NRSG 3302 Maternity Exam 2 Review . WELL ELABORATED

Powers (Contractions) 1st stage of labor they dilate the cervix and in the 2nd stage of labor they aid in baby expulsion Originate in the fundus and sweep down the uterus Start irregular, but become regular as labor progresses Interval between contractions diminishes from 10 to 2 minutes Need this time for fetal oxygenation Measured via External Tocodynamometer or IUPC Intensity – IUPC Frequency – how often Duration – how long they last Passageway Shape of the pelvis is important – gynecoid is the best. Android pelvis ain’t going to happen. Baby have to move through the pelvis using cardinal movements from the inlet (T), midpelvis (P), and outlet (down). Cervix Dilation – cervical opening Effacement – cervical thinning MUST HAVE 10cm dilated and 100% effaced to PUSH. First time moms are going to be effaced before they will be dilated. Bishop Score Cervical dilation, length of cervix, station, consistency of the cervix, and position are what is measured The higher the score the mom will most likely go into labor within the next few days, the lower the score labor is most likely a few weeks away.