Conference One - Module 5 (Exam 2) 1 Flashcards Preview

Semester Three - Half Two - Nursing 212 > Conference One - Module 5 (Exam 2) 1 > Flashcards

Flashcards in Conference One - Module 5 (Exam 2) 1 Deck (49)
Loading flashcards...
1

The 5 "Ps"

  1. Powers
  2. Passage/Passageway
  3. Passenger
  4. Psyche
  5. Position/Partnership

2

Powers

  1. Primary Power
  2. Secondary Power
  3. Tertiary Power

3

Primary Power

Regular, Effective, Uterine Contractions

4

Secondary Power

Maternal Pushing Effots

"Bearing down"

5

Tertiary Power

Forceps (FAVD) or vacuum assisted delivery/birth (VAVD)

 

6

Coordinated Uterine Contractions

Begin in the uterine fundus and spread downward toward the cervix to proper the fetus through the pelvis.

*Upper 2/3 of the uterus contract, muscle thickens and shortens*

7

Involuntary Uterine Contractions

Uterine contractions are involuntary and not under conscious control. The mother cannot cause labor to start or stop by conscious effort. Walking and other activities stimulate labor contractions and anxiety and excessive stress can diminish contractions, relaxation can facilitate the natural processes

*Lower 1/3 of the uterus relaxes and the muscle thins*

8

Intermittent Uterine Contractions

"Off and on" instead of sustainedd, allowing relaxation of the uterine muscle and resumption of blood flow to and from the placenta

9

What does the uterus and cervix do during contractions?

  1. Upper two thirds of the uterus contracts, muscle thickens
  2. Lower one third of the uterus relaxes, muscle thins
  3. Uterus elongates and narrows - straightens and directs the fetus downward
  4. Cervix relaxes and contractions pull the cervix up and over the presenting part

10

Bearing down: Pushing with/through contractions to birth the baby

  1. Physiological pushing
    1. Open glottis (airway) that provides better oxygenation to fetus
  2. Directed Pushing
    1. Closed glottis
    2. Active "pushing" with effort

11

Bearing Down: Passive Descent/Laboring Down

Delayed addition of secondary power until maternal urge to push presents itself

*usually happens with an epidural*

12

Pelvis

  • Gynecoid and thropoid pelves are most favorable for vaginal birth

13

Cervix

  • Effacement (thinning) that is measured in percentage (0-100%)
  • Dilation (opening) that is measured in centimeters (1-10)

14

Weight of Fetus

  1. 2500-4000 grams

15

Fetal Lie

Orientation of the fetal long axis to maternal long axis

"L for Lie, L for Long"

can be vertical, horizontal

16

Fetal Attitude

Attitude is the relationship of body parts to one another. Normal attitude is flexion.

17

Fetal Presentation

The fetal part entering the pelvis first

18

Cephalic Presentation

  • Vertex
  • Military
  • Brow or Face

19

Vertex Presentation

Complete flexion of baby. Most common type of cephalic presentation in which the fetal head is fully flexed. It is the most favorable for normal progress of labor because the smallest suboccipitobrematic diameter is presenting.

20

Military Presentation

  1. The head is in a neutral position, neither flexed nor extended . The longer occipitofrontal diameter is presenting

21

Brow Presentation

The fetal head is partly extended. The brow presentation is unstable, usually converting to a vertex presentation if the baby flexes or toa face presentation if it extends. The longest supraoccipitomental diameter is presenting

22

Face Presentation

The head is extended, and the fetal occiput is near the fetal spine, The submentobregmatic diameter is presenting

23

Fetal Position

Location of the fetal occiput R/T pelvic quadrant

Can be:

  1. Left occiput anterior (LOA)
  2. Right occiput anterior (ROA)
  3. Left occiput posterior (LOP)
  4. Right occiput posterior (ROP)

24

Psyche

Depends on:

  1. Experience
  2. Preparation
  3. Cultural Norms
  4. Inherent Coping Skills
  5. Partner/Family Support
  6. Chronologic/Developmental Age
  7. Progression of Labor/Birthing Process
  8. Nursing Care

25

Partnership Interaction

Passenger and Passageway progress in labor

26

Station

Presenting part R/T ischial spines

27

Negative Five Station

Floating. Negative means above the ischial spines.

28

Zero Station

At ischial spines

29

Plus Five

Head on perineum. Plus means below the ischial spines.

30

Cardinal Movements

  1. Engagement
  2. Descent
  3. Flexion
  4. Internal Rotation
  5. Extension
  6. Restitution
  7. External Rotation
  8. Expulsion

Every Darn Fool In Rochester Eats Rotten Egg Rolls Every (Day)

Decks in Semester Three - Half Two - Nursing 212 Class (41):