Graded
Q: Amniotic rupture priority nursing action ✓✓ FHR for 1 full minute
Low Bishop's Score ✓✓ Labor unlikely
High Bishop's Score ✓✓ Labor likely
5 P's of Labor ✓✓ Passageway, Passenger, Position, Powers, Psyche
Passageway ✓✓ Birth canal, pelvis, soft tissues
gynecoid pelvis ✓✓ most favorable pelvis for successful labor
android pelvis ✓✓ resembling the male pelvis, not favorable for
labor
platypelloid pelvis ✓✓ pelvis that is flat in its dimensions with a very
narrow anterior-posterior diameter and a wide transverse diameter;
this shape makes it extremely difficult for the fetus to pass through
the bony pelvis
Passenger ✓✓ Fetus and placenta
Presentation ✓✓ Portion of baby presenting at vaginal opening
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,Vertex/Cephalic presentation ✓✓ head is completely flexed,
normal, smallest diameter, most common and favorable for labor
Breech position ✓✓ turned so that the buttocks or feet would be
delivered first, not favorable
Position ✓✓ Use Leopold's maneuver to find in relation to the
mother
Station ✓✓ Baby's presenting part in relation to the pelvis
Zero station ✓✓ Ischial spines
Negative station ✓✓ Above the ischial spines
Positive station ✓✓ Below ischial spines
Powers ✓✓ Contractions
Contraction Strengths ✓✓ Mild, Moderate, Strong
Mild Contraction feels like ✓✓ Tip of the nose
Moderate contraction feels like ✓✓ Chin
Strong contraction feels like ✓✓ Forehead
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, Contraction frequency ✓✓ beginning of one contraction to the
beginning of the next contraction
Contraction duration ✓✓ Time from beginning to end of a
contraction
Psyche ✓✓ Stress and anxiety can hinder labor
Laboring vitals are... ✓✓ increased HR, BP, CO, RR, T
Laboring lab may show... ✓✓ increased WBCs, increased blood
glucose
Laboring GI system has.... ✓✓ decreased motility
Effacement ✓✓ Shortening and thinning of the cervix
Dilation ✓✓ Opening of the cervix
Vaginal birth EBL ✓✓ up to 500mL
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