VERIFIED ANSWERS { GRADED A+}
Powers - ✔✔Forces that cause the cervix to open & propel the fetus
down the birth canal /
Uterine contractions and mothers pushing efforts.
Passage - ✔✔referring to the female pelvis / consist of boney pelvis and
soft tissues of birth canal.
Passenger - ✔✔the fetus, placenta (afterbirth), amniotic membranes
and amniotic fluid.
Psyche - ✔✔Maternal perception of the process and her mental state.
This can influence the course of her labor.
,Psyche- Relaxed & Optimistic - ✔✔Better able to tolerate discomfort
and work with physiological process.
Psyche-Anxiety/Fear - ✔✔Increases her perception of pain and reduce
her tolerance to it.
Also, can cause the secretion of the stress compound from the adrenal
glands = Catecholamines inhibit uterine contractions and divert blood
flow from the placenta.
Normal Contractions - ✔✔Duration is <90 sec. Frequency is <2 min.
Accelerations and early decelerations are reassuring and require no
intervention except continued observation.
Accelerations do not last longer than 2 minutes.
,Contractions - Relaxation Phase - ✔✔interval between the end of one
contraction & the beginning of the next contraction.
Contractions- Fetal Compromise - ✔✔Persistent intervals less than 60
seconds may decrease O2 supply to fetus.
3 Major Nursing Assessments - For Labor Patient - ✔✔Fetal Condition-
check FHR / did membranes rupture?
Maternal Condition- T,P,R,B/P
Impending Birth- Check for signs / Report
Signs of impending Birth -Nursing Assessments- For Labor Patient -
✔✔**Report by using call bell - don gloves precip tray / stay with pt **
Sitting on one buttock
, making grunting sounds
bearing down with contractions
stating "the baby's coming", and/or bulging of the perineum or the fetal
presenting part becoming visible at the vaginal opening.
Ruptured Membranes - Nursing Assessment- For Laboring Patient -
✔✔Note if the membrane has ruptured (when, color, odor, time - if >
24 hrs. concern for cord drop and infection.)
Nuchal cord - Nursing Assessment - For Laboring Patient - ✔✔Assess for
nuchal cord as baby crowns.
This is when the cord around the neck - decreases oxygen to fetus'
lungs, baby to the nicu.