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 cof cthe cpelvis c is cimportant c– c gynecoid cis cthe cbest. cAndroid c pelvis cain’t cgoing cto chappen.
– Baby chave cto cmove cthrough cthe cpelvis cusing ccardinal c movements cfrom cthe cinlet c (T), cmidpelvis c(P), cand cou
– Cervix
• Dilation c– ccervical copening
• Effacement c– ccervical cthinning
• MUST cHAVE c10cm cdilated cand c100% ceffaced cto cPUSH.
• First ctime cmoms care cgoing cto cbe ceffaced cbefore cthey cwill cbe cdilated.
– Bishop cScore
• Cervical cdilation, clength cof ccervix, cstation, cconsistency cof cthe ccervix, cand cposition care cwhat cis cmeasured
, Progress of Labor (Cont)
c c c
• Passenger
– Fetal cattitude c– cflexion cvs cextension • Negative c= cabove cspines
– Fetal cLie c– clongitudinal cor ctransverse
– Fetal cpresentation
• Cephalic
– Mentum, c Brow, c Sinciput, c Vertex c /
c Occiput
• Breech c– cC-section
– Frank c– crisk cfor ccord cprolapse
– Footling
– Full
• Shoulder
– C-section!
– Might cbe cable cto cturn cbut cunlikely
– Station
• In crelation cto cmaternal cpelvis cof
cthe cischial cspines
, • Position c– cbased con cmom cand
cpresenting cpart!!!
• Right c VS c Left
• O, cM, cSa, cA
• Anterior, c Posterior, c Transverse
• Posterior c= cback cpain cfor
cmom cprovide ccounter
cpressure
• Ant cFont c= cdiamond
• Post cFont c= cTriangle
• Pscyhe
• Emotional c response c to c labor
• Pain cis cbig cfactor
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 cof cthe cpelvis c is cimportant c– c gynecoid cis cthe cbest. cAndroid c pelvis cain’t cgoing cto chappen.
– Baby chave cto cmove cthrough cthe cpelvis cusing ccardinal c movements cfrom cthe cinlet c (T), cmidpelvis c(P), cand cou
– Cervix
• Dilation c– ccervical copening
• Effacement c– ccervical cthinning
• MUST cHAVE c10cm cdilated cand c100% ceffaced cto cPUSH.
• First ctime cmoms care cgoing cto cbe ceffaced cbefore cthey cwill cbe cdilated.
– Bishop cScore
• Cervical cdilation, clength cof ccervix, cstation, cconsistency cof cthe ccervix, cand cposition care cwhat cis cmeasured
, Progress of Labor (Cont)
c c c
• Passenger
– Fetal cattitude c– cflexion cvs cextension • Negative c= cabove cspines
– Fetal cLie c– clongitudinal cor ctransverse
– Fetal cpresentation
• Cephalic
– Mentum, c Brow, c Sinciput, c Vertex c /
c Occiput
• Breech c– cC-section
– Frank c– crisk cfor ccord cprolapse
– Footling
– Full
• Shoulder
– C-section!
– Might cbe cable cto cturn cbut cunlikely
– Station
• In crelation cto cmaternal cpelvis cof
cthe cischial cspines
, • Position c– cbased con cmom cand
cpresenting cpart!!!
• Right c VS c Left
• O, cM, cSa, cA
• Anterior, c Posterior, c Transverse
• Posterior c= cback cpain cfor
cmom cprovide ccounter
cpressure
• Ant cFont c= cdiamond
• Post cFont c= cTriangle
• Pscyhe
• Emotional c response c to c labor
• Pain cis cbig cfactor
