Nursing 2050-Labor & Delivery Exam 1 Questions With Complete Solution

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Nursing 2050-Labor & Delivery Exam 1 Questions With Complete Solution Theories of Onset of Labor - ANSWER-There is really no known cause of labor= Maternal Factors= Uterine Cervix Placental Horm... onal- Progesterone, Estrogen, Prostaglandins, Oxytocin Mechanism of Labor Five P's - ANSWER-Five P's = Passenger- fetus and placenta Passageway= birth canal Powers= Primary and Secondary Position= 4 quadrants- stations Psychologic = response Passenger - ANSWER-Size of head= fontal, molding Presentation = cephalic, breech, shoulder Fetal lie= length of spine Fetal Attitude= are arms crossed or flexed Fetal Position = three part abbreviation 1st letter- Left or Right of pelvis 2nd letter- presenting part- Occiput, Sacrum, Mentum (chin), Sc - Scapula 3rd letter- presenting part location- A- anterior, P- Posterior, T- transverse Passageway - ANSWER-Composed of mother's rigid bony pelvis, soft tissues of the cervix Four basic types= Gynecoid- round shaped- most common Android- heart shaped- like male pelvis Anthropoid- oval shaped- anthropoid apes Platypelloid - flat shaped- pelvis Powers - ANSWER-Involuntary and Voluntary Primary Power- involuntary contractions frequency, duration, intensity - responsible for EFFACEMENT (shortening and thinning of cervix) Secondary Power- When the Presenting part reaches the Pelvic floor- Involuntary pushing, Explosive Position - ANSWER-Fetal position - 5 to +5 stations 0 being meets at the Ischial Spine Physiological - ANSWER-Culture, Anxiety, Pain tolerance, Previous Birth experiences, Gate Control theory of Pain Process of Labor - ANSWER-Lightening= dropping uterus sinks downward Braxton Hicks= practice contractions Bloody show= due to extreme congestion in vaginal walls Cervix ripens= dilation begins weight loss= water loss due to shifting electrolytes and changes in Estrogen and Progesterone Burst of energy= nesting Gastrointestinal disturbances = not as common [Show More]

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