Labor

Question 1

What are the 5 P’s of labor process?

Answer 1

Passageway, Passenger, Powers, Position, Psychological

Question 2

Passageway (birth canal)

Answer 2

-one of 5 P’s

-relaxin and estrogen make tissue and joints flexible

Question 3

Passenger (fetus and placenta)

Answer 3

Molding: sutures/fontanelles adapt

Station: ischial spine= zero station
Below spine= positive
Above spine= negative

Question 4

What is effacement?

Answer 4

Thinning and shortening of cervix (%)

Question 5

What is a bloody show?

Answer 5

Loss of mucus plug.

NOT A TRUE SIGN OF LABOR

Question 6

What is SROM?

Answer 6

Spontaneous rupture of membranes

Test strip should read pH 7.2

Question 7

What is a deceleration?

Answer 7

Slowing down by 15 beats before returning to norml

Question 8

What is an acceleration?

Answer 8

It is a good sign, ready for birth

Question 9

What are variable decelerations?

Answer 9

Not in conjunction with contractions= cord compression.

Question 10

What are Early Decelerations?

Answer 10

Fetal HR drops right before start or peak of contractions

Normal: head is compressed into birth canal

Question 11

What is a Late Deceleration?

Answer 11

At least 15 beats= placental insufficiency.

Serious decrease in perfusion to baby!!

Tx= place on left, apply Oxygen, possibly stop pitocin, call provider

Question 12

How long do contractions last?

Answer 12

45-90 seconds