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Class: NUR 106D - Maternal Nursing; Subject: Nursing; University: Jefferson State Community College; Term: Fall 2013;
Typology: Quizzes
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The time of labor and childbirth. TERM 2
DEFINITION 2 the act of giving birth to a child. TERM 3
DEFINITION 3 The time and the processes that occur during parturition from the beginning of cervical dilation to the delivery of the placenta. TERM 4
DEFINITION 4 the birth of a child. TERM 5
DEFINITION 5 begins with onset of true labor and ends when the cervix is completely dilated to 10 cm
begins with complete dilation and ends with the birth of baby. TERM 7
DEFINITION 7 begins with birth of baby and ends with delivery of placenta. TERM 8
DEFINITION 8 lasts 1-4 hours after delivery of placenta. TERM 9
DEFINITION 9 woman pregnant for the first time and in labor. TERM 10
DEFINITION 10 Combining form meaning second, or following.Secundigravida.
artificial rupture of the amniotic sac. TERM 17
DEFINITION 17
DEFINITION 18 bag of water TERM 19
DEFINITION 19 progressive dilation and effacement, continuous and regular and increase in frequency, duration & intensity, contractions in back and come to front, pain is not relived by ambulation. TERM 20
DEFINITION 20 no progressive dilation and effacement, conts irregular, not increasing in frequency, duration & intensity, contractions perceived as balling up or hardening, discomfort in lower abdomen and groin, discomfort may be relieved by ambulating.
an obstetric condition in which a babys head is too large or a mothers birth canal too small to permit normal labor or birth. TERM 22
DEFINITION 22 Fetal heart rate TERM 23
DEFINITION 23 part of the uterus that is farthest from the cervix, above the openings of the fallopian tubes. TERM 24
DEFINITION 24 a soft, blowing sound may be auscultated over the uterus. This is the sound of blood circulating through the placenta and corresponds to the maternal pulse. TERM 25
DEFINITION 25 drawing together or shortening
relationship of fetal body parts to one another, such as flexion or extension. TERM 32
DEFINITION 32 relationship of the long axis of the fetus to the long axis of the mother. TERM 33
DEFINITION 33 fetal part that first enters the pelvic inlet; also the presenting part TERM 34
DEFINITION 34 relation of a fixed reference point on the fetus to the quadrants of the maternal pelvis. TERM 35
DEFINITION 35 descent of the fetus toward the pelvic intlet before labor.
descent of the widest diameter of the fetal presenting part to at least azero station (level of the ischial spines in the maternal pelvis) TERM 37
DEFINITION 37 measurement of fetal descent in relation to the ischial spines of the maternal pelvis. TERM 38
DEFINITION 38 cervical thinning TERM 39
DEFINITION 39 an intense, unusually short labor (less than 3 hours) TERM 40
DEFINITION 40 a birth that occurs without a trained attendant present
sustained muscular contraction without periods of relaxation. TERM 47
DEFINITION 47 appearance of the fetal scalp or presenting part at the vaginal opening. TERM 48
DEFINITION 48 progesterone is still produced but less is available for the uterus thus the uterus becomes more easily stimulated to contract. TERM 49
DEFINITION 49 Maternal estrogen levels are higher than progesterone levels which enhances uterine sensitivity to substances that stimulate uterine contractions. Prostagladins from the fetal membranes and oxytocin from the maternal posterior pituitary gland. TERM 50
DEFINITION 50 -Stretching, pressure or irritation of the uterus and cervix-the placenta is a timed environment. Ideally labor begins between 38-42 weeks of gestation and we are not really sure what begins labor.
The body or muscles of the uterus shortens and exerts longitudinal pull on the cervix therefore the cervix thins and becomes part of the uterine wall.this begins effacement which is the percentage of thinning of the cervix TERM 52
DEFINITION 52 The cervix will dilate from 0-10 cm Effacement (thinning) is measured in percentages. The cervix becomes soft and squishy ripening when enzymes break down fibers TERM 53
DEFINITION 53 During a contraction 300-500 ml of blood is forced into maternal circulation therefore BP increases (as much as 35/25) and HR slows. Accurate BP is measured between contractions. TERM 54
DEFINITION 54 If the mother is lying on her back supine hypotension may occur. The weight of the baby is lying on the decending aorta. It is best that the mother lie in positions other than supine to promote blood flow. TERM 55
DEFINITION 55 O2 demand is increased- anxiety and pain cause hyperventilation especially in natural labor. If mother hyperventilates have her rebreath the CO2 through breathing in a paper bag.
The tuberosity of the ischium is a large swelling posteriorly on the superior ramus of the ischium. TERM 62
DEFINITION 62 They are the shortest diameter in the pelvis and are used to determine the station of the baby -0 station is equal with the ischial spines, - is above and below is + +4 means the head is at the perineum TERM 63
DEFINITION 63 True-Below the linea terminalis (forms a ring) when head drops below the largest diameter then the head is engaged.False- Above the linea terminalis protects pelvic contents and acts as a guide to direct the baby out TERM 64
DEFINITION 64 Narrowest part of the pelvis- measured at level of the ischial spines -diameter averages 12cm TERM 65
DEFINITION 65
-13.5 cm transverse-anteroposterior 11.5cm TERM 67
DEFINITION 67 from the sacral promontory to middle of public crest @ 1 cm less than the diagonal conjugate TERM 68
DEFINITION 68 This is the one that is measured and then the others are calculated from this measurement. The doctor measures from the subra public artc to the sacra promontory (11 to 12 cm) and determines if the space is large enough for the baby to pass. TERM 69
DEFINITION 69
DEFINITION 70 The Diagnoal Congugate is the one that is measured- the MD measures from the subrapubic arch to the sacral promentary and then calculates the other two. The Diagonal Congugate is slightly larger than the other two. The Obstetric conjugate is the narrowest of the three conjugate diameters and cannot be measured directly. It is estimated by measuring the diagonal conjugate and then subtracting 1.5-2 cm.
