ABAC NURSING 2208 TEST 1 (part 2)

Primary forces of labor
uterine contractions that expel the baby downward

Secondary forces of labor
mother pushing to help uterine contractions

Frequency of contractions
beginning of one contraction to beginning of the next

Duration of contractions
beginning of contraction to end of same contraction

Fetal position
baby’s position in pelvis

Mothers right side, baby’s occipital bone to mother’s anterior pelvis. (Facing back)

Mothers right side, baby’s occipital bone to mother’s posterior pelvis. (Facing front, Sunny side up)

Mothers left side, baby’s occipital bone to mother’s anterior pelvis. (Facing back)

Mothers left side, baby’s occipital bone to mother’s posterior pelvis. (Facing front, Sunny side up)

Contraction cycle
Incriment = up
Acme = peak
Decrement = down

True labor
produce cervical dilation – regular with increasing frequency, duration & intensity – start in back radiates toward abdomen

False labor
no cervical dilation – not regular, no increasing – start in abdomen radiates toward back, exercise may alleviate

Intermittent auscultation of FHR
Latent phase -listen q 1 hr (norm) & q 30 min (risky)
Active phase – listen q 30 min (norm) & q 15 min (risky)
Transitional phase – listen q 15 min (norm) & q 5 min (risky)

Baseline fetal heart rate
average heart rate during 10 min segment excluding variations >25bpm

Normal value for baseline fetal heart rate (bpm)

Fetal tachycardia
baseline FHR > 160 bpm
early hypoxia, infection, anemia, hyperthyroidism & drugs

Fetal bradycardia
baseline FHR < 110 bpm late hypoxia & drugs

fluctuations in the baseline FHR that are irregular in amplitude and frequency

Absent varibility
indication that the fetus CNS is not working

Minimum varibility

Moderate varibility
6-25 bpm…..normal range

Marked varibility
> 25 bpm….always a bad sign

Variable FHR decelerations
cord compression

Early FHR decelerations
head compression

FHR accelerations
always good, indicates fetal wellbeing

Late FHR decelerations
placental insufficiency

Reassuring FHR patterns
normal range
no periodic changes
moderate varibility
accelerations with movement

Non-reassuring FHR patterns
progressive increase or decrease in base
tachycardia or severe bradycardia
severe decrease in varibility or no varibility
prolonged deceleration

Biophysical profile (BPP)
(1) breathing, (2) body movement, (3)muscle tone
(4) amniotic fluid vol, (5) FHR activity

Emergency FHR patterns & treatment
Late decelerations, variable decelerations & prolonged decelerations. Put on (L) side , 02 mask, DC pitocin, call MD

Possible causes of labor
progesterone withdrawl
prostoglandin hypothesis
corticotrophin releasing hormone hypothesis

The 4 P’s of the birth process the powers, the passage, the passenger and the psyche Two powers of labor are uterine contractions, mother’s pushing efforts WE WILL WRITE A CUSTOM ESSAY SAMPLE ON ANY TOPIC SPECIFICALLY FOR YOU FOR …

Late Decelerations (description) transitory gradual decrease in fetal heart rate below baseline rate in contracting phase Late Decelerations (cause) uteroplacental insufficiency caused by uterine hyperactivity or hypertonicity, maternal supine hypotension, epidural or spinal anesthesia, placenta previa, abruptio placente, hypertensive disorders, …

5 p’s Passage, Passenger, Powers, Psyche, Partners Passage Type of Pelvis= Gynecoid/Anthropoid (good) Android/Platypelloid (bad) WE WILL WRITE A CUSTOM ESSAY SAMPLE ON ANY TOPIC SPECIFICALLY FOR YOU FOR ONLY $13.90/PAGE Write my sample Passenger Size (child) Presentation (fetal structure …

1st Stage of Labor This stage begins with the onset of the uterine contractions and ends with full cervical dilation and effacement. – Care here begins when the woman reports one or more of the following: onset of progressive, regular …

Braxton-Hicks contractions contractions that are strong, but do not become longer or more frequent like true labor contractions c-section (caesarean section) a medical procedure that involves cutting into a pregnant woman’s abdomen to deliver a baby WE WILL WRITE A …

Augmentation of Labor This is done when the patient is already in labor. She’s having contractions, however they are very mild or hypotonic (8-10 mins apart). They do not make the cervix dilate. – This process stimulates the uterine contractions …

David from Healtheappointments:

Hi there, would you like to get such a paper? How about receiving a customized one? Check it out https://goo.gl/chNgQy