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Semester Three - Half Two - Nursing 212 > Conference One - Module 5 (Exam 2) 1 > Flashcards

Conference One - Module 5 (Exam 2) 1 Flashcards

1
Q

The 5 “Ps”

A
  1. Powers
  2. Passage/Passageway
  3. Passenger
  4. Psyche
  5. Position/Partnership
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2
Q

Powers

A
  1. Primary Power
  2. Secondary Power
  3. Tertiary Power
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3
Q

Primary Power

A

Regular, Effective, Uterine Contractions

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4
Q

Secondary Power

A

Maternal Pushing Effots

“Bearing down”

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5
Q

Tertiary Power

A

Forceps (FAVD) or vacuum assisted delivery/birth (VAVD)

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6
Q

Coordinated Uterine Contractions

A

Begin in the uterine fundus and spread downward toward the cervix to proper the fetus through the pelvis.

*Upper 2/3 of the uterus contract, muscle thickens and shortens*

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7
Q

Involuntary Uterine Contractions

A

Uterine contractions are involuntary and not under conscious control. The mother cannot cause labor to start or stop by conscious effort. Walking and other activities stimulate labor contractions and anxiety and excessive stress can diminish contractions, relaxation can facilitate the natural processes

*Lower 1/3 of the uterus relaxes and the muscle thins*

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8
Q

Intermittent Uterine Contractions

A

“Off and on” instead of sustainedd, allowing relaxation of the uterine muscle and resumption of blood flow to and from the placenta

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9
Q

What does the uterus and cervix do during contractions?

A
  1. Upper two thirds of the uterus contracts, muscle thickens
  2. Lower one third of the uterus relaxes, muscle thins
  3. Uterus elongates and narrows - straightens and directs the fetus downward
  4. Cervix relaxes and contractions pull the cervix up and over the presenting part
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10
Q

Bearing down: Pushing with/through contractions to birth the baby

A
  1. Physiological pushing
    1. Open glottis (airway) that provides better oxygenation to fetus
  2. Directed Pushing
    1. Closed glottis
    2. Active “pushing” with effort
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11
Q

Bearing Down: Passive Descent/Laboring Down

A

Delayed addition of secondary power until maternal urge to push presents itself

*usually happens with an epidural*

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12
Q

Pelvis

A
  • Gynecoid and thropoid pelves are most favorable for vaginal birth
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13
Q

Cervix

A
  • Effacement (thinning) that is measured in percentage (0-100%)
  • Dilation (opening) that is measured in centimeters (1-10)
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14
Q

Weight of Fetus

A
  1. 2500-4000 grams
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15
Q

Fetal Lie

A

Orientation of the fetal long axis to maternal long axis

“L for Lie, L for Long”

can be vertical, horizontal

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16
Q

Fetal Attitude

A

Attitude is the relationship of body parts to one another. Normal attitude is flexion.

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17
Q

Fetal Presentation

A

The fetal part entering the pelvis first

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18
Q

Cephalic Presentation

A
  • Vertex
  • Military
  • Brow or Face
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19
Q

Vertex Presentation

A

Complete flexion of baby. Most common type of cephalic presentation in which the fetal head is fully flexed. It is the most favorable for normal progress of labor because the smallest suboccipitobrematic diameter is presenting.

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20
Q

Military Presentation

A
  1. The head is in a neutral position, neither flexed nor extended . The longer occipitofrontal diameter is presenting
21
Q

Brow Presentation

A

The fetal head is partly extended. The brow presentation is unstable, usually converting to a vertex presentation if the baby flexes or toa face presentation if it extends. The longest supraoccipitomental diameter is presenting

22
Q

Face Presentation

A

The head is extended, and the fetal occiput is near the fetal spine, The submentobregmatic diameter is presenting

23
Q

Fetal Position

A

Location of the fetal occiput R/T pelvic quadrant

Can be:

  1. Left occiput anterior (LOA)
  2. Right occiput anterior (ROA)
  3. Left occiput posterior (LOP)
  4. Right occiput posterior (ROP)
24
Q

Psyche

A

Depends on:

  1. Experience
  2. Preparation
  3. Cultural Norms
  4. Inherent Coping Skills
  5. Partner/Family Support
  6. Chronologic/Developmental Age
  7. Progression of Labor/Birthing Process
  8. Nursing Care
25
Q

Partnership Interaction

A

Passenger and Passageway progress in labor

26
Q

Station

A

Presenting part R/T ischial spines

27
Q

Negative Five Station

A

Floating. Negative means above the ischial spines.

28
Q

Zero Station

A

At ischial spines

29
Q

Plus Five

A

Head on perineum. Plus means below the ischial spines.

30
Q

Cardinal Movements

A
  1. Engagement
  2. Descent
  3. Flexion
  4. Internal Rotation
  5. Extension
  6. Restitution
  7. External Rotation
  8. Expulsion

Every Darn Fool In Rochester Eats Rotten Egg Rolls Every (Day)

31
Q

Engagement

A

Presenting part settles into true pelvis

32
Q

Descent

A

Downward Movement

33
Q

Flexion

A

Chin flexes on chest with resistance met at zero station. Presents smallest portionof fetal head (vertex) to smallest diameter of pelvis (ischial spines). Allows head to serve as dilating wedge after rupture of membranes (ROM).

34
Q

Internal Rotation

A

Fetal occiput rotates anteriorly. Aligns widest diameter of the head with widest diameter of the headwith widest diameter of the pelvis at zero station.

35
Q

Extension

A

Fetal head swings under the pubic arch. Caput = visulization of fetal vertex. Crowning = fetal head encircled by baginal introitus (Station plus 5, Rim(ring) of fire)

36
Q

Restitution

A

Head realigns with shoulders and body and pressure from the birth canal is relived.

37
Q

External Rotation

A

Shoulders rotate to align with anterior-posterior diameter of pelvis

38
Q

Expulsion

A

Anterior shoulder slips under pubic arch, followed by posterior shoulder

39
Q

Stage One of Labor

A

Cervical Effacement and Dilation

40
Q

Stage Two

A

Pushing and Birth

41
Q

Stage Three

A

Placental Delivery

42
Q

Stage Four of Labor

A

Recovery/Early postpartum

43
Q

Stage One Phases

A
  1. Phase One: Latent
    1. Cervical dilation 0-3cm
    2. Cervical effacement variable
    3. Nullipara: significant effacement prior to dilation
    4. Multipara: Simultaneous effacement and dilation
45
Q

Breech Presentations

A
  1. Complete
  2. Frank
  3. Footling
46
Q

Complete Breech

A
  • Flexed, “sitting” on cervix
47
Q

Frank Breech

A

Legs folded on to chest

48
Q

Footling Breech

A

One or both feet are presenting. Requires c-section

49
Q

Most favorable fetal positions

Semester Three - Half Two - Nursing 212 (41 decks)

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