Ch 6 OB - Introduction to Maternity and Pediatric Nursing |Assured
A+|well asked questions and accurate answers
what are different settings for child birth
-hospitals
-freestanding birth centers
-home
What are the 4 "p's" of birth process
powers
passage
passenger
psyche
what are factors that influence the progress of labor
preparation
position
professional
place
procedures
people
,what effects of contractions are on the cervix
efface: thin it out
dilate: open cervix
the powers, what are they
what are the 2 powers
-forces that cause the cervix to open and that move the fetus down the birth canal
-uterine contractions and mothers pushing efforts
what might happen if contractions occur more often than 2 minutes
may reduce fetal o2 supply
what are phases of contractions
increment - see it rise
peak - hits high point
decrement - goes down
what are the following of contractions
frequency
duration
interval
-beginning of 1 contraction to the beginning of the next; no more frequent than every 2 mins
-beginning and end of 1 contraction; 90 sec or less
-the amount of time the uterus relaxes between contractions; 60 sec
what is contraction intensity
, approximate strength of contraction
described as mild, moderate, or strong
mild contraction
fundus is easily indented with fingertips, feels similar to the tip of the nose
moderate contraction
fundus can be indented with fingertips, but with more difficulty. feels similar to the chin
firm contractions
fundus cannot be readily indented with fingertips, feels similar to the forehead
what type of contractions should be reported
occur more frequently than every 2 min, last longer than 90 sec, or have intervals shorter than 60
sec. there is decrease oxygen to the fetus and can lead to hypoxia
what may reduce or eliminate the natural urge to push during labor
maternal exhaustion or sometimes epidural analgesia
A mother in labor feels the urge to push but she isn't fully dilated, what is causing this and what
could happen
-the fetus pushes against the rectum
-it should be discouraged because it may contribute to maternal exhaustion, fetal hypoxia, and
tearing of maternal soft tissue
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