maternal Child Nursing Care chapter 18

The first stage of labor begins with the onset of ______ and ends with complete cervical ________ and tinged mucous discharge (bloody show) from the vagina usually indicates the passage of the ________.

During the latent phase of the first stage of labor the cervix dilates up to __________ cm in approximately _______ to ________ hours.

cervical dilation progresses from _______ to __________ cm in about ________to _________ hours during the active phase of the first stage of labor.

The duration of the transition phase is approximately ________ to _______ minutes and the cervix dilated from _________ to ________ cm

The second stage of labor is the stage in which the _________.

The second stage of labor begins with full cervical _________ and complete ___________.

The second stage of labor ends with the _________.

A second stage that is longer than _________ may be considered prolonged in a woman without regional anesthesia and should be reported to the primary health care provider

The third stage of labor lasts from the ________ until the _______ .

Detachment of the placenta from the wall of the uterus or separation is indicated by a firmly contracted ___________, change in the shape of the uterus from _________ to _________, a sudden __________ from the introitus, apparent _________, and the finding of______ or of __________ at the introitus

The fourth stage of labor is considered to be the first ________ after birth. During this stage, the mother and newborn recover from the physical process of childbirth and get to know each other.

appearance of fetal intestinal contents in the amniotic fluid giving it a greenish color

prolonged breath holding while bearing down (closed glottis pushing)

Burning sensation of acute pain as vagina stretches and crowning occurs

artificial rupture of membranes (AROM, ARM)

Occurs when widest part of the head (biparietal diameter) distends the vulva just before birth.

Incision into perineum to enlarge the vaginal outlet

Test to determine whether membranes have ruptured by assessing pH of the fluid

Technique used to control birth of fetal head and protect perineal musculature

Method of breathing during bearing-down efforts characterized by a strong expiratory grunt or groan

expulsion of placenta with fetal side emerging first

cord encircles the fetal neck

method used to palpate fetus through abdomen

occurs when pressure of presenting part against pelvic floor stretching receptors results in a woman's perception of an urge to bear down.

Frondlike crystalline pattern created by amniotic fluid when it is placed on a glass slide

classification of medication that stimulated the uterus to contract (a uterotonic)

Expulsion of placenta with maternal surface emerging first

application of a gentle yet steady force with hands pressed against the uterus

Protrusion of umbilical cord in advance of the presenting part

the primary powers of labor that act involuntarily to expel the fetus and placenta from the uterus

"Building up" of contraction from its onset

The peak of a contraction with an intrauterine pressure less than 80 mmHg

"Letting down" of a contraction

how often uterine contractions occur; the time that elapses from the beginning of one contraction to the beginning of the next contraction

The strength of a contraction at it's peak

The time that elapses between the onset and the end of a contraction

The tension of the uterine muscle between contractions

period of rest between contractions with an IUP of less than 20 mmHg

An involuntary urge to push in response to the ferguson reflex