Labor and Delivery (exam 1) questions and answers completely verified.

Labor and Delivery (exam 1) questions and answers completely verified. -birth passage (passageway) -fetus (passenger) -relationship between the passage and fetus (proportion, fetus size or position) -physiologic forces of labor (powers) -psychological factors (psyche) - correct are the critical factors in labor? fetal presentation - correct answers.-the manner in which the fetus appears to the examiner during delivery -head first or butt first? fetal attitude - correct answers.-how well flexed or extended the fetus is -ideally, well flexed -the relationship of body parts of the fetus -cephalic -breech -shoulder - correct are the three fetal presentations? cephalic - correct fetus is head first breech - correct fetus is butt first breech and shoulder - correct two fetal positions are an indication for c-section? -vertex or occiput -sinciput -brow -facial - correct are the 4 types of cephalic presentation? vertex/cephalic presentation - correct answers.-crown of the head is the presenting part of the fetus -***most commonly seen presentation and what we want to see -fetal head is completely flexed and the fetal chin is flexed to the chest sinciput presentation - correct answers.-fetal head is partially flexed -top of head is the presenting part of the fetus brow presentation - correct eyebrow or forehead is the presenting part of the fetus facial presentation - correct answers.-the head is hyperextended -the face is the presenting part of the fetus -cephalic/vertex -well flexed is the most ideal for vaginal delivery - correct is the most ideal type of cephalic presentation? right occiput anterior (ROA) - correct is the most common type of fetal presentation? right occiput anterior (ROA) - correct answers.-the crown of the fetus's head is to the right and forward of the mother's pelvis -when the baby is delivered, we should see the back of the baby's head frank breech - correct h presentation where the buttocks is the presenting part footling breech - correct h presentation where the feet are the presenting part shoulder/transverse/lie presentation - correct answers.-presentation where the fetus is laying across the mother's abdomen -the presenting part of the fetus is the shoulder flexed - correct fetal attitude is ideal? -face: bones well fused -base of skull: 2 temporal bones well fused -vault: **not fused** held together by sutures - correct are the 3 major parts of the fetal head? sutures - correct membranous spaces between cranial bones fontanels - correct answers.-intersections of cranial sutures that can mold -anterior is diamond shaped -posterior is triangle shaped -anterior is open longer than the posterior -during the delivery process of a vaginal delivery, the sutures can override themselves to make the head a little smaller through the birthing process -as the brain grows, these allow for the skull to grow with the brain - correct is the purpose of sutures and the vault on the fetal head? -size of the maternal pelvis -shape of the maternal pelvis -ability of the cervix to dilate and efface - correct is included in a birth passageway? gynecoid - correct is the ideal shape of the maternal pelvis? effacement - correct gradual thinning, shortening and drawing up of the cervix measure in percentage from 0 to 100% dilation - correct gradual opening of the cervix measured in centimeters from closed to 10 cm cervical effacement and dilation - correct are the two things that can be measured to determine labor? fetal axis pressure: as the uterus contracts, it puts pressure on the cervix - correct causes dilation of the cervix? with a manual exam - correct is dilation of the cervix assessed? 10 cm dilated - correct does a "complete" dilation mean? thick cervix - correct answers.0% effaced paper thin cervix - correct answers.100% effaced engagement - correct answers.(relationship of presenting part to the pelvis) -the largest diameter of the presenting part passes through the pelvic inlet (BPD) station - correct answers.(relationship of presenting part to the pelvis) -the relationship of the presenting part to the ischial spines -how far up or down the fetus is zero station - correct presenting part is at the ischial spines negative stations - correct ates that the fetus is still high up into the mother's abdomen intensity - correct answers.(contractions) strength of the contraction