week 4: the 5 p'a

Question 1

what are the three types of fetal lie

Answer 1

longitudinal
oblique
transverse

Question 2

what is biparietal diameter

Answer 2

diameter that will go out of mum
largest width of head that leaves birth canal

Question 3

what is vertex presentation

Answer 3

ideal fetal presentation
basically baby chin tucked in so that the smallest diameter of head will pass through

Question 4

what is station

Answer 4

position of presenting part relative to ischial spine

basically means degree of decent in relation to the pelvis

Question 5

what is engagement

Answer 5

largest diameter of head has passed through pelvic brim

Question 6

do fetal position

Question 7

what are primary vs. secondary powers

Answer 7

primary is involuntary, passive birth involved in dilation and officiation
secondary is voluntary active labor and pushing

Question 8

write down the 7 cardinal movements

Question 9

what is the criteria for dystocia

Answer 9

over four hours of less than 0.5cm/hr cervical dilation

OR

over one hour of active pushing with no descent

Question 10

what are the two types of dystocia for secondary powers

Answer 10

no urge to push
inadequate voluntary expulsive forces- ineffective pushing

Question 11

what is a hypotonic vs. hypertonic uterus

Answer 11

hypertonic: too many contractions back to back
hypotonic: contractions aren’t strong enough to facilitate passing of baby

Question 12

what is cephalopelvic disproportion

Answer 12

excessive fetal size
one of the “passenger” factors in dystocia

Question 13

what is precipitous labor

Answer 13

opposite of dystocia, baby comes out too quick and body doesn’t have time to stretch