary arrest of cervical dilation (none for more than 2 hours).  
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breech presentation   show
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cephalopelvic disproportion (CPD)   show
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constriction rings   show
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cord prolapse   show
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dystocia   show
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show A procedure in which a fetus is turned in utero from noncephalic (usually breech) to cephalic presentation.  
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show Labor in which the cervix does not dilate normally despite normal uterine contractions and no cephalopelvic disproportion.  
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forceps   show
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hydrocephalus   show
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show Either a series of single contractions lasting 2 minutes or more or a contraction frequency of five or more in 10 minutes. Contractions of normal duration within 1 minute of each other would also be included.  
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show Contractions in which the uterine midsegment contracts with more force than the fundus or the impulses in each upper uterine corner are not synchronized.  
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show Contractions that have no basal tone, are infrequent, and fail to dilate the cervix satisfactorily.  
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show Term used to indicate an infant whose birth weight is 9 lbs (4000 g) or more; also called a high birth weight infant.  
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molding   show
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occipitoposterior (OP) positioning   show
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show An exaggeration of the normal physiologic retraction ring found at the junction of the upper and lower uterine segments.  
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show A special type of forceps used in breech presentations with an aftercoming head.  
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postterm pregnancy   show
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show Labor that lasts less than 3 hours, caused by uterine contractions that are more frequent, intense, or both than normal.  
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preterm labor   show
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protraction disorder   show
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shoulder dystocia   show
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show Separation of the uterine wall with or without fetal expulsion.  
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vacuum extractor   show
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vaginal birth after cesarean (VBAC)   show
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