Ch. 16

• Passenger:

  • Fetal Head - B_, F_, M_, S_
  • Fetal Presentation
  • C_ - H_ D_
  • B_ - presenting part is the S_
  • S_ - presenting part is the S_?
  • bones, fontanels, molding, size, cephalic, head down, breech, sacrum, shoulder, scapula
• Passenger:

  • Fetal Lie - The P_ based on the M_ S_
  • L_ or V_
  • T_ or H_ - P_ sign
  • Fetal Presentation
  • C_ breech - Legs are folded with F_ at the L_ of the B_
  • F_ breech - _ or _ feet point D_ so legs would E_ F_
  • F_ breech - Legs point U_ with feet by baby's H_ so bottom E_ F_?
  • position, mother spine, long, vertical, transverse, horizontal, positive, complete, feet, lowest, bottom, footling, one, both, down, emerge first, frank, up, head, emerges first
• Passenger:

  • Fetal Attitude - How B_ P_ are in R_ to each other
  • Want to see G_ F_
  • B_ D_ - What the H_ measure A_
  • H_ D_ is best?
  • body parts, relation, general flexion, biparietal diameter, head, across, head down
• Passenger:

  • Reference to P_ P_
  • Left - babes H_ is T_ left
  • LOT - H_ to D_
  • ROA - B_ to D_
  • Station - How fetus is P_ to the Ischial S_
  • P_ is G_
  • Engagement - T_ and S_ of the C_
  • Corresponds with _ S_ which is F_ E_?
  • presenting part, head, tilted, hard, deliver, best, presented, spine, positive, good, thickening, shortening, cervix, 0 station, fully engaged
• Passageway:

  • B_ C_
  • G_ is preferred?

  birth canal, gynecoid
• Power:

  • Primary power is C_
  • Frequency and Duration: How O_ and L_
  • Intensity - How S_
  • Effacement - T_ and S_ of the cervix
  • Ferguson Reflex - U_ to B_ D_
  • Feels like a B_ M_?
  • contractions, often, long, strong, thickening, shortening, urge, bear down, bowel movement
• Process of Labor:

  • Signs Preceding Labor (2 weeks or closer)
  • L_
  • B_ S_
  • B_
  • U_ F_ and S_ W_ L_
  • S_ of E_ and I_ in V_ D_?
  • lightening, blood show, backache, urinary frequency, small weight loss, surge, energy, increase, vaginal discharge
• Stages of Labor:

  • First - Onset of C_ to C_ of _cm D_
  • Second - _cm to F_ D_
  • Third - F_ to P_
  • Fourth - R_
  • Two Phases
  • Latent - E_ L_ onset of C_ to _cm mark
  • Active - _cm D_ to F_ C_ D_?
  • contractions, complete, 10, dilation, 10, fully delivered, fetus, placenta, recovery, early labor, contractions, 5, 6, dilation, fully completely delivered
• Mechanism of Labor:

  • Engagment - M_ D_ pelvic R_
  • Descent - Progress of P_ P_ through the pelvis
  • Flextion - Fetal H_ flexes toward C_
  • Internal Rotation - Occiput region of H_ R_ A_
  • Extension - Fetal H_ E_
  • External Rotation - H_ realigns with S_
  • Expulsion - D_?

  moving down, region, presenting part, head, chest, head roates anteriorly, head extends, head, shoulders, delivered