Toni - Week 2 - Exam 1 Flashcards

1
Q

What are the 5 Ps of Labor?

A

Passageway, Passenger, Powers, Position, and Psyche

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2
Q

What is the main part of the passageway?

A

Bony Pelvis - True Pelvis

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3
Q

What are the 3 parts of the true pelvis?

A

Inlet, mid pelvis, and outlet

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4
Q

What is the inlet?

A

opening - not important to OB

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5
Q

what is the mid pelvis?

A

the cavity

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6
Q

what is the outlet?

A

the lower opening - narrowest part of the pelvis

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7
Q

where is the smallest diameter of the pelvis located?

A

between the tips of the ischial spines - baby needs to be compatible

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8
Q

can the sacrum move out of the way?

A

yes, unless the sacrum is notched and cannot move

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9
Q

what are the 6 characteristics of the passenger?

A

fetal skull, fetal attitude, fetal lie, fetal presentation, fetal position, and fetal station

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10
Q

what are fontanels?

A

membrane-filled spaces where sutures intersect

- moldings overlapping of bones allowing skull to fit through the maternal pelvis

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11
Q

how many sutures make up the anterior fontanel?

A

4 sutures

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12
Q

how many sutures make up the posterior fontanel?

A

3 sutures

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13
Q

What is the fetal attitude?

A

posture of fetus determines the diameter of the head

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14
Q

what are the 4 different postures?

A

flexion, military, extension, and hyperextension

***flexion is the best position

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15
Q

what is fetal lie?

A

relationship of the fetal spine to the maternal spine

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16
Q

what are the 3 different fetal lie positions?

A

vertex, breech and transverse

17
Q

what is fetal presentation?

A

part of the fetus that is entering the pelvis first

18
Q

what are the 3 presentations?

A

head (cephalic), breech, and shoulder

19
Q

what is fetal position?

A

relation of fetal presenting part to maternal pelvis what

20
Q

what does the first letter for the fetal position in relation to?

A

side of mom’s pelvis that presenting part is directed towards; Left or Right

21
Q

what does the second letter for the fetal position in relation to?

A

fetal presenting part; O = occiput

22
Q

what does the third letter of fetal position in relation to?

A

location of presenting part in relation to front or back of maternal pelvis

23
Q

what is fetal station?

A

relationship of top of presenting part to an imaginary line between ischial spines

24
Q

When is the head said to be “engaged”?

A

at zero station

25
what is the primary force of labor? **power
involuntary uterine contractions
26
what is the secondary force of labor?
voluntary use of abdominal muscles during second stage
27
what is cervical effacement? **power
the thinning of cervix (aka cervical ripening) | - cervix gradually shortens
28
what does 0% effacement feel like?
not effaced (4 cm long) and feels like nose
29
what does 100% effacement feel like?
paper thin cervix - feels like lips
30
what is cervical dilation? ** power
the gradual opening of the cervix measured in centimeters from 0 to 10
31
T/F: cervix effaces before dilation.
TRUE, BUT sometimes multigravida efface and dilate at the same time
32
what are the three characteristics of uterine contractions?
duration, frequency, and intensity
33
what does duration mean?
length of UC from beginning to end
34
what does frequency mean?
time from the onset of one UC to onset of the next
35
what does intensity mean?
strength of UC (mild, moderate, or strong) | - woman will be able to tell you; or can push externally on uterus
36
what are 3 different positions?
squatting position, semi sitting, and semi reclining position
37
what are the 6 characteristics of psyche?
birth preparation, culture, previous experience, support system, emotional status, and environment