*NURSING > STUDY GUIDE > NR 322 Study Guide Exam 3 (All)
Study guide exam 3 Birth process/ intrapartum Physiologic effects of the birth process: 1. Contractions a. Frequency i. Beginning of one uterine contraction to the beginning of the next b. Durat... ion i. Beginning of a uterine contraction to the end of the same contraction c. Intensity i. Strength of a contraction Components of the birth process 2. The four “P’s” that interact during labor a. Power i. Uterine contractions 1. Primary force that moves the fetus through the vagina ii. Maternal pushing effort 1. Woman feel an urge to push and bears down as the fetus distends her vagina and puts pressure on her rectum. b. Passage i. The bony pelvis 1. More important to the outcome of labor then the soft tissue 2. Bones and joints do not readily yield to the force of labor. (not flexible) ii. The linea terminalis (pelvic brim) divides the bony pelvis 1. False pelvis above the linea terminali 2. True pelvis below linea terminalis a. Inlet – upper b. Midpelvis – middle c. Outlet - lower c. Passenger i. The fetus, membranes, and placenta ii. Fetal influences on the course of labor 1. Fetal head – diameters 2. Variations of passenger a. Fetal lie i. Long axis of fetus to long axis of mother b. Attitude i. Relationship of fetal body parts to one another ii. Flexion or extension iii. *normal 1. Head flexed to chest 2. Arms and legs flexed over the thorax 3. Back curved in C shape c. Presentation i. Fetal part that first moves into the pelvis [Show More]
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