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Intrapartum Care
Question | Answer |
---|---|
What are the four components of the birth process? 4 Ps | Powers Passage Passengers Psyche |
The two Powers are? | Uterine Contractions, the primary power during the first stage Maternal pushing, only effective when it is combined with contractions |
What is a uterine Contraction | involuntary muscle contractions, influenced by walking, drugs, anxiety & vaginal exams |
what is cervical dilation | enlargement of opening of the external os measured from 0 to 10 cm |
what is cervical effacement | thinning and softening of the cervix measured from 0% to 100% |
LTC means? | long thick and closed |
LTP means? | ling think posterior |
increment means? | increasing strength |
acme means? | Peak (greatest strength) |
decrement means? | decreasing strength |
duration means | from beginning of contraction to end of same contraction |
frequency means | from beginning of one contraction to the beginning of next contraction |
interval means | relaxation |
intensity mean | approximate strength of contraction mild = feels like tip of nose moderate = feels like chin strong (hard) = like forehead |
what can be used to reduce urge to push? | meds and fatigue |
Passage | consist of mother's bony pelvis an soft tissue |
bony pelvis | consist of false pelvis (upper flaring part) true pelvis (lower part) which is involved in the childbirth process and can only be measured on ultra sound |