Labor and Delivery Review

These flashcards cover key concepts related to labor and delivery, including definitions, assessment priorities, and signs of labor progression.

What is the definition of 'effacement' in labor?

The thinning and shortening of the cervix during labor.

What are the stages of labor?

Labor is divided into three stages: the first stage (dilation and effacement), the second stage (birth), and the third stage (delivery of the placenta).

What indicates a normal amniotic fluid finding after membrane rupture?

Clear and odorless amniotic fluid.

What should fetal heart rate (FHR) be assessed after during labor?

Before administering medications, at least every 15 minutes, after vaginal examinations, during contractions, and when giving oxytocin.

What is the significance of a 'bloody show' during labor?

It indicates cervical changes and the approach of labor.

What does a station of 1+ indicate in relation to fetal positioning?

The fetal presenting part is 1 cm below the mother's ischial spine.

What is the highest priority during labor according to the notes?

Assessing the fetal response to labor.

What are signs of true labor?

Progressive cervical dilation, walking increases contraction intensity, and discomfort is felt in the abdomen.

What should the nurse do if there is a drastic drop in fetal heart rate after the rupture of membranes?

Palpate for a prolapsed cord.

What interventions are important in the third stage of labor after the placenta is delivered?

Inspect to ensure no retained placental pieces, encourage kangaroo care, and assess maternal well-being.