The size and shape of the true pelvis is more important than the false pelvis because the fetal head must be able to pass through for vaginal delivery to occur. Many types of medication can ease pain during labor and delivery. PTS: 1 DIF: Cognitive Level: Analysis REF: Page 827. You’ll soon be holding your little one, enjoying precious moments together. 26.Why is oxytocin administered in the third stage of labor? Late in the dilation stage, the amniochorionic membrane inside the mother's uterus, which is a sac that contains amniotic fluid, may break or rupture. Fetal heart rate should be assessed every 5 minutes during the second stage of labor. Birthing centers are ideal only for women who are considered low risk. 4.Why is the size and shape of the true pelvis more important than that of the false pelvis? The first stage of labor and birth occurs when you begin to feel regular contractions, which cause the cervix to open (dilate) and soften, shorten and thin (effacement). Change with movement: False labor: contractions might stop when you walk or rest, or might even stop when you change position. The mother with preeclampsia would be considered high risk and would probably be excluded from delivering in the birthing center. She reports that she is leaking fluid. PTS: 1 DIF: Cognitive Level: Application REF: Page 801, Table 26-2. Why is New Jersey state motto liberty and prosperity? What Apgar score should be assigned to this infant? The true pelvis are the mothers measurements. You are the charge nurse working in labor and delivery at a local hospital. Second stage of labor. What occurs during each of the three stages of labor How long does each stage last? The knee-chest position reduces the pressure on the prolapsed cord. At which stage of the birth process is the amniotic sac most likely to rupture? How many bones do you break giving birth? A longitudinal lie is when the fetal spine and the maternal spine are parallel to each other. After the rupture of membranes, labor is usually accomplished in 18 to 24 hours. Contractions get stronger with ambulation in true labor. This indicates early decelerations because of head compression. The amount of time spent in each stage of delivery will vary. 13.When observing the fetal heart monitor, the nurse recognizes the fetal heart rate (FHR) decreases to 120 bpm at the beginning of a contraction and returns to a baseline of 155 bpm at the end of the contraction. The transitional stage is described as the most painful part of labour, as your body is changing from the cervix opening to the body getting ready for the pushing stage. Your cervix will dilate from 4cm to 7cm. Labor and Delivery. Which characteristic is typical of fathers of securely attached infants? If this is too large, the skull may not be able to enter the mothers pelvis. This allows the baby to move into the birth canal. Quickly memorize the terms, phrases and much more. The widest diameter of the presenting part crosses the pelvic inlet. Some women experience pain in their sides or thighs as well. Significant advances, however, have been made in the application of prostaglandins to common clinical problems in obstetrics. The normal FHR is 120 to 160 bpm. The first stage is when the neck of the womb (cervix) opens to 10cm dilated. Recovery. Pain during labor is caused by contractions of the muscles of the uterus and by pressure on the cervix. 2.How do Braxton-Hicks contractions, which may begin in the first trimester and become increasingly stronger during the pregnancy, differ from labor contractions? Contractions become progressively more rhythmic and stronger 5. 3.When trying to differentiate false labor from true labor, the nurse realizes which of the following statements regarding true labor is correct? A client is admitted to the labor and delivery unit with contractions that are 3-5 minutes apart, lasting 60-70 seconds. What would be the most appropriate action for the nurse? The narrowest diameter of the presenting part has reached the pelvic outlet. The active phase usually begins at about 3-4 cm of cervical dilation and is cha… Your health care team will partner … What is the longest stage of the birth process? Birth: Stage 1-Labor. PTS: 1 DIF: Cognitive Level: Application REF: Page 802, OBJ: 7 TOP: Fetal lie KEY: Nursing Process Step: Implementation. Can you use Karcher steam cleaner on mattress? Nurses are responsible for the timely notification of the primary caregiver in the event of an abnormal fetal heart rate (FHR) pattern. What do these symptoms describe? 14.The first-time mother has been told by the nurse that the first stage of labor is the longest. I think this medical terminology for labor and delivery will be super helpful -- all from an L&D nurse! Reduces postpartum hemorrhage the true pelvis force during a contraction for pain medication or anesthesia if you have options... 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