Maternity Test 2

• Powers
• Passage
• Passenger
• Psyche

forces that cause the cervix to open and that propel the fetus downward through the birth canal.

ex. uterine contractions

bony pelvis & soft tissue

• example
• - false pelvis -> upper, flaring
• - true pelvis -> lower part

fetus, placenta, amniotic membrane & fluid

mother's mental state

• thinning of the cervix
• measured in %

opening of the cervix

• increment - increase in strength
• peak - greatest amount of strength
• decrement - decrease in strength

time b/w beginning of one contraction and beginning of the next

elapsed time from beginning to end of one contraction

strength of a contraction

amount of time the uterus relaxes between contractions

strong connective tissues that separate several bones in the fetal head

wider area where two sutures meet

diamond shaped area formed by the intersection of the frontal, sagittal, and two coronal sutures

triangular depression formed by the intersection of one sagittal and two lambdoid sutures

by the time the baby is 3 months old

fetus' orientation to the mother's spine

fetus parallel to mother's spine

fetus at right angle of mother's spine

fetus is b/w a longitudinal and transverse lie

describes how the head is oriented if the fetus is in the cephallic vertex presentation

describes the flexion of the fetus

head flexed forward and the arms and legs flexed is normal

refers to the fetal part that enters the pelvis first

head is fully flexed, most favorable

head is neither flexed or extended

head is partly extended

fetal head is fully extended and the face presents

the fetal legs are flexed at the hips and extend toward the shoulders

a reversal of the cephalic presentation, with flexion of the head and extremities

one or both feet are present first at the cervix

• braxton hicks
• bloody show
• increased vaginal discharge
• weight decreased
• nesting - increased energy
• membrane rupture
•   - check color & smell (should be semi clear with no odor)

• first stool of the newborn
• may be passed anytime within 12 to 24 hours

• 1. descent
• 2. engagement
• 3. flexion
• 4. internal rotation
• 5. extension
• 6. external rotation
• 7. expulsions

• 1. Efacement & Dilation
• 2. Expolsion of Fetus
• 3. Expolsion of Placenta
• 4. Recovery

• Latent
• Active
• Transition

• Cervix is dilated 1 to 4 cm
• bloody show
• contractions q 20 minutes

• Cervix is dilated 4 to 7 cm
• amniotic membrane rupture
• effacement may occur

• Cervce is 7 to 10 cm
• contractions q 2 to 3 cm

• vaginal birth after cesarean
• utering scar can rupture
• can hemorrhage