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OB 6/7
| facts | |
|---|---|
| settings for childbirth | hospitals freestanding birthing centers home all have advantages/disadvantages |
| the four P's | power passage passengers psych |
| factors that influence the progress of labor | preparation position professional place procedures people |
| effect of contractions of the cervix | efface dilate |
| phase of contractions | increment peak decrement relax |
| provide emotional support to the laboring woman so she is | less anxious/fear |
| excessive anxiety or fear can cause greater ? during childbirth ( very hard for mom to focus) | pain inhibit the progress of labor reduce blood flow to the placenta / fetus |
| boney pelvis has two parts | true false |
| true pelvis is ? involved in child | directly |
| true pelvis has 3 main parts involved w/ child birth | inlet mid pelvis outlet |
| false pelvis has 2 parts | flares upper portion of pelvis |
| soft tissues will yield more to readily to | contractions and pushing efforts |
| sift tissues may not yield as readily in | primiparas or older women |
| occiput is used to describe | how the head is oriented |
| sacrum is used to describe how the fetus is | breech |
| mentum describe if the fetus | face |
| station describe the level of the | presenting part (usually the head) in the pelvis |
| mental state can influence | the course of labor |
| the woman's cultural and individual values influence | how is will cope w/ childbirth |
| 6 signs of impending labors | Braxton hicks contractions increased vaginal discharge bloody show rupture of the membranes energy spurt wt loss(sometimes you can have cause of the energy spurt) |
| 7 mechanisms of labor | descent engagement flexion internal rotation extension external rotation expulsion |
| wanna see the shiny part of the placenta first and not the | dirty part |
| if dirty parts show first u need to check | pieces of the placenta left in the body |
| when to go to the hospital or birthing center | contraction ruptured membranes bleeding other the bloody show decreased fatal movement any other concern |
| three major assessments performed promptly on admission | fetal condition maternal condition impending birth |
| admission procedures | permits/consents(handle right away) lab test intravenous infusion Perineal prep determining fetal position and presentation |
| false labor is describe as | contractions irregular walking relieves contractions(should get stronger) no bloody show no change in effacement/dilation of cervix |
| true is describe as | contractions develop a regular pattern(loner/closer together) contractions are stronger /longer when walking discomfort in low back/abdomen bloody show progress effacement/dilation of cervix |
| after admission to the labor unit, nursing care consists of | monitoring the fetus(contractions, labor, good O2,movement) monitoring the laboring woman(vitals) helping the woman cope w/ labor |
| fetus monitoring includes | fetal heart rate(wanna hear right at contractions) intermittent auscultation continuous electronic fetal monitoring |
| baseline of a normal FHR is | 110-160BPM |
| fetal bradycardia FHR | below 110 BPM |
| fetal tachycardia FHR | above 160 BPM |
| 4 different kinds of variability | baseline moderate mark absent(around 140) |
| 6 different kinds of decelerations + 1 pattern | early variable late prolong recurrent intermittent |
| monitoring the woman includes | vitals signs contractions of the labor(how she is responding) in/out take response to labor |
| 6 Lamaze institute basic practices for maternity care | labor should being on its own woman should have freedom of movement woman should have a birth support person or doula no routine interventions should be performed woman should be in -supine positions woman should not be separated from infant |
| different way to help the woman cope w/ labor | labor support teaching providing encouragement supporting /teaching the partner |
| ways to support/teach the partner | teach how/labor pains affect the woman attitude /behavior how to adapt resources to the woman's behavior what to expect in his/her own emotional responses effects of epidural analgesia |
| 4 stages/phases of labor |
Created by:
yetivia
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