Notes- Maternal And Newborn 100% Correct Download To Score A (NR-327:)

PROCESS OF LABOR: chapter 12 & 13 INDICATED BY 4 P: pg. 241 McKinney & Chapter 11 ATI I. POWER • During first stage of labor; primary force that moves the fetus through the maternal pelvis are the uterine contractions • Force acting to expel fetus out • Effacement → shortening and thinning of the cervix during the first stage of labor • Dilation→ enlargement of the cervical oss. and the cervical canal during the first stage of labor • Pushing efforts of mother during the second stage II. Passage way • The route • Consist of maternal pelvis and soft tissues • True pelvis is more important in labor functioning like a curved cylinderVII. Best position ROA • Occiput (O) (head) → used in vertex presentation • Mentum (M) (chin) → face presentation • Sacrum (S) → breech presentation • Anterior (A)→ skull is sideways • Posterior (P)→ skull directly hitting spine→ back labor (ROP) • Transverse (T) → C-sectioi. Relaxin cause the cervix to soften have increase water content ii. Effacement and dilation cause expulsion of the mucus plug that seals the cervix during pregnancy iii. Bloody shows are mixture of thick mucus and dark brown or pink blood • Energy spurt i. Increase in energy “nesting” • Weight loss i. Small weight loss of 2.2 to 6.6 kg (1-3 lbs.) due to altered progesterone and