Physiology of Birth and Care Flashcards
1
Q
The 5 P’s of Affecting Labor
A
- Power ( Contractions )
- Passenger ( Fetus )
- Passageway ( Pelvis )
- Position ( Of the fetus in relation to passage )
- Person ( Maternal well-being )
2
Q
Power
A
-Involuntary expels the fetus and placenta from uterus
- Fundal dominance, greatest and longest at fundus
3
Q
Passenger
A
- Size of head, presentation, lie, attitude, position
4
Q
Maternal changes during labor
A
-Cardiac output increases 10-30% in 1st stage, 50% in second
5
Q
Leopolds Maneuver
A
-Fetal part in the fundus
- Fetal part in the cervix
- Fetal lie ( spine line up )
- Expected location fetal HR
6
Q
Early / Latent Phase Nursing Care
A
- Comfort techniques, position change, fluids, focused breathing, relaxation
7
Q
What pushing is urged by providers in second stage?
A
- Closed glottis “silent” pushing
- Holding breath
8
Q
Open Glottis
( Valsava )
A
- To preserve fetal oxygen, use abdominal muscles
- Exhaling through pursed lips
9
Q
With signs of placental seperation …
A
- Very gentle traction of cord
- Never pull!
- Uterus is globular and firm
- Gush of blood
- Cord lengthens
10
Q
Cardinal Movements
A
- Decent
- Flexion
- Internal Rotation
- Extension
- Resiutution
- External Rotation
- Expulsion