Toni - Week 2 - Exam 1

Question 1

What are the 5 Ps of Labor?

Answer 1

Passageway, Passenger, Powers, Position, and Psyche

Question 2

What is the main part of the passageway?

Answer 2

Bony Pelvis - True Pelvis

Question 3

What are the 3 parts of the true pelvis?

Answer 3

Inlet, mid pelvis, and outlet

Question 4

What is the inlet?

Answer 4

opening - not important to OB

Question 5

what is the mid pelvis?

Answer 5

the cavity

Question 6

what is the outlet?

Answer 6

the lower opening - narrowest part of the pelvis

Question 7

where is the smallest diameter of the pelvis located?

Answer 7

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

Question 8

can the sacrum move out of the way?

Answer 8

yes, unless the sacrum is notched and cannot move

Question 9

what are the 6 characteristics of the passenger?

Answer 9

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

Question 10

what are fontanels?

Answer 10

membrane-filled spaces where sutures intersect

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

Question 11

how many sutures make up the anterior fontanel?

Answer 11

4 sutures

Question 12

how many sutures make up the posterior fontanel?

Answer 12

3 sutures

Question 13

What is the fetal attitude?

Answer 13

posture of fetus determines the diameter of the head

Question 14

what are the 4 different postures?

Answer 14

flexion, military, extension, and hyperextension

***flexion is the best position

Question 15

what is fetal lie?

Answer 15

relationship of the fetal spine to the maternal spine

Question 16

what are the 3 different fetal lie positions?

Answer 16

vertex, breech and transverse

Question 17

what is fetal presentation?

Answer 17

part of the fetus that is entering the pelvis first

Question 18

what are the 3 presentations?

Answer 18

head (cephalic), breech, and shoulder

Question 19

what is fetal position?

Answer 19

relation of fetal presenting part to maternal pelvis what

Question 20

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

Answer 20

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

Question 21

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

Answer 21

fetal presenting part; O = occiput

Question 22

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

Answer 22

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

Question 23

what is fetal station?

Answer 23

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

Question 24

When is the head said to be “engaged”?

Answer 24

at zero station

Question 25

what is the primary force of labor? **power

Answer 25

involuntary uterine contractions

Question 26

what is the secondary force of labor?

Answer 26

voluntary use of abdominal muscles during second stage

Question 27

what is cervical effacement? **power

Answer 27

the thinning of cervix (aka cervical ripening)

- cervix gradually shortens

Question 28

what does 0% effacement feel like?

Answer 28

not effaced (4 cm long) and feels like nose

Question 29

what does 100% effacement feel like?

Answer 29

paper thin cervix - feels like lips

Question 30

what is cervical dilation? ** power

Answer 30

the gradual opening of the cervix measured in centimeters from 0 to 10

Question 31

T/F: cervix effaces before dilation.

Answer 31

TRUE, BUT sometimes multigravida efface and dilate at the same time

Question 32

what are the three characteristics of uterine contractions?

Answer 32

duration, frequency, and intensity

Question 33

what does duration mean?

Answer 33

length of UC from beginning to end

Question 34

what does frequency mean?

Answer 34

time from the onset of one UC to onset of the next

Question 35

what does intensity mean?

Answer 35

strength of UC (mild, moderate, or strong)

- woman will be able to tell you; or can push externally on uterus

Question 36

what are 3 different positions?

Answer 36

squatting position, semi sitting, and semi reclining position

Question 37

what are the 6 characteristics of psyche?

Answer 37

birth preparation, culture, previous experience, support system, emotional status, and environment