NUR 220Giving Birth

1. Contraction cycle a. Frequency b. Duration c. Intensity d. Interval

2. Uterine Body

3. Cervical Changes a. Effacement b. Dilation

4. Physiologic effects of labor a. Cardiovascular b. Respiratory c. GI d. Urinary e. Hematopoietic

5. Fetal response to labor a. Placenta circulation b. Cardiovascular c. Pulmonary

6. Components of the Birth Process a. Powers b. Passage c. Passenger d. Presentation e. Positions I. R-Right, L-Left

2. O-Occiput, M-Mentum, S-Sacrum

3. A-Anterior, P-Posterior, T-Transverse

7. Stages and Phases of Labor a. 1st stage

1. Latent Phase

2. Active Phase

3. Transition

b. 2nd Stage

c. 3rd Stage

d. 4th Stage

8. Nursing care during Labor and Birth a. Admission to the unit b. Nursing Process C. Positions for L&D

9. Emergency birth

10. Nursing responsibilities after birth