Nursing 2050-Labor & Delivery Exam 1 Questions With Complete Solution
Theories of Onset of Labor - ANSWER-There is really no known cause of labor=
Maternal Factors=
Uterine
Cervix
Placental
Hormonal- Progesterone,
...
Nursing 2050-Labor & Delivery Exam 1 Questions With Complete Solution
Theories of Onset of Labor - ANSWER-There is really no known cause of labor=
Maternal Factors=
Uterine
Cervix
Placental
Hormonal- Progesterone, Estrogen, Prostaglandins, Oxytocin
Mechanism of Labor
Five P's - ANSWER-Five P's =
Passenger- fetus and placenta
Passageway= birth canal
Powers= Primary and Secondary
Position= 4 quadrants- stations
Psychologic = response
Passenger - ANSWER-Size of head= fontal, molding
Presentation = cephalic, breech, shoulder
Fetal lie= length of spine
Fetal Attitude= are arms crossed or flexed
Fetal Position = three part abbreviation
1st letter- Left or Right of pelvis
2nd letter- presenting part- Occiput, Sacrum, Mentum (chin), Sc - Scapula
3rd letter- presenting part location- A- anterior, P- Posterior, T- transverse
Passageway - ANSWER-Composed of mother's rigid bony pelvis, soft tissues of the cervix
Four basic types=
Gynecoid- round shaped- most common
Android- heart shaped- like male pelvis
Anthropoid- oval shaped- anthropoid apes
Platypelloid - flat shaped- pelvis
Powers - ANSWER-Involuntary and Voluntary
Primary Power- involuntary contractions
frequency, duration, intensity - responsible for EFFACEMENT (shortening and thinning of cervix)
Secondary Power- When the Presenting part reaches the Pelvic floor- Involuntary pushing, Explosive
Position - ANSWER-Fetal position
- 5 to +5 stations
0 being meets at the Ischial Spine
Physiological - ANSWER-Culture, Anxiety, Pain tolerance, Previous Birth experiences, Gate Control theory of Pain
Process of Labor - ANSWER-Lightening= dropping uterus sinks downward
Braxton Hicks= practice contractions
Bloody show= due to extreme congestion in vaginal walls
Cervix ripens= dilation begins
weight loss= water loss due to shifting electrolytes and changes in Estrogen and Progesterone
Burst of energy= nesting
Gastrointestinal disturbances = not as common
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