Stages of Labour Essential Assessments Risky Business Oh Baby! Culturally Appropriate Care
100
What is the bloody show?
A blood-tinged or brownish cervical mucus that may be passed prior to labour (may indicate labour may begin in the coming days).
100
What are the 5 "P"s that affect the process of labour?
Passenger, Passageway, Powers, Position of labouring patient and psychological state
100
What is fundus?
This should be firm in the 4th stage of labour. If not firm it can be massaged to help it contract and expel any clots.
100
What is the fetal heart rate at term?
110 to 160 beats per minute!
100
What is the birth plan?
A tool in which the parents can explore their options and help guide them in decision making during labour.
200
What is the first stage of labour?
From the onset of regular uterine contractions to full cervical dilation.
200
What is cervical dilation?
Enlargement of widening to 10 cm.
200
What is a deceleration?
The medical term when the fetal heart rate drops.
200
What is cephalic presentation?
Fetal presentation as it enters the pelvis in 96% of births... medical term only!
Daily Double- if you know the other 2 fetal presentations!
200
What is an epidural?
Inserted by an anesthetist to help with pain relief.

Daily Double is you can describe 3 nursing interventions if they have one inserted.
300
What is active labour?
Type of labour, when contractions are moderate to strong lasting 40-90 secs and are 2-5mins apart.
300
What is cardiac output?
This increases 10-15% in the first stage of labour and 30-50% in the second stage of labour.
(Think cardiovascular system!)... medical term only!
300
What is GBS (Group B strep) infections?
An infection associated with poor pregancy outcomes and is present in 10-30% of healthy pregnancy patients.
Daily double... what do we do before they deliver??
300
What is intrauterine growth restriction? (IUGR)
A term used for inadequate fetal growth, infants who have low birth weights who are not necessarily born preterm.
300
What is water birth?
A growing number of hospital and birthing center provide this option for birth. Can help relieve back pressure.
Daily Double is you can describe 2 nursing interventions to monitor?
400
What is Oxytocin?
Medication given to help induce labour or make contractions stonger.
400
What is the placenta?
Delivered in the 3rd stage of labour by either passive or an active approach.
Daily double if you can describe the difference in passive or active approach.
400
What is pre-eclampsia?
An elevated Blood pressure can lead to this complication.
400
What is glucocorticoid/ steroid therapy?
All mothers should be given this prior to delivery (if between 24- 35 weeks pregnant) to help with fetal lung maturity.
400
What is Nitrous oxide?
An inhaled gas to help with pain relief
500
What is COAT- colour, odour, Amount and time?
A acronym, for a series of questions to evaluate the status of the amniotic fluid if it ruptured.
500
What is Leopold manoevers?
A type of assessment, performed while the patient is lying on their back to help identify fetal lie, fetal presentation and fetal attitude.
500
What is oligohydramnios?
A medical term for decreased amniotic fluid (less than 400 ml) . Common in post term pregnancy.
500
What is fetal hypoxemia?
Complicated decelerations in the fetal heart rate and failure to return to baseline or lasting more than 60 secs and lower than 60 beats per minute can lead to depletion of fetal reserve and lead to this in the baby. Immediate intervention must happen to prevent this in the baby.
Daily Double if you get the medical term!
500
What is effleurage?
A term for light massage, stroking of the abdomen with controlled breathing to help with relaxation during contractions






Module 4 Labour and Birth

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