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12 Cards in this Set
- Front
- Back
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Factors Affecting Labor
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Passenger (Fetus and placenta)
Passagway (birth canal) Powers (contractions) Position of mother Psychological response |
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Factors Affecting Labor
Passenger |
Size of fetalhead
Fetal presentation(body part entering birth canal) Fetal Lie Fetal Attitude Fetal Position |
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First Stage of Labor
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Last from beginning of dilation to full dilation of cervix
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Second Stage of Labor
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Last from full dilation to birth of infant
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Third Stage of Labor
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Last from the infants birth to the expulsion of the placenta
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Fourth Stage
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First 2 hours after birth
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True Labor
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Contractions at regular intervals
Intervals between Contractions shorten Contractions increase in duration and intensity Discomfort begins in back and radiates to abdomen Intensity increases with walking Cervical dilation and effacement are progressive |
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False Labor
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Contractions are irregular
No change in intervals No change in duration and intensity Walking has no effect Cervial dilation and effacement has no change |
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Second Stage of Labor
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Infant is born
Begins with full cervical dilation (10 cm) Latent Stage: Relatively calm Complete effacement Ends with baby's birth |
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Electronic Fetal Monitoring
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Normal Fetal Heart Rate: 120 - 160 bpm
Baseline: the range observed between contractions - during a continuous 10 minute period of monitoring Bradycardia - below 120 bpm for 10 min. Tachycardia - above 160 bpm for 10 min |
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Third Stage of Labor
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Potential Problems: Excessive blood loss
Alteration in VS and consciousness Care of placenta after delivery |
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Fourth Stage
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B/P, Pulse, Rate Q15 mins. for first 1-2 hours
Uterine firmness and position, fundal massage, Q15 mins Amount and characteristics of vaginal blood flow Q15 mins |
