Health Promotion & Maintenance: Overview of Labor & Delivery

What does lightening mean?

When the feta head descends into the pelvis.

When does it occur in pregnancy?

2-3week before birth for primip

What is the most common positive effects of lightening?

After it occurs the woman can breathe much easier.

Name the 2 earliest signs that a woman is likely in labor.

Low back pain and show (blood-tinged mucous plug is passed).

What is the most RELIABLE or VALID indication that a woman is in labor?

The onset of regular contractions that result in progressive dilation/effacement of the cervix.

What are the 2 processes that occur to the cervix during labor?

Effacement and dilation

What is the meaning of cervical effacement?

The cervix thins.

Into how many stages is labor and delivery divided?

4

What is accomplished during the first stage of labor and delivery?

Full effacement and dilation

How long is the 1st stage of labor and delivery for a primagravida? For a multipgravida?

12 hours

6 hours

The cervix is fully dilated when it’s ______cm.

10

The 2nd stage of labor and delivery begins with ______ and ends with ______ of the ______.

Full dilation, delivery, infant

The 2n stage of labor and delivery lasts _________ hours (s) for primagravida and _______ hours (s) for a multigravida.

1 ½ hours, ½ hour

The 3rd stage of labor and delivery accomplishes…..

Expulsion of the placenta.

The 3rd stage of labor and delivery lasts….

Less than 1 hour

What occurs during the 4th stage of labor and delivery?

Recovery

When does the 4th stage of labor and delivery end?

2 hours after expulsiopn of the placenta

What is the average blood loss during labor?

500 mL

The 2nd stage of labor and delivery accomplishes….

Delivery of the infant

When the terminology “ the 3 phases of labor” is used, what does it mean?

If the statement refers to phases of labor, it means the 3-step process of latency, followed by active and transitional.