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Labor & delivery Test

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1.
What is the dilation range in the latent phase?
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2.
** In the active phase what is the cervical dilation like?
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3.
Progress of labor: as the ctx becomre more frequent and intense, vaginal exams assess what?
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4.
What are the landmarks that the fetal head is divided into?
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5.
What is extension?
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6.
What presentation is it if it's Occiput(O), Mentum(M), Sacrum(S), & Accordion(A)?
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7.
What is duration?
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8.
What happens with GI in the 1st stage of labor?
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9.
** Once Membranes are ruptured; what is the priority assessment?
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10.
Maternal-fetal assessment during 1st stage of labor?
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11.
Locations of the fetal heart tones; best heard where?
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12.
** What is the fetal descent in the transition phase?
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13.
What does LOA mean?
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14.
A soft boggy uterus could mean what?
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15.
Engagement happens in a primigravida when?
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16.
With fetal attitude; its said the fetus is in flexion; what does that mean?
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17.
What is Engagement?
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18.
The secondary force aids in expulsion of the fetus. The woman contracts?
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19.
What is molding?
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20.
With fetal positioning; what does ROA mean?
A.
Her diaphragm & abdominal muscles & pushes the baby out.
B.
Time betwen the beginning to the end of the ctx(expressed in seconds)"How long the ctx last"
C.
Nullipara-1.2cm/hr; Multipara- 1.5cm/hr
D.
Check fetal heart tones!! Because the umbilical cord could come out & get compressed
E.
Often occurs approx. 2wks before labor begins
F.
A poorly contracted uterus does not adquate compress large open vessels at the placental site, resulting in hemorrhage.
G.
Mentum-chin; Glabella-bridge of the nose; Sinciput-brow; Bregma-anterior fontanelle; Vertex-top of head between the anterior & posterior fontanelles; Occiput-back of the head over the occipital bone.
H.
O-Vertex, M-Face, S-Breech, A-Shoulder presentation
I.
Sutures & fontanelles allow the bones to move slightly; changing the shape of the fetal head so that it can adapt to the size and shape of the pelvis.
J.
Through the fetal back or chest.
K.
V/S-B/P MUST be taken between ctx, Temp is an indicator of hydration & infection-q4hrs until bag broken then q2 after; Pulse ^ is normal but >100 may indicate stess, RR may increase or decrease due to type of breating; EFM-assess duration, intensity, freq
L.
As the occiput passes under the symphsis pubis. it causes the head to exten and foremost parts of head are born.
M.
Gas motility & absorption of solid food decreases; gastric emptying time is prolonged
N.
Right occiput Anterior; So the occiput of babies head is against mom's right side of pelvis & babies spine in relation to mom's spine is Anterior.
O.
Dilation, effacement, station & position
P.
Left occiput Anterior; So the occiput of babies head is against mom's left side of pelvis & babies spine in relation to mom's spine is posterior.
Q.
Complete state of flexion; smallest diameter of fetal head to go through maternal pelvis.
R.
Nullipara- 1cm/hr; Multipara- 2cm/hr
S.
0-3cm
T.
The largest diameter of the presenting part reaches or passes through the pelvic inlet.
Type the Answer that corresponds to the displayed Question.
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21.
What is the measurement if the baby is high in the pelvis?
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22.
The level 0 is at the level of what?
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23.
What pelivs is the lower part of the pelvis at the level of the linea terminalis & consist of three parts?
Type the Question that corresponds to the displayed Answer.
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24.
Time between the beginning of one ctx to the beginning of the next ctx(expressed in minutes)
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25.
Softening, thinning & shortening of the cervical canal until it is completely assimilated in the lower uterine segment.
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26.
Strength of ctx. (Mild, moderate, strong)
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27.
The rest of the body is delivered.
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28.
Involuntary, rhythmic,& intermittent tightening of the uterine muscles during labor.(Primary Force)
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29.
Head is born in OA position & shoulders are transverse, with infants neck slightly twisted--neck turns & realigns itself with its shoulders and spine
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30.
Pressure from the pelvic floor causes fetal head to bend forward onto chest. Important bc it causes smalles diameter of fetal head to present to maternial pelvic.

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