NRSG_3302_Maternity_MATERNITY EXAM #2 Review

MATERNITY EXAM #2 Review • Powers (Contractions) Progress of Labor – 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. Progress of Labor (Cont) • Passenger – Fetal attitude – flexion vs extension – Fetal Lie – longitudinal or transverse – Fetal presentation • Cephalic – Mentum, Brow, Sinciput, Vertex / Occiput • Breech – C-section – Frank – risk for cord prolapse – Footling – Full • Shoulder – C-section! – Might be able to turn but unlikely – Station • In relation to maternal pelvis of the ischial spines • Negative = above spines