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the woman may notice the fetus seems to have settled or "dropped" into the pelvis |
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irregular tightening of the pregnant uterus that begins in the 1st trimester and increases in frequency, duration, and intensity as pregnancy progresses |
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the 5 p's and there description are
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passageway: the pelvis and soft tissue
passengers:the fetus and placenta
powers:contractions
position of mother: standing, squatting, etc..
psyche:psychological response |
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function:support for the uterus and fetus druing the lat mths of pregnancy |
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size and shape of the true pelvis are more imprtant than the false pelvis because the fetal head must be able to pass throught his section for vaginal delivery |
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the true pelvis is divided into |
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3 segments: inlet, cavity or midpelvis, outlet |
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bones of the skull are not rigidly joined (fused) th is allows the bony plates to overlap as the fetus progresses throught the maternal pelvis |
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anterior is the larger diamond shaped
posterior is smaller and triangular |
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normal fetal heart rate is |
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Definition
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how many beats over may indicate fetal distress |
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30 beats more per min, needs to be reported immediatly |
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what are the mechanism of labor in order |
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Definition
engagement
descent
flexion
internal rotation
extension
external rotation and restitution
expulsion |
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Term
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Definition
score can range from 1-10 and taken 1-5min after birth
high-indicates good condition
low-indicates serious problems
criteria: heart rate, resp effort, muscle tone, reflex irritability, and color |
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what can interfere with the progress of labor |
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fetal distress is caused by |
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hypoxia: indicated by nonreassuring FHR patterns
meconium: stool released from the rectum of the fetus in response to hypoxia
prolapsed cord: pressure on the umbilical cord that occludes blood flow |
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Definition
the membranes have ruptured for longer than a few hrs, in case of severe pregnancy-induced hypertension, or in a post-term pregnancy |
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Definition
by amniotomy-repture of the fetal membranes by a sterile hook to open the sac
prostaglandin gel app-gel to start contractions usually within a hr
oxytocin stimulation-induce/stimulate labor |
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Term
medical interventions to deliver baby |
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Definition
forceps-spoon-lk devices that fit around the fetal head to aid in expulsion of the fetus
vacuum-attachment of a vacuum cup to the fetal head and application of neg pressure
ceserean-abd and uterine incision |
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