5 P's of labor
Name the 5 ps of labor
Passenger, passageway, powers (primary and secondary), position of laboring woman, psyche
What is the head-first presenting part of the fetus?
Vertex/ Cephalic
what are signs of pre labor?
Bloody show, lightening, energy burst, weight loss, backache, N/V/D
Labor increases what cardiac measurement
Cardiac output
what are some indications for a C-section?
Placenta previa, CPD, breech, transverse lie, fetal distress
Primary powers are ...?
Involuntary uterine contractions
What is the relationship of the fetal spine to the mothers spine?
Fetal lie --> longitudinal and transverse
Stage one lasts from...?
Regular contractions to complete dilation
Fetal oxygen can do what during contractions?
Can decrease
A low transverse incision may allow ...?
Tolac/VBAC
Secondary powers are ...?
Voluntary pushing efforts
what is the most common type of pelvis ?
Gynecoid
Active labor begins at how many cm?
6 cm
What are common material GI responses?
Nausea/vomiting due to decreased gastric motility
Contraindication to VBAC?
classical uterine incision/high rupture risk
Which P has the greatest impact on birth?
Passenger (Fetal head)
what does LOA stand for?
Left Occiput Anterior
Stage 3 is ...?
Birth of baby to deliver of placenta
Fetus responds to what sensory inputs?
Touch, sound, temperature
What is the priority in the 4th stage?
Assess funds, Lochia, bleeding, bladder
Which nursing intervention is most important during the first stage?
Maternal positioning
What do fontanels help determine?
Presentation, position, and attitude
Latent phase contractions occur every ...?
5-10 minutes, 30-45 seconds
What fetal heart rate may indicate fetal distress?
Persistent late decelerations
A woman is 5cm, 90% effaced, station 0. what phase is mom in?
Latent phase (0-6cm)