OB Quiz 2 Flashcards
What are the 5 P’s
Power ; passageway ; passanger ; psyche ; positioning
What is the involuntary part of powers in the 5 P’s
Contractions , dialation effacement
what is effacement
the thinning of the cervix
what is dialation ?
the opening of the the cervix
what are voluntary or secondary part of Powers in the 5 P’s
bearing down , breathing, positioning mother
what part of the body is involved in passage
pelvis
what is the best true pelvis
gynecoid
What is psyche?
when a womans state of mind can greatly impact labor
what position does a woman normally give birth in but it not optimal
lithotomy
does true labor get worse or better when you walk around?
it gets worse
what is the difference between false labor and true labor
progrssive dialation
for the first stage of labor what are the three phases?
latent , active transition
contractions feel more like cramps are mil and cervix is dialted 0-3 cm?
latent phase
contractions are strong cervix is dilated 8-10 cm contractions are every 2 mins hardest part of phase 1
transition
moderate to strong contractions cervix is dilated 4 - 7 cm behavior is more focused
active phase
this stage begins with full dilation of the cervix at 10 cm and ends with the birth the pushing stage, is also the stage with the most work
stage two
what stage is the birth of the placenta ?
thirs stage
begins with the birth of the placenta and ends after 4 hours or when mother is clinically stable this is when lacerations are repaired
fourth stage
for post partum assessment what does BUBBLE-EE stand for
Breast uterus bladder bowel lochia episiotomy ; extremities , emotional state
the process of where the uterus returns to its usual previous size and shape
involution
what is the vaginal discharge/ bleeding after birth
lochia
what are the measures to control excessive bleeding?
empty bladder (good for contracting uterus)
massage
meds
what medications are givin PP
PITOCIN and methergine
what is the white lochia discharge called?
alba
what is the reddish lochia dicharge called?
Rubra
what is the pinkish brown lochia discharge called?
serosa
