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 )
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2
Q

Power

A

-Involuntary expels the fetus and placenta from uterus
- Fundal dominance, greatest and longest at fundus

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3
Q

Passenger

A
  • Size of head, presentation, lie, attitude, position
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4
Q

Maternal changes during labor

A

-Cardiac output increases 10-30% in 1st stage, 50% in second

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5
Q

Leopolds Maneuver

A

-Fetal part in the fundus
- Fetal part in the cervix
- Fetal lie ( spine line up )
- Expected location fetal HR

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6
Q

Early / Latent Phase Nursing Care

A
  • Comfort techniques, position change, fluids, focused breathing, relaxation
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7
Q

What pushing is urged by providers in second stage?

A
  • Closed glottis “silent” pushing
  • Holding breath
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8
Q

Open Glottis
( Valsava )

A
  • To preserve fetal oxygen, use abdominal muscles
  • Exhaling through pursed lips
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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
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10
Q

Cardinal Movements

A
  1. Decent
  2. Flexion
  3. Internal Rotation
  4. Extension
  5. Resiutution
  6. External Rotation
  7. Expulsion
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