Maternity/Infant Health (Exam Three) Flashcards
List the five P’s of the birth and labor process.
- Passenger
- Passageway
- Powers
- Position of mother
- Psychological response
What is molding?
Shaping of the fetal head during labor
Describe fetal attitude.
Relation of the fetal body parts to one another
Which fetal attitude is considered normal?
General flexion
Which type of fetal lie is preferred during a vaginal birth?
Longitudinal lie
When does the anterior fontanel close?
18 months
When does the posterior fontanel close?
6 to 8 weeks
What landmark is used to assess fetal station?
Ischial spine
The nurse knows a documentation of -3 station indicates what for the laboring mother?
Presenting part is 3 cm above the ischial spine
The nurse knows a documentation of +2 station indicates what for the laboring mother?
Presenting part is 2 cm below the ischial spine
Crowning or imminent birth is indicated when the presenting part is at what station?
+4 or +5 station
List the four pelvic types.
- Gynecoid
- Android
- Anthropoid
- Platypelloid
What pelvic type is the most common and most desirable?
Gynecoid
Are contractions are considered a primary or secondary power?
Primary power
Are bearing-down efforts are considered a primary or secondary power?
Secondary power
Primary powers are responsible for what?
- Effacement
- Dilation
- Ferguson reflex
List the signs of preceding labor.
- Lightening
- Bloody show
Which stage of labor varies the most in length?
First
Describe lightening.
- Fetus descends into the pelvis
- Decrease in fundal height
The maternal cardiac output will ________ during labor and delivery.
Increase
Describe the first stage of labor.
-Onset of regular contractions to full dilation
Describe the second stage of labor.
-Full dilation to birth
Describe the third stage of labor and its duration.
- Birth until delivery of placenta
- 30 minutes
Describe the fourth stage of labor and its duration.
- Delivery of placenta
- At least the first two hours following birth
The turns and other adjustments necessary in the human birth process are referred to as what?
Mechanism of labor
What factors affect the descent mechanism of labor?
- Shape of maternal pelvis
- Size of fetal head
The nurse knows what in regard to the patients pain level?
Pain is always what the patient says it is
