Term
Stages of Labor:
First stage: early, active, transition |
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Definition
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Term
Stages of Labor:
Second stage |
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Definition
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Term
Stages of Labor:
Third stage |
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Definition
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Term
Stages of Labor:
Fourth stage |
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Definition
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Term
Birth in the US:
Sites of birth include... |
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Definition
~Hospital
~Birth Center
~Center |
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Term
Birth in the US:
Models of births... |
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Definition
~Medical Model
~Midwifery Model |
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Term
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Definition
~Braxton-Hicks contractions
~Contractions that do not lead to progressive cervical change |
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Term
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Definition
| Characterized by contractions (intermittent tightening of the uterine muscle) which lead to cervical change and encourage fetal descent through the pelvis |
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Term
| Cervical Examination Components |
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Definition
~Dilatation
~Effacement
~Station
~Position
~Consistency
~Presenting part
~Status of membranes |
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Term
| What are the signs and symptoms of impending labor? |
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Definition
~Bishop's Score
- Position
- Consistency
- Effacement
- Dilatation
- Fetal station and part
- See table 16-1, p. 399
~Importance of cervical status |
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Term
Initiation of Labor:
~Theoretical(Maternal factors and fetal factors) |
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Definition
Maternal Factors
- Progesterone
- Estrogen
- Oxytocin
- Prostaglandin
- Psyche
Fetal factors
- Fetal cortisol |
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Term
Initiation of Labor:
~Artificial Factors |
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Definition
- Cervical exam
- Stripping of membranes
- Prostaglandins
- Artificial rupture of membranes
- Sex
- Nipple Stimulation |
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Term
The Ps of Labor:
Women/Fetus P's are... |
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Definition
- Power
- Passageway
- Passenger
- Position
- Psyche
Nursing role: assess and encourage each factor |
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Term
| The Ps of Labor for Provider's/Support Persons are... |
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Definition
- Patience
- Persistence
- Practice/Pain Relief
- Psyche
Nursing role: assess and encourage each factor |
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Term
| Influences of Contraction Power are: |
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Definition
- Uterine force
- Nutrition and fluids
- Rest/fatigue |
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Term
The Female Passageway
~Soft Tissues are |
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Definition
| The cervix, vagina, and perineum. |
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Term
| The different pelvis shapes (Clinical pelvimetry) are: |
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Definition
~ Gynecoid
~ Atheropoid
~ Android
~ Platypeloid
(Slide 16 has pictures of Birth Process PPT) |
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Term
| Passenger's (Refers to baby) Head is Composed of: |
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Definition
Bones, Sutures, fontanelles
(Diagram on slide 18) |
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Term
| The anterior fontanelle has a _______ shape |
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Definition
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Term
| The posterior fontanelle has a ___________ shape |
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Definition
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Term
| The lateral of the fetal head demonstrates that the anteroposterior diameters vary with the amount of ____________ and ____________. |
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Definition
| The anteroposterior dms vary with the amount of flexion and extension. |
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Term
| What must you assess the passenger for? |
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Definition
- Size of passenger
- Number of passengers
- Position of passengers: LOA, Lie, OA |
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Term
Stages of Labor:
First stage: early, active, transition |
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Definition
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Term
| Passenger Lie: 2 types include... |
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Definition
1) Longitudinal lie- the long axis of the fetus is parallel to the long axis of the woman
2) Transverse lie- the long axis of the fetus is at right angles to the long axis of the mother. The woman's abdomen has a wide, short appearance
refer to slide 20 |
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Term
Childbirth is not only a physioogic phenomenon but also a ___________/____________ experience.
Also, what are some q's to ask yourself before walking onto the l&d floor... |
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Definition
Cultural/sociological experience
Ask yourself:
- Where/how did you first learn about how a baby is born? What do you know about your own birth?
- Who has influenced your perception of labor? What birth stories come to mind?
- Is there such a thing as "good" pain? If you are an athlete, have you ever sought out physical discomfort? Why?
- Have you ever been in pain? How'd you deal?
- What do you think is the role of the healthcare provider in birth? |
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