birth process

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Rose
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63290
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birth process
Updated:
2011-01-31 21:03:30
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birth
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birth process
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  1. descent into the pelvis?
    lightening
  2. may occur 2 weeks before pregnancy with primigravida and on birth with multigravida
    lightening
  3. when lightening happens where does it relieve pressure?
    diaphram
  4. when lightening happens what are the symptoms on the mother?
    urinary frequency, leg cramps, increased venous stasis, increased vaginal secretions
  5. irregular, intermittent contractions felt later in pregnancy may be regular and uncomfortable and is considered a false labor bc the cervix is not dilated
    braxton hicks contractions
  6. this labor the contractions are irregular and the intervals remain the same and the intensity remains same?
    false labor
  7. when starting ambulation and changing position or controlling breathing during this labor the women should know?
    false labor
  8. True or false?
    When it is false labor the cervix does not efface or dialte
  9. when are contractions felt above the naval?
    during false labor
  10. in this labor contractions are regular, the intervals shorten and intensity and pain increases
    true labor
  11. when in true labor do contractions become stronger when ambulating?
    YES!
  12. what happens with the vagina in true labor?
    the cervix softens, effaces and dilates
  13. when does the pregnant mother have contractions felt in the lower back and radiate to the abd
    true labor
  14. when does the cervix "mature" or ripen?
    34 weeks
  15. Labor begins within 24-48 hours after this?
    Bloody show
  16. this occurs naturally when a gust of amniotic fluid rupturing
    SROM
  17. what is AROM
    artificial rupture of the membranes when the DR has to use an amniohook to rupture the membrane
  18. what determines the difference between urine and amniotic fluid?
    nitrazine fluid
  19. what are some GI disturbances of a pregnant woman?
    indigestion, n/v, diarrhea, may loose 1-3 lbs
  20. when does the sudden burst of energy for a women appear?
    24-48 hrs before labor
  21. what kind of meals should we encourage the mother to eat?
    small frequent meals
  22. what happens in the cardiovascular system during labor?
    output increases, bp increases during 1st and 2nd trimester, hypotensive supine position
  23. when should we take a BP on a woman i labor?
    during cotractions so it is accurate
  24. what are some maternal systemic responses to labor on the resp system?
    o2 consumption during labor equals mod to severe exercise
  25. where is your bladder pushed during labor?
    forward and upwrd
  26. What happens in the GI system during labor?
    peristalsis and absorption decrease
  27. True or False?
    does the WBC count increase during labor?
  28. Wha happens in the musculoskeletal system during labor?
    relaxation of pelvis joints, may result in backache
  29. Do endorphins increase? and what does it cause?
    yes and it causes a intensive affect of pain, sedative effect
  30. what 5 things are looked at during an ultrasound?
    fetal growth, pelvic adequacy, multiple pregnancy, placenta location,fetal presentation
  31. What happens to the uterus during pregnancy?
    the fundus becomes thicker with contractions and lower secretions
  32. what are the major bones of the fetus?
    2 of each: temporal, frontal and parietal, occiput
  33. what is the ideal fetal attitude of the baby? flexion or extension?
    flexion
  34. most commonpresenting parts during vagial birth?
    vertex occiput, brow sinciput, and face to face
  35. what is complete breech?
    hips and knees flexed on abd flexed, buttocks presenting
  36. frank breech?
    hips flexed, knees extended, buttocks presenting
  37. footling breech?
    hips/knees extended with foot as presenting
  38. how to check fetal position?
    engagement, station and fetal position
  39. widest part of the presenting part is at or below lever of ischial spine?
    engagement
  40. relation pf the presenting to ischial spines, measure in cm
    station
  41. involuntary contraction of the uterus
    primary power
  42. voluntary use of abd muscles
    secondary power
  43. contractions begin in fundus and spread over the uterus for appx how lon?
    15 sec
  44. 3 stages of contractions
    increment, acme, decrement
  45. peak of contraction
    acme
  46. decreasing intensity of contraction
    decrement
  47. increasing intensity of contration
    increment
  48. time from begining of one contraction to the begining of of next contraction
    frequency
  49. length of one contraction, from the begining of increment to conclusion of decrement
    duration
  50. how long sould contractions be?
    90 sec or shorter than 60 sec
  51. true or falase?
    the uterus should relax between contractions?
  52. type bearing down throughout contraction?
    valsalva
  53. when is the spontaneous urge to bear down triggered?
    when the presenting part reaches the pelvic floor
  54. what is the fegunson reflex?
    spontaneous involuntary urge to push
  55. this stage of labor begins with the onset of regular contractions and ends with cervical dilation?
    stage 1
  56. longest stage of labor?
    stage 1
  57. stage 1 is divided into 3 stages?
    latent, active, and transition
  58. Latent phase consist of what?
    begins when 1st contractions, ends when cervix is dialted to 3, pain is mild to mod and the pt is in good humor
  59. what is the active stage?
    stage 1 phase 2 that beings when cervix is dilated to 4 ending in 8cm, pain in mod to strong and the pt is less talkative
  60. phase 3 of stage 1?
    transition- begins when the cervix was dilated to 8 and ends at 10cm, pain is strong, the pt is self absorbed, restless
  61. during this phase the client may have n/v and feel hot and perspi
    stage 1 phase transition
  62. this stage of labor begins when fully dilated and ends with the birth, "crowning"
    stage 2
  63. incision of the perineum to facilitate passageway of the baby
    episiostomy
  64. head to chest
    flexion
  65. head only rotates, occiput next to symphysis pubis
    internal rotation
  66. birth of the head
    extension
  67. head rotates back into normal growth alignment with shoulders
    restitution
  68. shoulders rotate to an anterios/posterior position under the symphis pubis
    external rotation
  69. the lower shoulder is delivered and then the upper shoulder followed quickly by the body
    expulsion
  70. durign this stage is starts with the birth of a baby and ends when the palcenta is delivered
    stage 3
  71. thsi stage shuld occur in 30 min or less
    stage 3
  72. when some of the placenta was not expelled what can happen?
    hemorrhage
  73. what is the 4th stage
    recovery
  74. what is the normal blood loss?
    250-500ml
  75. true or false?
    are chills/rigor normal for recovery?
  76. stimulation of the uterine contractions before they begin spontaneously
    induction
  77. stimulation of contractions after spontaneously begining, but with unsatisfactory progess
    augumentation
  78. what must cause a forceps assisted birth?
    when the cervix is dilated and membranes must be ruptured.
  79. what are some possibleproblems for a forceps assisted birth to he newborn?
    facial bruising and edema and they risk cephalhematoma, brachial plexus palsy, retinal and intracranial hemmorhage, hyperbilirubinemi
  80. what are some problems to the vagina during a forceps assisted birth?
    vaginal and rectal lacerations
  81. what are the 4 main cares of the infant?
    ABC and w for warmth
  82. what hsould the fundus look like durng birth?
    firm, size of a grapefruit, in midline and below umbillicus

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