Stages of labor, fetal heart rate pattern interpretation, and intrapartum complication recognition for the laboring patient.
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- What marks the start and end of the first stage of labor?
- Onset of true labor contractions to full cervical dilation (10 cm)
- What marks the start and end of the second stage of labor?
- Full cervical dilation to birth of the baby
- What marks the start and end of the third stage of labor?
- Birth of the baby to delivery of the placenta
- What marks the fourth stage of labor?
- The first 1 to 2 hours after placental delivery, the immediate recovery period
- What are the three phases of the first stage of labor?
- Latent, active, and transition
- Cervical dilation range of the latent phase
- 0 to 3 cm
- Cervical dilation range of the active phase
- 4 to 7 cm
- Cervical dilation range of the transition phase
- 8 to 10 cm
- Define cervical effacement
- Thinning and shortening of the cervix, expressed as 0% to 100%
- Define cervical dilation
- Opening of the cervical os, measured in centimeters from 0 to 10
- What does a fetal station of 0 mean?
- The presenting part is level with the ischial spines
- What does a negative fetal station number mean?
- The presenting part is above the ischial spines
- What does a positive fetal station number mean?
- The presenting part is below the ischial spines
- Normal baseline fetal heart rate range
- 110 to 160 beats per minute
- Define fetal bradycardia
- A baseline FHR below 110 bpm lasting 10 minutes or longer