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11 Parturition
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Status
Last Update
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Published
07/30/2024
{{c1::Quiesence}} - Phase of parturition where the fetus grows and is the pariod of contractile unresponsiveness
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07/30/2024
{{c1::Activation}} - Phase of parturition where the cervix and uterus changes in preparation for labor
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{{c1::Stimulation}} - Phase of parturition divided into 3 stages where the process of labor occurs
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{{c1::Involution}} - Phase of parturition involving breastfeeding and and where the parturitient recovers
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{{c1::Hyaluronan}} - Factor/hormone that solely acts on the cervix during phase 2 of parturition
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Phase/s of parturition where oxtocin acts on myometrium{{c1::Phase 3Phase 4}}
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Phase/s of parturition where estrogen, prostaglandin, and relaxin is active{{c1::Phase 2 Phase 3}}
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Phase/s of parturition where progesterone is active{{c1::Phase 1 Phase 2}}
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Phase/s of parturition where prostacyclin, NO, hCG are active{{c1::Phase 1}}
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{{c1::Uterotonin}} - Hormone induced by the mature fetus that induces uterine contraction for parturition
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Much of the contraction in uterus happens from the {{c1::fundus::region}}
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In instances of uterine atony or uterine hypotonia, after expelling the fetus, one form of inducing contraction is to inject {{c1::methylergometrine::…
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{{c1::utero-cornual/tubal junction}} - “pacemaker” of uterine contractions
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Connexin 43 is...Suppressed by overall ↑ amounts of {{c1::progesterone::hormone}} during {{c1::early::early/late}} pregnancyIncreased by overall ↑ amo…
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Connexin {{c1::43}} increases connectivity through uterine myometrial gap junctions during labor stimulated predominatelyto form better contractions
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{{c1::Heptahelical Receptors}} - Cell surface receptor on the utrine muscles that directly regulate myocyte contractility during labor
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[QC] Quiescent phase1. High intracellular Ca levels2. Low intracellular Ca levels{{c1::B}}
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Can Braxton Hicks contractions cause cervical dilation?{{c1::No::Y/N}}
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[QC] Uterine muscle intracellular cAMP or cGMP1. Muscle relaxation 2. Muscle contraction {{c1::A}}
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{{c1::Progesterone}} is the main hormone during the early part of pregnancy
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[VR]1. Progesterone2. Oxytocin response {{c1::B}}
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Estrogen levels needs to be {{c1::lower::higher or lower}} than progesterone during the early part of the pregnancy
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The "Fourth" Stage of Labor is from {{c1::placental expulsion}} until {{c1::1st hour after delivery}}
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CRH acts as a...Uterine relaxant during early pregnancy via {{c1::cAMP}}Agonist for uterine contraction during late pregnancy via {{c1::Ca}}
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{{c1::Corticotropin Releasing}} Hormone acts as a uterine relaxant during early pregnancy but for contraction during late pregnancy
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[QC] Muscle contraction 1. Adenyl cyclase activation2. Phospholipase C activation {{c1::B}}
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[QC] Muscle relaxation1. Adenyl cyclase activation2. Phospholipase C activation {{c1::A}}
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QC. Myometrium effect: Beta-adrenoreceptors1. Myometrium contraction 2. Myometrium relaxation {{c1::B}}
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QC. LH1. Myometrium contraction 2. Myometrium relaxation {{c1::B}}
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QC. HcG1. Myometrium contraction 2. Myometrium relaxation {{c1::B}}
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QC. Parathyroid hormone-related protein1. Myometrium contraction 2. Myometrium relaxation {{c1::B}}
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QC. Natriuretic Peptide1. Myometrium contraction 2. Myometrium relaxation {{c1::B}}
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Contraction-associated proteins that are INC during phase 2 of parturition{{c1::Oxytocin receptorsProstaglandin F receptors}}Connexin-43
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The lower uterine segment is formed and is prominent in phase {{c1::2}} of parturition
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Significant uterine change when px complain of lightening or sensation that “baby has dropped”{{c1::Lower uterine segment formation}}
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QC. Passive segment of uterus 1. Fundal portion 2. Lower uterine segment {{c1::B}}
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Elevated {{c1::HoxA13}} gene expression induces CAP expression and regionalized lower segment contractility
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The First Stage of Labor is from {{c1::cervical effacement}} until {{c1::full cervical dilatation}}
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{{c1::Hyaluronic acid}} is the the only GAG that increases during cervical ripening
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[QC] Cervical ripening 1. Tightly packed collagen fibers2. Loosely packed collagen fibers {{c1::B}}
