1 /
15
Maternal Child Birth Week 1 and 2 Study Guide
Review
1.5 factors important in the process of labor and birth: passageway(the
birth canal), the passenger(fetus and placenta), power,
position(maternal and fetal), psychologic response
2.Pelvic types: Gynecoid(good for childbirth, most common),
Android(not good for childbirth), Anthropoid(favourable),
Platypelloid(not favorable)
3.When does labor typically begin: 38th-42nd week of gestation
4.Effacement: the taking up or drawing in of the internal os and the
cervical canal into the uterine side walls
5.cervical dilation: The action and hydrostatic pressure of the fetal
membranes causes it
6.decreased blood supply to pelvic area during labor causes: normal
physio- logic anesthesia
7.Lightening: describes the effects that occur when the fetus begins to
settle into the pelvic inlet (engagement)
8.Braxton-Hicks contactions: "practice" contractions; irregular,
intermittent con- tractions that occur throughout pregnancy
9.Bloody show: with softening and effacement of cervix, the mucous
plug is ex- pelled, resulting in small amounts of blood loss from the
exposed cervical capillaries; the pink-tinged secretions are called bloody
show; usually a sign of impending labor in 24-48 hours
10.Rupture of membranes(ROM): amniotic membranes rupture, and most
women will go into labor within 24 hours; if they don't, labor may be
induced to avoid infection.
11.Spontaneous rupture of membranes(SROM): happens at height of
intense contraction; happens naturally
12.Artificial rupture of membranes(AROM): membrane is ruptured by
physi- cian/CNM using an amniohook
13.PROM: premature rupture of membranes- happens before onset of
labor
14.PPROM: Preterm premature rupture of membranes- rupture
happens before week 37
15.Rupture of membrane before engagement: danger that umbilical cord
could come out w/ the fluid(prolapsed cord)
16.True labor: produces progressive dilation and effacement of the
cervix; contrac- tions occur regularly and increase in frequency,
