Maternal-Newborn Exam 2 2022/2023 SOLVED GRADED A++ Progesterone - correct answer relaxes smooth muscle, lessens with labor, produced by the placenta Estrogen - correct answer 1. stimulates smooth muscle, helps labor, produced by the placenta Prostaglandin Hypothesis - correct answer 2. application to cervix to stimulate labor Corticotropin-releasing hormone (CRH) - correct answer 3. sharp increase at term, stimulates prostaglandin Regular Contractions - correct answer every 5 minutes for an hour; do not subside; "real" labor = cervical dilation Braxton Hicks contractions - correct answer irregular, intermittent, no cervical dilation bloody show - correct answer A small amount of blood at the vagina that appears at the beginning of labor and may include a plug of pink-tinged mucus that is discharged when the cervix begins to dilate.should be clear fluid spontaneous rupture of membranes - correct answer water breaks naturally; fern test pH - correct answer 3.5 norm in vagina 7.0 norm for amniotic fluid (blue) fetal heart tones - correct answer external monitor on moms abdomen; 5-25 beats above baseline contraction pattern - correct answer palpate: intensity, uterine rigidity, timing
internal: intrauterine pressure catheter 1 / 2
external: toconamometer (belt on fundus)
uterine rigidity - correct answer should be as hard as a desk during a contraction
5 critical birth passage factors - correct answer birth passage: pelvis
fetus: head, presentation
relationship or passage and fetus: engagement?
physiologic factors: contractions, pushing
psychosocial considerations: support, preparation
maternal pelvis - correct answer gynecoid and anthropoid are best
android: not wide enough
platypelloid: not deep enough
station - correct answer how the head is dropping into the pelvis; test by putting one finger at ischial spine and the other at the baby's head
negative: not dropping
0: at opening
positive: dropping
effacement - correct answer thinning of the cervix; 0% (thick) is the worst 100% (thin) is the best dilation - correct answer opening of the cervix; 0-10cm fetal presentation - correct answer vertex (head down) is the best median vertex (head slightly flexed) brow (neck fully extended) face (face first) breech (butt first)
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