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30 Cards in this Set

  • Front
  • Back
Objectives 23-41 Intrapartum Lise Roemmele
Processes of Labor and Birth
Processes of Labor and Birth
23 exam questions
What effects of the labor process on the communication needs of the childbearing family are associated with the psychological stages of labor?
-Perception of childbirth
-Unresolved fears and concerns
What effects of the labor process on the communication needs of the childbearing family are associated with the involvement of significant others?
-Physical and emotional support

What are the Five factors that affect the labor and birth process (Five P's)?
-Passenger (fetus & placenta)
-Passageway (birth canal)
-Powers (contractions)
-Position of the mother
-Psychological response
Stages of Labor

What happens during the 1st stage of labor? What does it consist of?
-First stage: 0-10cm cervix
3 phases:
-Latent 0-3cm,
contractions reg or irreg
-Active 4-7cm, contractions
change more rapid cervix
starts effacing
-Transition 8-10cm, intense
time anxious, breathing
harder,bloody show.
What is effacement and how is it measured?
thinning of the cervix and 0-100%
Stages of Labor

What happens during the second stage of labor?
-complete dilation to the birth of the baby
-pushing stage
Stages of labor

What happens during the 3rd stage of labor?
-placental stage
How would you use the nursing process to meet the nutritional needs of the client?
-Nutrient & fluid intake
*assess risk for aspiration
*adequate fluid and calorie
-Intravenous intake
*standard and definate w/
-Assessment of Hydration
What are the elimination needs of intrapartal clients with urinary elimination?
-reduced bladder tone/sensation

Nsg intv: make sure client voids q 2 hours
What are the elimination needs of intrapartal clients with gasrtointestinal elimination?
-Decreased intestinal
-Prolonged emptying time of
the stomach
What are the factors affecting the importance of the passenger and passageway during labor r/t fetal head?
-Sutures-sagittal, coronal,
frontal, lamboidal
-Frontalelles-anterior (diamond), posterior (triangle)
What are the bones of the fetal head?
What are the names of the sutures of the fetal head?
What are the names of the fontanelles of the fetal head?
anterior- diamond shape
posterior-triangle shape
Name the fetal presentations?
Vertex-head 1st
Breech-feet first
Brow-like face but brow 1st
Military-straight no flex
What is fetal lie and what types are there?
*the relationship of the long axis (spine) of the fetus to the long axix of the mother.
-longitudinal: (cephalic,
-transverse: side head and
What is fetal attitude and what are the 2 types?
*relation of the fetal body parts to each other
1) general flexion-flexed
2) extention-face 1st
What is fetal position?
The relationship of the presenting part to the four quadrants of the mother's pelvis.
How is fetal position denoted?
-Position denoted by 3 letter abbreviation
-1st letter=location of presenting part in R or L side of pelvis
-Middle letter=presenting part
-Third letter=location of presenting part in relation to anterior or posterior
What are the pelvic types?
-Gynecoid- (rounded)most common very favorable
-Android- (heart)not favorable very narrow c-section
-Anthropoid-(long oval)favorable
-Platypelloid-(plate)too narrow almost always c-section
What are the parts of the true pelvis?
Inlet-top of pubis
Mid pelvis-mid cavity
Outlet-gets beyond ischial tuberosities
What is the narrowist part of the pelvis?
ischial spine
What happens to the soft tissues of the passageway during labor?
lower uterine segment opens up & becomes very thin, upper segment gets very thick to help push baby out.
What happens to the pelvic floor during labor?
made up of ligaments and muscles. baby puts pressure on & they stretch
What is engagement?
when the largest part of the presenting part reaches or passes through the pelvic inlet
What is station?
relationship of the presenting part to the level of the ischial spine.
station 0=head @ischial spine
1cm below -1 1cm above +1
2cm below -2 2cm above +2
3cm below -3 3cm above +3
above 3cm is called floating
What are the 7 cardinal movemens or mechanisms of labor?
1 descent- into pelvis
2 flexion -head flexed
3 internal rotation-
4 extension-head comes out 1st
5 restitution-head aligns w/ shoulders
6 external rotation
7 expulsion
What are the components of vaginal exam?
-dilation 0-10cm, cervix lower portion of uterine segmant thick then thin
-effacement thickness & thinning of cervix %
-station before ischial -1-3, +1-+3 below ischial spine
-Position- posterior, anterior
What are the powers preliminary signs of labor?
-lightening-subjective mom feels baby drop
-engagement-objective measuring cervical spine
-increase in vaginal secretions
-loss of weight-hormones changing
-cervix- soft and effaced
-braxton hicks contractions- false contractions