5 P's - Answers passenger, presentation, passageway, powers, position, psychological
passenger - Answers the baby
molding - Answers Shaping of the fetal head by overlapping of the cranial bones to facilitate
movement through the birth canal during labor.
anterior fontanel - Answers -kite shaped
-at top of head
-big
posterior fontanel - Answers -smaller
-triangle shape
-back of head
asynckitic - Answers -when occipital comes down crooked
presentation - Answers -which part of the fetus comes through the vagina first
-cervical/vertex (head first)
-breech (butt first)
transverse (sideways)
frank breech - Answers legs are folded up to the chin
fetal attitude - Answers -fetal head and flexion of head
mentum - Answers chin
fetal station - Answers measure of the degree of descent of the presenting part of the fetus
through the birth canal (-1, -2, -3, 0, +1, +2, +3)
passageway - Answers birth canal
gynecoid - Answers -like a big heart
-ideal for birth
andriod - Answers -smaller and taller heart
, anthropoid - Answers -really tall and thin
phatypelloid - Answers short and fat
powers - Answers primary: contractions
secondary: pushing
contractions - Answers -every 2-3 min
-50-60 sec long
effacement - Answers -thinning of cervix
-0-100%
Dilation - Answers -0-10 cm
-result of real contractions
if they need to poop - Answers baby is coming if 10 cm dilated
mechanism of labor - Answers -engagement: 0 station
-flexion: occipital comes first
-internal rotation: comes facing straight down
-extension: extend head out
-external rotation: turn body while head is out
-external rotation/restitution: baby comes out
counterpressure - Answers when you counter the pressure of the baby
effleurage - Answers circulat stroking massage
transcutaneous electrical nerve stimulation - Answers -little stimulations through lower back
-good for early labor
intradermal water block - Answers inject sterile water around L5
Fentanyol - Answers -short half life
-giving as pain relief
spinal block - Answers -provider would go in before and give a pudendal nerve block to numb
vulva