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Intrapartum Care
| Question | Answer |
|---|---|
| What are the four components of the birth process? 4 Ps | Powers Passage Passengers Psyche |
| The two Powers are? | Uterine Contractions, the primary power during the first stage Maternal pushing, only effective when it is combined with contractions |
| What is a uterine Contraction | involuntary muscle contractions, influenced by walking, drugs, anxiety & vaginal exams |
| what is cervical dilation | enlargement of opening of the external os measured from 0 to 10 cm |
| what is cervical effacement | thinning and softening of the cervix measured from 0% to 100% |
| LTC means? | long thick and closed |
| LTP means? | ling think posterior |
| increment means? | increasing strength |
| acme means? | Peak (greatest strength) |
| decrement means? | decreasing strength |
| duration means | from beginning of contraction to end of same contraction |
| frequency means | from beginning of one contraction to the beginning of next contraction |
| interval means | relaxation |
| intensity mean | approximate strength of contraction mild = feels like tip of nose moderate = feels like chin strong (hard) = like forehead |
| what can be used to reduce urge to push? | meds and fatigue |
| Passage | consist of mother's bony pelvis an soft tissue |
| bony pelvis | consist of false pelvis (upper flaring part) true pelvis (lower part) which is involved in the childbirth process and can only be measured on ultra sound |