NURS3244 Lecture Notes - Lecture 7: Tachycardia, Placental Abruption, Bradycardia
5 Sep 2016
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Passenger: fetal movement through birth canal dependent on: Head size: baby head 14cm, vagina 10cm, general flexion (tucking chin to chest) decrease parietal circumference to 9. 5cm-ish. Anterior fontanel: diamond, closes at 12 18 months. Molding: overlap/sliding of bones to change shape of head; normalize w/ time, flexibility = optimal birth. Palpate for occiput (back of baby"s head) Breech: butt, bottom of two feet, etc. Will not have a vaginal birth if breech. Lie: baby spine in relation to mom spine. Transverse: sideways/horizontal baby; vertical mom; baby @ 90 degree angle. Attitude: position of baby limbs in regards to one another. *general flexion: head tucked in, arms and legs tucked in toward chest. You want biparietal diameter (indicator of fetal size) to be small w/ giving birth. *position: relationship of presenting part to four quadrants of mom"s pelvis; notated by 3 letter abbreviation. First letter: location of presenting part in right or left side of maternal pelvis.
