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OB 6/7

facts
settings for childbirth hospitals freestanding birthing centers home all have advantages/disadvantages
the four P's power passage passengers psych
factors that influence the progress of labor preparation position professional place procedures people
effect of contractions of the cervix efface dilate
phase of contractions increment peak decrement relax
provide emotional support to the laboring woman so she is less anxious/fear
excessive anxiety or fear can cause greater ? during childbirth ( very hard for mom to focus) pain inhibit the progress of labor reduce blood flow to the placenta / fetus
boney pelvis has two parts true false
true pelvis is ? involved in child directly
true pelvis has 3 main parts involved w/ child birth inlet mid pelvis outlet
false pelvis has 2 parts flares upper portion of pelvis
soft tissues will yield more to readily to contractions and pushing efforts
sift tissues may not yield as readily in primiparas or older women
occiput is used to describe how the head is oriented
sacrum is used to describe how the fetus is breech
mentum describe if the fetus face
station describe the level of the presenting part (usually the head) in the pelvis
mental state can influence the course of labor
the woman's cultural and individual values influence how is will cope w/ childbirth
6 signs of impending labors Braxton hicks contractions increased vaginal discharge bloody show rupture of the membranes energy spurt wt loss(sometimes you can have cause of the energy spurt)
7 mechanisms of labor descent engagement flexion internal rotation extension external rotation expulsion
wanna see the shiny part of the placenta first and not the dirty part
if dirty parts show first u need to check pieces of the placenta left in the body
when to go to the hospital or birthing center contraction ruptured membranes bleeding other the bloody show decreased fatal movement any other concern
three major assessments performed promptly on admission fetal condition maternal condition impending birth
admission procedures permits/consents(handle right away) lab test intravenous infusion Perineal prep determining fetal position and presentation
false labor is describe as contractions irregular walking relieves contractions(should get stronger) no bloody show no change in effacement/dilation of cervix
true is describe as contractions develop a regular pattern(loner/closer together) contractions are stronger /longer when walking discomfort in low back/abdomen bloody show progress effacement/dilation of cervix
after admission to the labor unit, nursing care consists of monitoring the fetus(contractions, labor, good O2,movement) monitoring the laboring woman(vitals) helping the woman cope w/ labor
fetus monitoring includes fetal heart rate(wanna hear right at contractions) intermittent auscultation continuous electronic fetal monitoring
baseline of a normal FHR is 110-160BPM
fetal bradycardia FHR below 110 BPM
fetal tachycardia FHR above 160 BPM
4 different kinds of variability baseline moderate mark absent(around 140)
6 different kinds of decelerations + 1 pattern early variable late prolong recurrent intermittent
monitoring the woman includes vitals signs contractions of the labor(how she is responding) in/out take response to labor
6 Lamaze institute basic practices for maternity care labor should being on its own woman should have freedom of movement woman should have a birth support person or doula no routine interventions should be performed woman should be in -supine positions woman should not be separated from infant
different way to help the woman cope w/ labor labor support teaching providing encouragement supporting /teaching the partner
ways to support/teach the partner teach how/labor pains affect the woman attitude /behavior how to adapt resources to the woman's behavior what to expect in his/her own emotional responses effects of epidural analgesia
4 stages/phases of labor
Created by: yetivia