NP4- Intrapartum Care- MCH2
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19 terms
Terms | Definitions |
|---|---|
 attitude | _________ is the relation of the fetal body parts to one another |
| fontanels | membrane filled spaces called _______ are located where the sutures intersect |
| vertex | when the presenting part is the occiput, the presentation is noted as what? |
| lie | ______ is the relation of the long axis of the fetus to the long axis of the mother. |
| anterior | the larger of these , the _______ fontanel is diamond shaped, about 3X2 cm, and lies at the junction of the sagittal , coronal, and fontal sutures. It closes about 18 months after birth. |
| occiput sacrum mentum (chin) sinciput (deflexed vertex) | What are the four presenting parts in the birthing process ? |
| progesterone | this is produced by the placenta. relaxes the myometrium during pregnancy and availability decreases at term. |
| oxytocin | this is produced by the posterior pituitary in increasing amounts as pregnancy progresses. _________ receptors in uterus increase as gestation approaches term. causes uterine contaction |
| estrogen | levels rise as progesterone levels decrease. facilitates coordinated uterine contractions and myometrial stretching. stimulates prostoglandin production. increases myometrial sensitivity to oxytocin. |
| posterior | the ________ fontanel lies at the junction of the sutures of the two parietal bones and the one occipital bone, is triangular, and is about 1X2 cm. It closes 6 to 8 weeks after birth. |
| prostoglandin | produced in the myometrium, cervix, fetal membranes, and cervix. stimulates myometrium to contract. stimulates connective tissue of cervix to soften, effeace and dilate. |
| station | ________ is the relation of the presenting part of the fetus to an imaginary line drawn between the maternal ischial spine and is a measure of the degree of descent of the presenting part of the fetus through the birth canal. |
| engagement | inidcates the largest diameter of the presenting part has passed throught the inlet into the true pelvis |
| secondary powers | voluntary bearing down efforts by the woman called __________ ________, augment the force of the involuntary contractions. |
| android | there are 4 types of basic pelvis structures in a female: gynecoid, android, anthropoid, and platypelliod. Which one is closest to resembline a male pelvis? |
| midplane | Which of the following is the largest plane of the pelvis? Inlet, midplane, or outlet |
| molding | overlapping of the fetal skull that helps the fetal head to adapt to size and shape of the maternal pelvis: effects usually resolve completely in 3 days post birth |
| floating | if presenting part is not engaged, it said to be _________ |
| primary powers | involentary uterine contractions, called ______ __________, signal the beginning of labor. |
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