Intrapartum Care 1 Flashcards
what are the characteristics of true contractions ?
coordinated , involuntary , painful
what happens during contraction intervals ?
the blood supply goes back to the placenta , they get shorter as the contractions grow closer
how do you assess intensity of the contractions ?
palpate during contractions , if it feels like a nose = mild , chin = moderate , forehead = strong
what is the effacment of the cervix ?
shortening and thinning , 0-100%
what is a normal amount of blood loss during birth?
500ml (vaginal), 1000ml (c-section)
what does increased blood supply to the mother cause ?
increase in volume , decrease in BP and pulse
what happens to the resp. system during birth?
increased deep breaths , can lead to respiratory alklosis due to increased CO2 exhilation
why are woman derived of food during birth?
to prevent aspiration and vomiting
what are the four Ps of birth ?
power , passage , passanger , presentation
power :
primary : contractions , secondary : pushing
passage :
pelvis and tissue
what are the variations in the passanger ,
fetal lie, attitude , presentation , position , station
what is attitude ?
the relationship of the fetal parts to one another, flexion is normal
what is fetal lie?
its the relationship of the mother longitudinal axis to the fetus’s
types of fetal lie:
longitudinal : vertex of breech , transverse : laterally across uterus, oblique lie : diagonally
