NUR 406 Intrapartum
- 5 critical factors that influence labor and delivery
1) Passage
2) Passenger 3) Relationship between passage & passenger 4) Powers 5) Psychosocial considerations
- False pelvis
Area above the linea terminalis that is meant to hold the weight of the gravid uterus until it is time for labor
- True pelvis
Ischial spine
- Gynecoid pelvis
Round
most common
Adequate for vaginal birth
- Android pelvis
Heart
more common in males 1 / 2
C-section is probable
- Anthropod pelvis
Oval
Can usually have vaginal birth due to molding
- Platypelloid pelvis
Flat
C-section is probable
- What are fontanelles useful for?
Assessing position of the fetal head and pelvis
- Anterior fontanelle
Bigger diamond shape
Closes at 18 mo to allow for brain growth
- Posterior fontanelle
Smaller, closes at 8-12 wks
- Molding
Skull bones overlap to allow for passage through birth canal
- Fetal lie
Relationship of the cephalocaudal axis (head to tail) of fetus to the mother's
- / 2