Labour & delivery

What are the 5 P’s of labour?

Passanger, Passageway, POWERS, POSITION, psychological

What does Passenger pertain to?

the baby

what does passageway pertain to?

birth canal

What does powers pertain to?

contractions

what does Position pertain to? of who?

the mother

what does it mean to focus on the psychological aspect of birht? the what?

The response

When the passanger is exiting the birth canal, what happensto the sutures?

They overlap & fold 

TOCO stands for what and meausres what?

tocodynamometer measures contractions

EFM or external fetam moniter measures/moniters what?

External fetal heart rate

LOA in terms of postion of the passenger means what?

ON Left side & head facing the anterior

When the baby’s head enteres teh pelvic inlet (or openining of pelvis) what is this called?

Engagement 

What is the ratios of station? negative means what & pos. means what? When it comes to the location of the head?

-3 to +3

neg means head is ABOVE spines. POS means head is is BELOW spines

what does station mean?

where the baby’s head is inrelation to ischial spines

In a sterile vaginal exam, what are the 3 things a nurse will document?

Dilation, Effacement, & station

What is the difference between Effacement & dialiation?

Effacement is the THINING of cervix dilation is OPENING of cervix

When measuting contractions, what part is measured start to start vs start to end?

duration; frequency 

Where do contractions start? AND the most powerful?

the fundus

What does AROM mean? WHAT is important to what during this?

when doctor breaks amniotic sac w/ amniotic hook. 

LOOK at fetal moniter

When your water breaks we look for TACO what does each letter stand for?

Time, amount, color, odor

What is the range of normal vol. of amniotic fluid?

500 - 1200ml

If the color of the amniotic fluid is dark brown, that means the baby’s poop has passed in the utero. What is this called?

Meconium

There are 4 stages of labour WHAT are 3 important things to note abt the first stage?

longest one, varies in time, and dialate here from 0-10 cm

The first stage of labour is divided into 3 other sub-stages WHAT happens in the first sub-stage, “early Latent stage” in terms of dilation, station 

0-3cm  & -2 to 0 

What happnes in the 2nd sub-stage, "Active stage” in terms of dilation & station

4-7cm & 0 to +2

WHat happens in the 3rd substage of the FIRST stage of labour, called the “transition" stage” in terms of dilation & station?

8 - 10cm & +2 to 3+

In the SECOND stage of labour, what is important to note abt this? (two things)

called the “pushing stage” & epidurals can prolong this stage

in the THIRD stage of labour what is happening in this stage?

Birth of the baby & placenta

What happens in the FOURTH stage of labour?

After placneta deliver to stable vitals

What do nurses do in the 4th stage? What are they looking for?

Massaging the fundus & watch their vital signs (see if there is any hemorrhaging)

What are four things that can NEGATIVELY affect the psychological aspect (the response) of the mother?

no support, not a safe place, history of sexual abuse, & no childbirth classes