Lamaze CBE- Exam Questions & Answers Solved 100% Correct!!

0% effacement means: - 3-4 cm long 1 Stage: Active - -dilates from 6-8 cm 100% effacement means: - paper thin cervix, fully effaced 1960's birth routine - - mother using twilight sleep - or drape covering her lower half - baby taken away to be bathed, clothed, and kept in nursery - formula fed every few hours. 1st Stage Early Labor - -dilates from 0-6 cm 1st stage: transition - - dilation from 8-10 cm 2 ways birth is the same across time and culture - ushers in change- different clothing, foods, relationships, growth and maturity and inner strength, gathering of helpers 2nd stage of labor - Pushing stage - from 10 cm dilated till baby is born - Average time 1 hour 50% effacement means: - 2 cm long 7 questions for informed decision making - 1. Is this an emergency or do we have time to talk? 2. what would be the benefits of doing this?3. What would be the risks? 4. If we do this, what other procedures or treatments might we end up needing as a result? 5. What else could we try first or instead? 6. What would happen if we waited an hour or two (a day or two, a week or two, etc.) before doing it? 7. What would happen if we didn't do it at all? APGAR scoring - A= appearance (2: color all pink, 1: pink and blue, 0: blue [pale]) P= pulse (2: >100, 1: < 100, 0: absent) G= grimace (2: cough, 1: grimace, 0: no response) A= activity (2: flexed, 1: flaccid, 0: limp) R= respirations (2: strong cry, 1: weak cry, 0: absent) best birth position for baby - Occiput anterior - head down, with the back of the head against mom's belly Bishop Score - Determines maternal readiness for labor by evaluating whether the cervix is favorable by rating: 1. cervical dilation 2. effacement 3. consistency 4. position 5. station >8 = favorable cervix <6 = unfavorable cervix Cardiovascular disease during pregnancy can lead to... - preterm birth, preeclampsia, hypertension, small for gestational age births Catecholamines - hormones secreted by the adrenal medulla that affect the sympathetic nervous system in stress response- fight or flight response. Bad during early labor, good at the end of labor.Common coping strategies for discomforts in pregnancy - -constipation: fiber, water - backaches: baths, heating pad, massage, gentle exercise, good posture - swollen feet: elevate feet often - urinary tract infections: drink water, wear loose clothing Common discomforts of pregnancy - Nausea and vomiting Heartburn Backache Round ligament pain Urinary frequency Hemorrhoids Constipation Leg cramps Common Postpartum Complications - UTI's Infections causing fevers- mastitis, uterine infection, episiotomy/tear, c-section diastis recti common postpartum discomforts - engorged breasts hemorrhoids perineal discomfort difficulty urinating/making bowel movements