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15 Cards in this Set

  • Front
  • Back
4 Ps

POWERS


PASSAGEWAY


PASSENGER


PSYCHE
POWER: UTERINE CONTRACTIONS.



1. FORCES ACTING TO EXPEL FETUS.


2. EFFEACEMENT SHORTENING & THINNING OF THE CERVEX (1ST STAGE OF LABOR).


3. DILATION: ENLARMENT OF THE CERVICAL OS.& CERVICAL CANAL (1ST STAGE OF LABOR).


4. PUSHING EFFORTS OF THE MOM. 2ND STAGE
PASSAGEWAY

THE MOTHER'S RIGID BONEY PELVIS, THE SOFT TISSUES OF THE CERVIX, PELVIC FLOOR VAGINA & THE INTROITUS (EXTERNAL OPENING TO THE VAGINA.
PASSENGER

THE FETUS, MEMBRANES & PLACENTA.

PSYCHE

A WOMAN'S EMOTIONAL STRUCTURE THAT CAN DETERMINE HER ENTIRE RESPONSE TO LABOR & INFLUENCE PHYSIOLOGICAL & PHYSCHOLOGICAL FUNCTIONING, THE MOTHER MAY EXPERIENCE ANXIETY OR FEAR.

ATITUDE


IS THE RELATIONSHIP OF FETAL BODY PARTS TO ONE ANOTHER.

NORMAL ATTITUDE


IS FLEXION:


THE FETAL BACK IS ROUNDED,


THE HEAD IS FORWORD ON THE CHEST.


THE ARMS & LEGS ARE FOLDED IN AGAINST THE BODY
LIE
RELATIONSHIP OF THE SPINE OF THE FETUS TO THE SPINE OF THE MOTHER
LONGITUDINAL OR VERTICAL LIE


1. FETAL SPINE IS PARALLEL TO THE MOTHER'S SPINE.


2. FETUS IS CEPHALIC OR BREECH


PRESENTATION
TRAVERSE OR HORIZONTAL LIE


1. FETAL SPINE IS AT A RIGHT ANGLE OR


PERPENDICULAR TO MOTHER'S SPINE.


2. PRENTING PART IS THE SHOULDER


3. DELIVERY BY CESAREAN SECTION IS


NECESSARY.
PRESENTATION: PORTION THAT ENTERS THE PELVIC INLET FIRST.


1. CEPHALIC HEAD FIRST, MOST COMMON. 4 VARIATIONS VERTEX, MILTARY, BROW, & FACE.

2. BREECH PRESENTATION

BUTTOCKS FIRST: DELIVERY C SECTION MAY BE REQUIRED, VAGINAL BIRTH IS POSSIBLE. 3 VARIATIONS,


FRANK,


FULL (COMPLETE), &


FOOTLING
3. SHOULDER PRESENTATION


FETUS IS IN TRAVERSE LIE, OR THE ARM, BACK, ABDOMEN OR SIDE COULD PRESENT.


IF THE FETUS DOES NOT SPONTANEOUSLY


ROTATE, OR IF IT IS IMPOSSIBLE TO TURN THE FETUS MANUALLY, A C SECTION MAY BE PERFORMED.
PRESENTING PART

THE SPECIFIC FETAL STRUCTURE LYING NEAREST THE CERVIX
POSITION:


THE RELATIONSHIP OF ASSIGNED AREA OF THE


PRESENTING PART OR LANDMARK TO THE


MATERNAL PELVIS