Notes in 12 Parturition & Friedman's Curve

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Status	Last Update	Fields
Published	07/30/2024	CBA. Phases of ParturitionStarts at 34 weeks AOGA. Quiescent phaseB. Activation phaseC. Stimulation phaseD. Involution phase{{c1::B}}
Published	07/30/2024	Three principal structural components of the cervix{{c1::1. Collagen2. Smooth Muscle 3. Connective tissue or Ground substance}}
Published	07/30/2024	{{c1::Relaxin::hormone}} is used for cervical shortening while maintaining the uterus in a quiescent state
Published	07/30/2024	[QC] Duration of labor 1. Nullipara2. Multipara{{c1::A}}
Published	07/30/2024	Just need to know DEC duration of labor with succeeding births{{c1::}}
Published	07/30/2024	Duration of involution phase is dependent on {{c1::breastfeeding::action of mother}}
Published	07/30/2024	Labor starts at Phase {{c1::2}} of parturition
Published	07/30/2024	FRIEDMAN REFActive phase of labor starts when cervical dilatation has reached {{c1::4}} cm until full dilatation at 10 cm
Published	07/30/2024	CHANG REF - PH SETTINGActive phase of labor starts when cervical dilatation has reached {{c1::6}} cm until full dilatation at 10 cm
Published	07/30/2024	Length of latent phase first stage of labor Nullipara{{c1::20 hrs}}Multipara {{c1::14 hrs}}
Published	07/30/2024	Cervical dilatation during deceleration phase of the active phase in first stage of labor {{c1::8 cm (Dr. Yu) or 9 cm (Dr. Gonzales)}}
Published	07/30/2024	When should Friedman's curve for a px be done?{{c1::Start plot on admission}}
Published	07/30/2024	[QC] Regular rhythm1. True Labor 2. False Labor {{c1::A}}
Published	07/30/2024	[QC] Contractions Interval1. True Labor 2. False Labor {{c1::B}}
Published	07/30/2024	[QC] Contractions Duration1. True Labor 2. False Labor {{c1::A}}
Published	07/30/2024	[QC] Contraction intensity 1. True Labor 2. False Labor {{c1::B}}
Published	07/30/2024	If the pain radiates from the hypogastric to the back, this is {{c1::true}} labor
Published	07/30/2024	If the pain radiates from the hypogastric to the abdomen, this is {{c1::false}} labor
Published	07/30/2024	[QC] Pain can be lessened with sedation1. True Labor 2. False Labor {{c1::B}}
Published	07/30/2024	Wait for the {{c1::active::latent/active}} phase of labor before we place the epidural catheter
Published	07/30/2024	Excessively prolonged or continuous contractions may be representative of {{c1::abruptio placentae::placenta pathology}}
Published	07/30/2024	Normal Values: Duration of True Labor Contractions{{c1::60 to 90 seconds}}
Published	07/30/2024	{{c2::Ferguson}} Reflex - Stimulated to induce contractions by sweeping the space between the amniotic sac and uterine cavity to increase Prostaglandi…
Published	07/30/2024	How do you stimulate the Ferguson reflex?{{c1::Inserts the finger (gloved) in the cervical canal and then in between the uterine cavity and amniotic s…
Published	07/30/2024	If bloody show is very excessive, {{c1::placenta previa::placental pathology}} should be ruled out
Published	07/30/2024	Cause of "bloody show" presentation during near labor {{c1::Mucus plug proximal to vessels}}
Published	07/30/2024	Nomal fetal level (longitudinal lie) of physiological retraction ring{{c1::Fetus neck}}
Published	07/30/2024	After the cervix is fully dilated, the most important force in fetal expulsion is produced by increased {{c1::maternal intra-abdominal pressure}}
Published	07/30/2024	Maternal pushing should coincide with full {{c1::cervical dilatation}} and {{c1::myometrial contraction}}
Published	07/30/2024	[QC] Cervical change during labor 1. Lengthening2. Shortening{{c1::B}}
Published	07/30/2024	[QC] Faster cervical effacement 1. Multipara2. Primigravida {{c1::A}}
Published	07/30/2024	Normal Values: Average Cervical Canal Length{{c1::3}} cm
Published	07/30/2024	Cervical length at 80% Effacement{{c1::3 cm x 0.8 (80%) = 2.4 cm (amount of effacement)}}
Published	07/30/2024	{{c1::Forebag}} - Leading portion of fluid and amniotic sac located in front of the presenting part during labor created by {{c2::cervical effacement …
Published	07/30/2024	Minimum Rate of Cervical Dilatation Primigravida{{c1::1.2 cm/hr}}Multipara{{c1::1.5 cm/hr}}
Published	07/30/2024	[QC] (+) Bag of Water 1. Intact membrane2. Ruptured membrane {{c1::A}}
Published	07/30/2024	Indication of yellowish/greenish discoloration of fluid from ruptured membrane in term infant{{c1::Passed feces in utero}}
Published	07/30/2024	Indication of yellowish/greenish discoloration of fluid from ruptured membrane in preterm infant{{c1::Distress or hypoxic state}}
Published	07/30/2024	Speed of descent is maximal is stage {{c1::2}} of labor
Published	07/30/2024	{{c1::Episiotomy}} - surgically cutting the superficial transverse perineal muscle during labor
Published	07/30/2024	Uterine involution takes 4-6 weeks but the duration of phase 4 is dependent on duration of {{c1::breastfeeding}}
Published	07/30/2024	Until {{c1::6}} months you don't expect fertility to be restored after giving birth
Published	07/30/2024	Add {{c1::500 kcal}} to daily intake of breastfeeding moms
Published	07/30/2024	Main pathophysiology of placental separation{{c1::Subplacental hemorrhage leading to hematoma formation}}
Published	07/30/2024	[QC] Peripheral type of separation1. Duncan mechanism 2. Schultze mechanism{{c1::A}}
Published	07/30/2024	[QC] Central hematoma formation1. Duncan mechanism 2. Schultze mechanism{{c1::B}}
Published	07/30/2024	[QC] Placenta descends as an inverted sac1. Duncan mechanism 2. Schultze mechanism{{c1::B}}
Published	07/30/2024	[QC] Maternal surface is the first to appear1. Duncan mechanism 2. Schultze mechanism{{c1::A}}
Status	Last Update	Fields