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Breakdown of dermatan sulfate → allows fibrils to be {{c1::loosely::tightly/loosely}} packed
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Endocervical epithelial cells proliferate during pregnancy to serve as barrier agains microbial invasion {{c1::True::T/F}}
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Uretonin sensitivity starts to increase by phase {{c1::2}} of parturition
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The Second Stage of Labor is from {{c1::full cervical dilatation}} until {{c1::fetal expulsion}}
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What brings about the withdrawal of progesterone during phase 2 of parturition?{{c1::Alterations in progesterone receptor activitySteroid metabolizing…
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[VR]1. Estradiol after progesterone withdrawal2. Oxytocin receptors {{c1::A}}
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T or FAs soon as the cervix begins to dilate, it incites inflammation and promote the onset of labor{{c1::True}}
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CRH effect on fetus in utero during parturition {{c1::Fetal lung maturity producing more pulmonary surfactant}}
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Function of INC DHEA secretion from the fetus to parturition {{c1::converted to estrogen → more contractions}}
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Essential hormone in parturition that is present in a term fetus compared to a preterm{{c1::Steroids - CRH}}
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Surfactant protein A (SP-A)Source{{c2::Fetal lung}}Myometrium effect{{c1::Contraction}}
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{{c1::Fetal portion of placenta}} is the source of INC CRH in parturition
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Two endocrine hormone of fetus that are stimulated by INC CRH during parturition {{c1::Cortisol DHEA → estrogen}}
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Congenital abnormalities that delay parturition {{c1::Anencephaly Adrenal hypoplasiaPlacental Sulfatase deficiency}}
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The Third Stage of Labor is from {{c1::fetal expulsion}} until {{c1::placental expulsion}}
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Normal Values: Full Cervical Dilatation{{c1::10}} cm
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{{c1::1}} cm per hour cervical dilatation in a primigravid patient is expected with good uterine contractions
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Fetal descent is expected to happen when the cervix has reached an {{c1::8}} cm cervical dilatation
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Subdivisions of the active phase of cervical dilatation {{c1::Acceleration phase (8th - 10th hr)Phase of maximum slope (10th - 12thr)Deceleration…
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3 functional divisions of labor {{c1::Preparatory division Dilatational divisionPelvic division}}
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CBA. Functional division of labor Encompasses latent and acceleration phases of cervical dilatationA. Preparatory division B. Dilatational d…
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07/30/2024
CBA. Functional division of labor Encompasses the maximum slope of cervical dilatationA. Preparatory division B. Dilatational division …
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07/30/2024
CBA. Functional division of labor Encompassess deceleration phase and second stage of labor A. Preparatory division B. Dilatational div…
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{{c1::Oxytocin}} is the most important uretonin
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07/30/2024
Three events where Oxytocin is INCREASED{{c1::2nd stage of labor (more contractions)Early postpartum period (prevent uterine bleeding)During breastfee…
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07/30/2024
The sucking reflex causes {{c1::oxytocin}} release promoting uterine contraction
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07/30/2024
{{c1::PGE2::Prostaglandin type receptors}} and {{c1::PGF2-alpha}} receptors are seen in the uterus and cervix
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[VR]1. Nifedipine2. Prostaglandin Release{{c1::B}}
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Give sources of prostaglandin during phase III of parturition {{c1::MyometriumPlacentaDecidual membrane Fetal membranes}}
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07/30/2024
Function of vaginal fluids on uterus upon exposure of forebags{{c1::Promote cytokine and prostaglandin release to promote myometrial contractions}}
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Normal vaginal discharge color days after delivery {{c1::Pink}}
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If vaginal discharge remains red after delivery, indication of {{c1::subinvolution of the uterus::pathology}}
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07/30/2024
Changes during Phase 4 of Parturition (BUBBLE){{c1::BreastfeedingUterine involutionResumption of Bowel habitsResumption of Bladder habitsCharacter of …
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07/30/2024
Uterus is at level of {{c1::umbilicus}} after delivery
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Ovulation occurs within {{c1::4-6}} weeks after birth
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07/30/2024
CBA. Intrauterine tissues Provides tensile strength to prevent premature delivery A. Amnion B. Chorion laeveC. Decidua parietalis …
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CBA. Intrauterine tissues Enriched with enzymes that inactivate uterotoninsA. Amnion B. Chorion laeveC. Decidua parietalis {{c1::B}}
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CBA. Intrauterine tissues Generation of uterotoninsA. Amnion B. Chorion laeveC. Decidua parietalis {{c1::C}}
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Status
Last Update
Fields