NURS 415 Intrapartal (Well-enlightened)

List 3 premonitory signs of labor? correct answers Lightening, braxton hicks, increase vag mucous, bloody show, sudden burst of energy, weight loss What determines if a patient is in true labor? correct answers Contraction cause, progressive, and cervical changes What is the landmark when the fetus is at 0 station? correct answers ischial spines What are the 5 mechanisms of labor? correct answers 1. descent, engagement, flexion 2. internal rotation 3. extension 4. external rotation 5. expulsion List the 3 phases of labor with the dilation for each phase correct answers latent 0-6cm active 6-7cm transition 8-10 Describe the 2nd stage of labor (include avg length) correct answers complete dilation to del of infant avg length few min to 3 hours What phase of labor is when ctx are every 2-5min, mod-strong intensity, may need pain med correct answers active phase What phase of labor is when the patient needs total concentration to get through ctx and may bear down during contractions? correct answers transition phase What stage of labor lasts 1-4 hours and many physiological and psychological adjustments occur? correct answers 4th stage of labor How is frequency and duration of contraction determined? correct answers Frequency - begin to begin of next ctx duration - beginning of ctx to end of ctx What are 2 methods of determining intensity of ctx? correct answers palpation MVU - internal only What is effacement and how should it progress in labor? correct answers thinning of cervix 0-100% progression with dilation Describe station and the normal progression during labor correct answers descent of fetus