5 "P"s of Labor
Name the 5 "P"s of labor
what is psyche of the mother, position, passenger, passageway and powers?
number one nursing diagnosis for mother and baby after ROM has occured.
what is risk for cord compression?
First thing you do with ROM.
what is descent?
"begins when labor starts and ends when the cervix is completely dilated"
What is first stage of labor.
"the relationship of the fetal parts to each other"
What is fetal attitude?
What is mother's priority nursing diagnosis post ROM?
what is R/F infection?
what four (4) things do you document with ROM?
what is color of amniotic fluid, date, time and method of rupture?
This mechanism of labor puts pressure on the fetal head and forces it into flexion.
what is flexion?
What are the three (3) phases in order for first stage of labor?
what is latent, active and transitional phases of first stage of labor?
"the relationship of the fetal axis to the long axis of the mother"
what is fetal lie?
Number one nursing priority for baby post ROM.
what is R/F cord compression?
Meconium stained amniotic fluid indicates what?
what is fetal distress?
"The fetal head enters the pelvis in the transverse position, the head turns from occiput transverse to occiput anterior and the occiput rotates until it is just below the symphysis pubis"
What is internal rotation?
"Begins when the cervix is completely dilated and ends with delivery of the fetus"
what is second stage of labor?
Most common fetal presentation.
what is cephalic presentation?
The problem in which the "cord moves down into the pelvis before the head"
What is cord prolapse?
Two (2) tests to rule out/rule in presence of amniotic fluid.
"when the head returns (restitutes) to the position it was in when it entered the pelvis and the head rotates externally, the shoulders rotate to the anterior-posterior position"
What is external rotation?
"Begins with the delivery of the placenta and ends when mom is completely removed"
what is fourth stage of labor?
A baby is considered "engaged" with the ischial spines at what station?
what is 0 station?
A mother ask why she isn't allowed to walk around after her bag of waters has ruptured. When checked, the baby was at a -1 station. What would the MAIN reason she isn't allowed to walk around?
A. Nurse wants to track baby's movement
B. Baby isn't fully engaged on the ischial spines
C. Mothers aren't allowed to walk around once ROM occurs
D. Walking will cause fetal distress.
What is "baby isn't fully engaged on the ischial spines?
If walking were to be allowed, cord prolapse could be a possibility.
"after the shoulders are delivered, the rest of the body is quickly delivered"
what is expulsion?
what is the third stage of labor?