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NURS 1495 Week 10 Care Of The Young Family Exam
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NURS 1495 Week 10 Care Of The Young Family ExamWhat are the five P's that influence labor and delivery?
Passenger-fetus and placenta, Passageway-birth canal, Powers-contractions, Position
of the mother, and Psychological response.
How might the size of the fetal head and how it is presented influence labor?
The size of the fetal head and its presentation (vertex or breech for example) can
influence through what ease the fetus moves through the birth canal.
What are the characteristics of the fetal lie, attitude and position?
Fetal lie describes the orientation of the fetus, longitudinal or transverse; attitude
describes posture of the fetus, flexed or extended; position describes the relation to the
maternal pelvis.
What is the contribution of bony pelvis and soft tissues to the birth passage?
The bony pelvis provides the rigid passageway, and the soft tissues of the cervix, pelvic
floor, vagina, and introitus dilate and stretch to accommodate passage of the fetus.
What are the four basic types of pelves, and how do they influence labor?
Gynecoid, android, anthropoid, and platypelloid. These different shapes can affect the
ease and progress of labor with each type.
, Describe the role of primary and secondary powers in labor.
Primary powers involve uterine contractions leading to effacement and dilation of the
cervix. Secondary powers are the mother's bearing-down efforts to assist in fetal
descent.
What signs precede labor?
Lightening or dropping of the fetus into the pelvis and a bloody show.
What are the stages of labor and their characteristics?
First stage is from the onset of contractions to full cervical dilation, the second stage is
from full dilation to birth, the third stage is from birth of the fetus until delivery of the
placenta, and the fourth stage is 2 hours post-delivery of the placenta.
How does fetal heart rate, circulation, and respiration adapt during labor?
The adaptations include alterations in the patterns of fetal heart rate, the shunting in
fetal circulation, and the tonic fetal respiratory movements with the imminent birth.
What is included in nursing care while caring for a patient in labor and birth?
Nursing care includes assessment, support to the mother and family and promotion of
the best possible outcomes for the mother and newborn.
Distinguish between latent and active phases of the first stage of labor.
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