Chapter 16

Question 1

Components of the Birthing ProcessTHE FOUR P’s**

Answer 1

Powers -contractions and pushing
Passage- uterus/vagina and pelvis
Passenger - fetus
Position of the the laboring woman

Question 2

Powers

Answer 2

Uterine contractions- first stage

Maternal pushing- second stage

Question 3

Contractions

Answer 3

INCREAMENT
PEAK
DECREMENT

Question 4

Contraction Measure

Answer 4

1. FREQUENCY 2. DURATION 3. INTENISTY 4. INTERVAL

Question 5

coordinate more intense contractions at the top

Answer 5

makes it so you can push out baby; stretches at bottom so baby can come out

Question 6

no rest for mother until

Answer 6

baby comes out

Question 7

increment

Answer 7

as contraction builds

Question 8

decrement

Answer 8

as contraction comes down

Question 9

duration *

Answer 9

beginning of 1 contraction to end of same contraction

Question 10

if contraction longer than ____ then worry

Answer 10

90 seconds; the longer the contraction the more likely for the baby to have distress

Question 11

internal rest period *

Answer 11

from 1 contraction to the next

Question 12

frequency

Answer 12

the beginning of contraction to the beginning of the next; includes 1 contraction and interval (rest period)

Question 13

can measure intensity of contraction by

Answer 13

put hand on woman and feel

Question 14

if mild contraction will feel like

Answer 14

tip of the nose

Question 15

if moderate contraction will feel like

Answer 15

chin

Question 16

if firm contraction will feel like

Answer 16

forehead

Question 17

how do contractions help in labor

Answer 17

helps baby come down and out more easily

Question 18

Uterine Contractions-

Answer 18

The upper 2/3 contracts and the lower1/3 & cervix are passive and separated by the physiologic retraction ring

Question 19

effacement

Answer 19

thinning & shortening of the cervix 0- 100%

Question 20

dilation

Answer 20

widening of the cervical os 1 to 10 CMS

Question 21

10 cms =

Answer 21

100 % effaced, time to push

Question 22

multigravida -

Answer 22

2nd or more baby, so delivery goes faster

Question 23

primigravida -

Answer 23

dilate before labor begins

Question 24

relaxant

Answer 24

release when labor tarts so pelvis can be stretched

Question 25

TRUE VS. FALSE PLEVIS

Answer 25

Divided by the linear terminals

Question 26

True pelvis includes:

Answer 26

inlet, midpelvis with the ischial spines and outlet

Question 27

False pelvis-

Answer 27

above the true pelvis

Question 28

Inlet- transverse

Answer 28

avg >13.5

Question 29

Inlet – obstetrical conjugate

Answer 29

avg 10.6cms

Question 30

Outlet – anterior/posterior

Answer 30

avg 11(11.5)

Question 31

measure transverse

Answer 31

from side to side average 13.5

Question 32

inlet is all

Answer 32

pelvis between inlet and outlet

Question 33

station

Answer 33

The relationship of the presenting part to an imaginary line drawn between the ischial spines

Question 34

above the ischial spines is

Answer 34

minus

Question 35

Below the ischial spines is

Answer 35

plus

Question 36

CPD- cephalo-pelvic disproportion:

Answer 36

when the heads widest diameter can not pass through the ischial spines. (head too big for pelvis)

Question 37

when baby at level of ischial spine then baby at level of

Answer 37

zero station