CLASS 3 (3/31) | GUARANTEED SUCCESS STARTS HERE!
LEARN, PRACTICE & EXCEL!
Theories of labor onset Answer: - uterine distention
- placental aging
- hormonal mediation (progesterone withdrawal, prostaglandin synthesis, corticotropin
releasing hormone)
- psychological aspects
- fetal adrenals
Signs of impending labor Answer: - lightening (fetus drops into pelvis, easier to breath, harder
to walk)
- mucous plug released (could be bloody)
- loose stools (from prostaglandins)
- energy burst/nesting
- increase in Braxton-Hicks contraction
SROM Answer: spontaneous rupture of membranes
AROM Answer: artificial rupture of membranes
PROM Answer: pre-labor rupture of membranes
pPROM Answer: preterm pre-labor rupture of membranes
Normal amniotic fluid appearance Answer: straw colored +/- flecks of vernix
Green amniotic fluid Answer: meconium stained (from fetal BM)
Malodorous amniotic fluid Answer: indicated infection
SROM risks Answer: the longer the amniotic sac is ruptured, the more the risk of:
- infection
- prolapsed cord
- cord compressions --> variable decelerations
(always check FHTs)
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
, Confirmation of SROM Answer: - nitrazine or pH paper (into cervix, looking for blue)
- ferning (fluid under microscope)
- pooling (pool of water in cervix)
- valsalva (squirt of fluid comes out of cervix)
First stage of labor Answer: - cervical stage
- from the onset of regular contractions to complete effacement & dilation
- dilation 0-10%
- effacement 0-100%
- two phases
Phase one of stage one of labor Answer: - cervix 0-5cm
- contractions progress from irregular to q5-10 minutes/30-60 seconds
- loose stools, backache
Phase one stage one nursing care Answer: - alternate rest and activity
- distractions
- hydration, light meals, shower
Phase two stage one labor Answer: - cervix 6-10 cm
- contractions stronger, more regular
- increased bloody show
- shaky, sweating, N/V
- " I cant do this"
- towards the end ~8-9 cm: contraction very strong and close together q1-3 min
Phase two stage one nursing care Answer: - active support
- position changes, breathing, massage, focus
Second stage of labor Answer: - birth of baby
- from full dilation until delivery of the neonate/ 10 cm with descent of presenting part to birth
Third stage of labor Answer: - Birth of the placenta
- from delivery of neonate to delivery of placenta
Fourth stage of labor Answer: - Recovery
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
LEARN, PRACTICE & EXCEL!
Theories of labor onset Answer: - uterine distention
- placental aging
- hormonal mediation (progesterone withdrawal, prostaglandin synthesis, corticotropin
releasing hormone)
- psychological aspects
- fetal adrenals
Signs of impending labor Answer: - lightening (fetus drops into pelvis, easier to breath, harder
to walk)
- mucous plug released (could be bloody)
- loose stools (from prostaglandins)
- energy burst/nesting
- increase in Braxton-Hicks contraction
SROM Answer: spontaneous rupture of membranes
AROM Answer: artificial rupture of membranes
PROM Answer: pre-labor rupture of membranes
pPROM Answer: preterm pre-labor rupture of membranes
Normal amniotic fluid appearance Answer: straw colored +/- flecks of vernix
Green amniotic fluid Answer: meconium stained (from fetal BM)
Malodorous amniotic fluid Answer: indicated infection
SROM risks Answer: the longer the amniotic sac is ruptured, the more the risk of:
- infection
- prolapsed cord
- cord compressions --> variable decelerations
(always check FHTs)
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
, Confirmation of SROM Answer: - nitrazine or pH paper (into cervix, looking for blue)
- ferning (fluid under microscope)
- pooling (pool of water in cervix)
- valsalva (squirt of fluid comes out of cervix)
First stage of labor Answer: - cervical stage
- from the onset of regular contractions to complete effacement & dilation
- dilation 0-10%
- effacement 0-100%
- two phases
Phase one of stage one of labor Answer: - cervix 0-5cm
- contractions progress from irregular to q5-10 minutes/30-60 seconds
- loose stools, backache
Phase one stage one nursing care Answer: - alternate rest and activity
- distractions
- hydration, light meals, shower
Phase two stage one labor Answer: - cervix 6-10 cm
- contractions stronger, more regular
- increased bloody show
- shaky, sweating, N/V
- " I cant do this"
- towards the end ~8-9 cm: contraction very strong and close together q1-3 min
Phase two stage one nursing care Answer: - active support
- position changes, breathing, massage, focus
Second stage of labor Answer: - birth of baby
- from full dilation until delivery of the neonate/ 10 cm with descent of presenting part to birth
Third stage of labor Answer: - Birth of the placenta
- from delivery of neonate to delivery of placenta
Fourth stage of labor Answer: - Recovery
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
