Labor and Delivery Quiz

Labor and Delivery Quiz 2023 A+ What are the four P's that make up the process of labor and birth? - powers passage passenger psyche Other than the 4 P's of labor and birth, what are some other "p" words that influence it also? - perparation position professional help place procedures people Forces that cause the cervix to open and that propel the fetus downward through the b irth canal. - powers of labor-uterine contractions and the mother's pushing What are the primary powers of labor during the first stages of labor, from onset to full dilation? - uterine contractions Uterine contractions are _______ _______ muscle contractions. - involuntary, smooth What are some things that influence the intensity and effectrivemenss of a woman's contractions? - walking drugs maternal anxiety vaginal examinations What are the purpose of uterine contractions? - to cause the cervix to efface (thin) and dilate (open) to allow the fetus to descend into the birth canal. Contractions push the fetus ________ as the cervix is pulled _________, causing the cervix to become thinner and shorter. - downward upward How is effacement determined? - by vaginal exam (touch), using percentage to indicate how much it has effaced from the original cervical length. How is dilation of the cervix determined? - with vaginal exam (touch), described in centimeters What is considered full dilation? - 10 cm What are the 3 phases of contractions? - increment peak, or acme decrement The period of time when contractions are increasing in strength - increment the period of greatest contraction strength - peak or acme the period of decreaseing strength of contractions - decrement How are contractions described? - frequency duration interval intensity The elapsed time from the beginning of one contraction until the beginning of the next contraction - frequency How is frequency noted? - in minutes and fractions of minutes When should you report frequency of contractions to the HCP? - when they are occurring more often than every 2 minutes Why should contractions occurs more often than every 2 minutes be reported to the doctor? - they may be reducing fetal oxygen supply the elapsed time from the beginning of a contraction until the end of the same contraction. - duration How is durating noted? - in seconds When should the duration of contractions be reported to the doctor? - If they are lasting longer than 90 seconds, because it may reduce fetal oxygen supply. The approximate strength of the contraction - intensity How is intensity noted? - mild, moderate, strong This intensity of contraction is when the fundus is easily indented with the finger. feels similar to the tip of a nose. - mild contraction This intensity of contraction is when teh fundus can be indented with figers but with more difficulty, fundus feels similar to the chin - moderate contractions This intensity of contraction is when the fundus cannot readily be indented with the figer, and it feels harder, similar to the forehead. - firm contractions