The 5 P's of Labor
Mechanism of Labor
Maternal Adaptation to Labor
Fetal Adaptations to Labor
Fetal Position and Lie
100

What are the 5 Ps of labor?

What are the Passenger, Passageway, Powers, Position of mother, Psychological response

100

What is the first step in the mechanism of labor?

What is engagement?

100

Which maternal system experiences increased cardiac output during labor?

What is the cardiovascular system?

100

What happens to fetal lung fluid during labor?

It is absorbed to prepare for breathing.

100

What does "LOA" stand for?

Left occiput anterior

200

Which "P" refers to the strength, frequency, and duration of contractions?

What is Powers?

200

Which movement occurs when the fetal chin tucks to the chest?

What is flexion?

200

What visible sign may indicate impending labor? 

What is bloody show?

200

How is fetal heart rate affected by contractions?

It may temporarily decrease due to compression.

200

What is the term for the relationship of the fetal spine to the maternal spine?

What is the fetal lie?

300

The fetal head and presentation are part of which "P"?

What is Passenger?

300

What movement helps the fetus turn through the pelvis?

What is internal rotation?

300

What causes the "lightening" feeling before labor begins?

Fetal descent into the pelvis.

300

What helps maintain fetal circulation during contractions?

The umbilical cord and placenta compensate temporarily.

300

What is the most favorable fetal position for vaginal delivery?

What is vertex in LOA or ROA position?

400

Why is maternal position important during labor?

It affects comfort, circulation, and the progress of labor.

400

What is restitution?

Realignment of the head with the shoulders after the head is born.

400

Which hormone stimulates uterine contractions?

What is oxytocin?

400

What hormone helps initiate fetal breathing movements?

What is cortisol?

400

What position is associated with back labor and longer delivery times?

Occiput psoterior (OP)

500

What influences a woman's psychological response during labor?

Fear, anxiety, support system, and past experiences.

500

What is the final step in the mechanism of labor?

What is expulsion (birth of the body)?

500

What maternal system slows during labor to reduce aspiration risk? 

What is the gastrointestinal system?

500

What is a reassuring fetal heart rate pattern?


Baseline 110-160 bpm, moderate variability, and no late decelerations.

500

What is the term for a fetus lying sideways in the uterus?

What is transverse (horizontal) lie?