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1. 4 Components of Labor (4Ps) - ANSWER Passageway, Passenger, Power, Psyche
2. First Stage of Labour - ANSWER Stage of cervical dilation. Begins with onset of
regular contractions and ends with complete dilation. Three phases -- Latent, Active,
Transitional
3. Second Stage of Labor - ANSWER Stage of expulsion. Begins with complete cervical
dilation and ends with delivery of fetus
4. Third Stage of Labor - ANSWER Placental stage. Begins immediately after fetus is
born and ends when placenta is delivered
5. Fourth Stage of Labor - ANSWER Maternal homeostatic stabilization stage/recovery
stage. Begins after delivery of placenta and continues for one to four hours after delivery
6. Latency Phase of Labor - ANSWER Preliminary stage. Cervix 0-3cm. ~4-24hr (ADD
CONTRACTIONS)
7. Active Phase of Labor - ANSWER Cervix 4-7 cm. Moderate to strong contractions
that are regular q 3-5 min
8. lasts 40-70 sec. ~3-5hr
,9. Transition Phase of Labor - ANSWER Cervix 8-10 cm. Strong to very strong
contractions q 2-3 min lasts 45-90 sec. ~0.5-2hrs
10. Gynecoid Pelvis - ANSWER Round, cylindric shape throughout. Wide pubic arch (90
degrees or greater). Most ideal shape for vaginal birth
11. Anthropoid Pelvis - ANSWER Long, narrow oval. Anteroposterior diameter is longer
than transverse diameter. Narrow pubic arch. More favourable than android and
platypelloid for vaginal birth but not as favourable as gynecoid.
12. Android Pelvis - ANSWER Heart or triangular shaped inlet with narrow diameters
throughout. Narrow pubic arch. Poor prognosis for vaginal birth
13. Platypelloid Pelvis - ANSWER Flattened wide short oval. Transverse diameter wide
but anteroposterior diameter short. Wide pubic arch. Poor prognosis for vaginal birth
14. Ideal fetal positions for delivery - ANSWER Right occipitoanterior (ROA) and Left
occipitoanterior) LOA
15. Birth Passage Factors - ANSWER Size of pelvis, type of pelvis, ability of cervix to
dilate, ability of vaginal canal to distend
16. Birth Passenger Factors - ANSWER Fetal attitude (eg flexion/extension), Fetal lie (eg
longitudinal, transverse)
17. Reference point (eg occiput), Presentation (eg vertex, breech)
18. Dilation - ANSWER The expansion or stretching of the cervix during labor
19. 10cm = fully dilated
, 20. Effacement - ANSWER Thinning of the cervix during labor
21. Vertex Presentation - ANSWER Complete flexion of the head
22. Military Presentation - ANSWER Moderate flexion of the head
23. Brow Presentation - ANSWER Partial flexion of the head (extension)
24. Face Presentation - ANSWER Full extension of the head
25. Frank Breech - ANSWER The fetal legs are flexed at the hips and extend toward the
shoulders; this is the most common type of breech presentation. The buttocks present at
the cervix
26. Full Breech - ANSWER Legs are crossed anteriorly across the body. Buttocks present
at the cervix
27. Single Footing Breech - ANSWER Butt down, one foot up
28. Fetal Station - ANSWER Location of the presenting part in relation to the midpelvis
or ischial spines; expressed as cm above or below the spines; station 0 is engaged,
station -2 is 2cm above the ischial spines, station +2 is 2cm below ischial spines
29. Amniotic fluid in delivery - ANSWER 600-800mL, COCA, pH