Fontanels - ANSWER Gaps between a baby's skull that slowly close up during the first
18 months of life
the feeling of the fontanels during birth reveals what - ANSWER fetal presentation
what shape is the anterior fontanel - ANSWER diamond shape
the largest fontanel
what shape is the posterior fontanel - ANSWER triangle
molding - ANSWER Shaping of the fetal head by overlapping of the cranial bones to
facilitate movement through the birth canal during labor.
what allows for molding of the fontanels - ANSWER sutures allow for the overlapping
of the bonesduring birth
bones in the fetal skull are - ANSWER softer and not fused together
general flexion - ANSWER The back of the fetus is rounded so that the chin is flexed on
the chest, the thighs are flexed on the abdomen, and the legs are flexed at the knees. The
arms are crossed over the thorax, and the umbilical cord lies between the arms and the legs.
fetal position
1
,fetal lie - ANSWER the relation of the long axis (spine) of the fetus to the long axis
(spine) of the mother
station - ANSWER how far the head is sitting in the pelvis
measured in centimeters above or below the ischial spine of the pelvis
delivery usually happens at what station level - ANSWER +4/+5
if baby is above the ischial spine of the pelvis the number station would be -
ANSWER negative
the higher the baby the more negative the number (ranges from -5 to 0 to +5
gynecoid - ANSWER most common shape of the pelvis which is round shape
engagement correlates to what station - ANSWER station 0
Primary powers - ANSWER involuntary uterine contractions
primary powers are responsible for what - ANSWER effacement and dilation of the
cervix and descent of the fetus
terms used to describe involuntary contractions - ANSWER -frequency: time from the
beginning of a contraction to the beginning of the next
-duration: length of one contraction
-intensity: strength of contraction at its peak
2
, effacement - ANSWER thinning of the cervix
Ferguson reflex - ANSWER the urge to "bear down"; the urge to push
secondary powers - ANSWER voluntary pushing
has no effect on the cervix (cervix is typically at a 9 or 10)
valsalva maneuver - ANSWER A breathing technique where the patient takes in a deep
breath and bears down
labor - ANSWER process of moving fetus, placenta, and membranes out of the uterus
and through the birth canal
lightening "dropping" - ANSWER carrying lower
happens about 2 weeks before term, referred to the fetus descending into the true pelvis
bloody show - ANSWER brownish or blood tinged cervical mucus may be passed (part
of the mucus plug)
stages of labor: first stage - ANSWER Onset of contractions; full dilation of the cervix.
Longest stage and has 2 stages
latent phase of the first stage of labor - ANSWER contractions; slow progress
more progress in effacement then descent
active phase of the first stage of labor - ANSWER more rapid dilation of the cervix and
increase in descent
3