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PPN 301 - Week 5-Study Guide

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Preterm Labour - Answer preterm cervical changes and regular uterine contractions occurring between 20 and 37 weeks preterm birth - Answer any birth occurring before completion of 37 weeks of pregnancy PROM (premature rupture of membranes) - Answer spontaneous rupture of the amniotic sac and leakage of amniotic fluid beginning before the onset of labor at any gestational age PPROM - Answer ruptured membranes in preterm pregnancy (before 37 weeks) before the onset of labour dystocia - Answer Abnormally slow labour 5 Ps of labour - Answer Passenger Passageway Powers Position of labouring patient Psychological response Two types of latent phase disorders - Answer Hypertonic hypotonic Two types of active phase disorders - Answer Protraction disorders - slow progression of labour Arrest disorders - no progression of labour What are the 6 types of abnormal labour patterns - Answer Prolonged latent phase Protracted active phase dilation Secondary arrest Protracted descent Arrested descent Failure of descent

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PPN 301 - Week 5-Study Guide
Preterm Labour - Answer preterm cervical changes and regular uterine contractions occurring
between 20 and 37 weeks



preterm birth - Answer any birth occurring before completion of 37 weeks of pregnancy



PROM (premature rupture of membranes) - Answer spontaneous rupture of the amniotic sac
and leakage of amniotic fluid beginning before the onset of labor at any gestational age



PPROM - Answer ruptured membranes in preterm pregnancy (before 37 weeks) before the
onset of labour



dystocia - Answer Abnormally slow labour



5 Ps of labour - Answer Passenger

Passageway

Powers

Position of labouring patient

Psychological response



Two types of latent phase disorders - Answer Hypertonic

hypotonic



Two types of active phase disorders - Answer Protraction disorders - slow progression of
labour

Arrest disorders - no progression of labour



What are the 6 types of abnormal labour patterns - Answer Prolonged latent phase

Protracted active phase dilation

Secondary arrest

Protracted descent

Arrested descent

Failure of descent

, pelvic dystocia - Answer Contractures of pelvic diameters that reduce the capacity of the bony
pelvis, inlet, midpelvis, or outlet



soft tissue dystocia - Answer Results from obstruction of the birth passage by an anatomic
abnormality other than that of bony pelvis



What are the two types of Dystocia - Answer Pelvic Dystocia and soft tissue Dystocia



CPD (cephalopelvic disproportion) - Answer condition when the baby's head is too big for the
birth canal



Three types of breech presentation - Answer Complete- butt and feet present

Frank- only butt first

Footling- feet first



Malposition - Answer Bad positioning of fetal head



version - Answer Turning of the fetus by HCP. Can be internal or external



External Cephalic Version (ECV) - Answer Procedure involving external manipulation of the
maternal abdomen to change the presentation of the fetus from breech to cephalic.



internal version - Answer intravaginal manipulation by HCP inserting hand into the uterus



Induction of labour methods - Answer Cervical ripening agents (chemical and physical)

Amniotomy

Oxytocin



Chemical Cervical ripening agents include - Answer Dinoprostone

Misoprostol



What is ripening of the cervix? - Answer The thinning and softening of the cervix



Mechanical and physical methods of ripening the cervix include - Answer Balloon catheters

Hydroscolic dilators

Amniotic membrane stripping/sweeping

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