WorksheetsCMCA 3F THEORY
Total questions: 25
Worksheet time: 17mins
What is a series of events by which uterine contractions and abdominal pressure expel a fetus and placenta from uterus
(a)
The sinking of fetal head into the true pelvis, decreasing fundal height
Lightening
Uterine muscle stretching
Cervical ripening
Cervical pressure
what are the phases of uterine contractions?
(a)
sudden gush or scanty, slow seeping of clear fluid from the
vagina.
Rupture of Membranes
Show
Cervical Ripening
Lightening
check the signs of true labor
pain begin at the back and sweeps forward across abdomen and possibly legs
Rapidly increases in frequency
and intensity
Last week or days before labor
begins
Uterus becomes hard on
palpation
Not relieved by rest
beginning of increment to end of decrement
Duration
Frequency
Intensity
Beginning of one contraction to the
beginning of the next
duration
frequency
Intensity
Identify the phase of the first stage of labor: Begins at onset of regularly perceived uterine contractions, Ends when rapid cervical dilatation begins, Mild and short contractions
Latent phase
Active phase
Transition phase
True or False: Analgesia can be given really early during the latent phase
True
False
check the nursing care during the latent phase of the first stage of labor
Frequent perineal care
Teach controlled and deep breathing exercises
Offer clear liquids or ice chips
Provide calm environment
Anticipate mood swings and
difficulty in coping
True or False: Transition phase: Cervical Dilatation (8-10 cm), Strong urge to push, Full cervical dilatation and effacement
True
False
check the nursing care applicable in the second stage of labor
Assist with second stage pushing
Assist with episiorrhaphy
Help direct maternal focus to birthing of baby
Assist mother in birthing position
Prepare for and assist with delivery
check the signs of placental separation
Lengthening of the umbilical cord
Uterus is not palpable and feels soft
Placenta is visible at the vaginal opening
Sudden gush of vaginal blood
what do you call the maneuver where you apply gentle
pressure on the contracted uterine fundus?
(a)
True or False: pressure on noncontracted uterus can cause uterine eversion and massive hemorrhage
True
False
What do you administer when there is Excessive hemorrhage with poor contraction during placental expulsion (1 answer only)
(a)
What are the 2 presentations of the placenta
(a)
Type of Laceration: Vaginal Mucous membrane and skin of the perineum to the fourchette
First degree
Second degree
Third degree
Fourth degree
Third degree laceration
Vagina, Perineal skin, fascia, levator ani muscle, and perineal
body
Entire perineum, extending to reach the external sphincter of the rectum
Entire perineum, rectal sphincter, and some of the mucous
membrane of the rectum
Vaginal Mucous membrane and skin of the perineum to the
fourchette
Check the nursing care that applies during the fourth stage of labor
stabilizing the status of the neonate and helping
neonate get acclimated to extrauterine life
Focus on maternal-neonatal bonding
Assess lochia, consistency and position of the fundus, episiotomy site
Introduce neonate to the parents and allow breastfeeding
Assist with episiorrhaphy
Theories of labor: Reduction of progesterone and increase inprostaglandins
Placental Degeneration:
Rising Fetal Cortisol Levels
Oxytocin stimulation + Prostaglandins
Estrogen – Progesterone Ratio
Average length of the first stage of labor in Primipara mothers
6-18 hours
2-10 hours
7-12 hours
3-8 hours
True or False: during the active phase is when the mother may experience intense discomfort, nausea and vomiting, and loss of control
True
False
letting-down phase of a uterine contraction
(a)
cervix feels very soft upon palpation during internal
examination
Cervical Ripening
Rupture of Membranes
Uterine Contractions
Lightening
