Care During Labor Flashcards
What is false labor
Contractions are irregular, stop w walking or standing, back or upper abdomen
What is Leopold Maneuvers
Diagnosing the fetal presentation by external palpation
Fundal grip
Determine the fetal part that is lying on the fundus
Determine presentation: vertex, transverse, breech
Umbilical grip
determine the fetal’s back
Determine fetal’s position
Pawlik grip
determine the engagement of presenting part
Pelvic grip
Determine the degree of flexion of the head
Where is the FHR usually hear the loudest?
The fetal’s back
Breech presentation
The butt (sacrum)
Cephalic Presentation
The head (occiput)
Shoulder Presentation
The scapula
5 essential factors of labor
Passenger
Passageway
Position of Mother
Powers
Physiological Adaption and Psychological Response of the Mother
Gynecoid
most common and best way to come out
Android
resembles the male pelvis
Anthropoid
Resembles the ape pelvis
Platypelloid
flat pelvis
Lower uterine segment during labor
distends to accomdate intrauterine contents
Cervix during labor
thins and opens to allow descent into to the vagina
Pelvic floor muscles
help rotate the fetus as it passes through the birth canal
Vagina and introitus
dilate to accomdate the fetus and permit passage to the external world
Effacement
Shortening and thinning of the cervix
Cardinal Movements of Labor
Engagement-> Descent, flexion -> internal rotation -> Extension -> External rotation restitution -> Expulsion (anterior then positier shoulder)
What are some complications during labor?
Meconiem stained fluid
Foul-smelling vaginal discharge
Persistent bright/dark red vaginal bleeding
Non-reassuring FHR
<30 secs of relaxation between ctxs
>5 ctxs in 10 mins
Ctxs >= 90 secs
>= 90 mm Hg intrauterine pressure / >= 20 mm Hg resting tone
Tachysystole w/ Oxytocin can lead to
Fetal hypoxemia or acidemia
Risk factors of Prolapsed Cord
Presenting part not well engaged
Very small fetus
Abnormal presentation
Hydraminos
