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N113 L&D Test

Enter the letter for the matching Answer
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1.
How does passage affect labor & birth?
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2.
How is intensity rated?
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3.
What is a shoulder presentation?
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4.
What is external rotation?
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5.
What are the different types of cephalic presentation?
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6.
How does the passenger affect labor & birth?
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7.
What are the 3 stages of a contraction?
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8.
What is the diagonal conjugate?
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9.
How does power effect labor & birth?
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10.
What is internal rotation?
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11.
Which stages can be seen?
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12.
What is the most common type of pelvis?
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13.
How is the transition phase characterized?
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14.
What are the 4 P's impacting labor & birth?
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15.
How is the frequency timed?
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16.
What is fetal position?
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17.
What are the cardinal movements in labor?
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18.
How is the latent phase characterized?
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19.
What is the obstetric conjugate?
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20.
What is cephalic presentation?
A.
Gynecoid or round, 50% of females have this type
B.
Head size, attitude, lie, presentation, position & implantation site of placenta.
C.
Extension, external rotation & expulsion
D.
The distance between the lower border of the symphysis pubis to sacral promontory. Should be >11.5 cm for pelvic inlet to be adequate. Measured by hand during pelvic exam.
E.
Mild - fingertips can easily indent fundus - cheek, moderate - can indent sligntly - chin, strong/hard - cannot indent - forehead.
F.
Cervical dilation 8-10 cm, contraction longer & stronger, may experience nausea & possible vomiting, mother becoming tired, frustrated & unable to cope, need to focus mom and have her concentrate
G.
Engagement & descent, flexion, internal rotation, extension, external rotation, expulsion.
H.
Relationship of the landmark on the fetal presenting part to the front, sides or back of the maternal pelvis.
I.
Fetus rotates 45 to 90 degrees to fit the widest anterior/posterior diameter of the outlet
J.
From the beginning of one contraction to the beginning of the next.
K.
Frequency, duration & intensity of contractions, effectiveness of pushing, duration of labor.
L.
When fetus is across the abdomen. Can lead to uterine rupture due to stress on uterus, increased danger of cord prolapse.
M.
As shoulders rotate to anterior posterior position the head is turned further to one side
N.
Size & type of pelvis, ability of cervix to dilate & efface, ability of vagina to distend.
O.
Determined by subtracting 1.5 to 2 cm from diagonal. Smallest diameter through which the fetus must pass. Can be measured by x-ray, should be >10 cm.
P.
Increment - building up - longest, Acme - peak, Decrement - period of decreasing intensity
Q.
Last 2-16 hours, cervical dilation up to 3-4 cm, mild contractions, with short duration and long interval in between. Mother feels excited, happy, some apprehension
R.
Passage, Passenger, Power & Psyche
S.
Vertex - neck completely flexed, most common - smallest diameter of head presents, Military - neck neither flexed or extended - head & neck is straight, Brow - neck partially extended - head tipped slightly back, Face - neck hyperextended
T.
Head first, 97% of term births.
Type the Question that corresponds to the displayed Answer.
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21.
Head passes under the symphisis pubis; occiput, brow & face emerge; complete when entire head is born.
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22.
The relation of fetal parts to one another. Normal is flexion of head, arms to chest, legs to abdomen, classic fetal position.
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23.
Relation of long axis (spine) of the fetus to that of the mother. Normal is longitudinal, transvers is when baby is laying across the abdomen.
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24.
Occurs as head meets resistance from musculature & soft tissue.
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25.
When largest diameter of presenting part reaches or passes through pelvic inlet - upper diameter of pelvis
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26.
Relationship of presenting part to imaginary line drawn between the ischial spines, graded at + or -.
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27.
What part is first in the maternal pelvis.

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