The Powers

Question 1

Powers: Uterine Contractions cause (4)

Answer 1

1) Uterine Contractions cause effacement and dilation of cervix
2) Descent of fetus
3) Involuntary urge to push
4) Voluntary bearing down in 2nd stage of labor helps with expulsion of fetus

(ATI 121)

Question 2

Powers: PRIMARY Contractions ( 4 phases)

Primary and Secondary forces of labor

Answer 2

1) Build-up phase
2) Acme (peak)
3) Decrement (letting up phase)
4) Resting phase (nadir)

Question 3

Powers: PRIMARY Contractions: FREQUENCY (2)

Primary and Secondary forces of labor

Answer 3

Frequency

1) time or minutes
2) onset of one contraction to the onset of the next contraction

Question 4

Powers: PRIMARY Contractions: INTENSITY

Primary and Secondary forces of labor

Answer 4

Intensity
1) Strength of contraction at the acme (peak), which can be palpated as mild, moderate, strong, or detected with a fetal monitor externally or measured internally in mmHG
(Hogan 161)

Question 5

Powers: PRIMARY Contractions: DURATION

Primary and Secondary forces of labor

Answer 5

Duration

Length of contraction measured in seconds from beginning of increment to end of decrement

Question 6

Powers: SECONDARY Contractions: (3)

Answer 6

1) Voluntary use of abd muscles
2) During second stage of labor
3) To facilitate fetal descent and delivery

Question 7

Powers: PRIMARY Contractions: Effacement (4)

Answer 7

1) With each contraction muscles of upper uterine segment shorten
2) Drawing up of internal os and cervical canal into uterine sides
3) Measure 0-100%
4) Multigravidas effacement and dilation normally occur simultaneously

Question 8

Powers: PRIMARY Contractions: Dilatation

Answer 8

1) As uterus elongates with contractions
2) Fetal body straightens and exerts pressure against lower uterine segment and cervix
3) Measure 0-10 cm