| A | B |
|---|
| 3 types of normal contractions | coordinated, incoluntary, intermittent |
| each contraction has 3 phases | increment, peak, decrement |
| increment contraction | increasing strength to contraction |
| peak of contraction | most intense part of contraction |
| dexrement | decrease and uterus relaxes |
| what happens to uterus during contraction | opposing features - upper 2/3 pushes fetus down, cervix expands |
| effacement - measured in | thinning and shortening measured in % |
| dilation - measured in | opening of cervix |
| assess vitals _____ contractions | between |
| respiratory for mom may increase causing | hyperventilation - nurse help her slow down breathing |
| gastrointestinal system during labor does | slows down, can result in nausea vomit |
| hematopoietic system | normal blood loss 500 ml |
| levels of clotting factors _____ during pregnancy | increase |
| fetal heart rate between | 110-160 |
| 4 P's | power, passage, passenger, psyche |
| power is | contractions primary force to move fetus to pelvis |
| passage is | pelvis and soft tissue |
| passenger | fetus, membranes, placenta |
| psyche | woman's ability to cope w/pain fear |
| 3 divisions of true pelvis | 1 inlet or upper 2 mid or pelvic cavity 3 outlet or lower pelvis |
| fetal lie | longitudinal 99% of cases - transverse |
| attitude | relation of fetal body parts to one another |
| 2 types of attitude | flexion extension |
| flexion attitude | head, arms, legs pulled in to trunk |
| extension attitude | head extended, R arm extended |
| presentation - 3 | cephalic, breech, shoulder |
| cephalic 4 variations | vertex, military, brow, face |
| breech presentation - most common | Frank - fetal legs extended across abdomen |
| position | location of fixed reference in relation to 4 quadrants |
| Position - R or L | fetus to right or left of pelvis |
| Position - Occiput O | vertex presentation |
| Ripening | cervix softens because of relaxin |
| false labor aka | prodromal or prelabor |
| 4 stages of labor | effacement & dilate - expulsion of fetus - placenta - recovery |
| 3 phases in effacement & dilation | latent, active transition |
| latent - size of cervix | 0-3 |
| active - size of cervix | 4-7 |
| transition - size of cervix | 8-10 |
| frequency in contractions | period of one contract to next |
| contractions are time in | seconds |
| intense of contractions | mild moderate strong |
| clots are a _______ factor after delivery | hugh |
| top of uterus | fundus |
| CPD - Cephalopelvic Disorder | fetus does not fit in pelvis c-section |
| if cord prolasps, then must have | c-section 6 minutes before baby damage |
