<h3>Overview</h3>
<ol>
<li style="font-weight: 400;">The process of labor is comprised of both mom and fetus working together to have a successful delivery</li>
</ol>
<h3>Nursing Points</h3>
<h4>General</h4>
<ol>
<li style="font-weight: 400;">Mom’s part in the process (4 P’s)
<ol style="list-style-type: lower-alpha;">
<li style="font-weight: 400;">Powers</li>
<li style="font-weight: 400;">Passageway</li>
<li style="font-weight: 400;">Passenger</li>
<li style="font-weight: 400;">Psyche</li>
</ol>
</li>
<li style="font-weight: 400;">Baby’s part in the process (ALPPPS)
<ol style="list-style-type: lower-alpha;">
<li style="font-weight: 400;">Attitude</li>
<li style="font-weight: 400;">Lie</li>
<li style="font-weight: 400;">Presentation</li>
<li style="font-weight: 400;">Presenting part
<ol style="list-style-type: lower-roman;">
<li style="font-weight: 400;">Occiput (what we want)</li>
<li style="font-weight: 400;">Scapula</li>
<li style="font-weight: 400;">Mentum</li>
<li style="font-weight: 400;">Fetal butt</li>
<li style="font-weight: 400;">Leg, hand</li>
</ol>
</li>
<li style="font-weight: 400;">Position
<ol style="list-style-type: lower-roman;">
<li style="font-weight: 400;">Right or left, presenting part, anterior or posterior</li>
</ol>
</li>
<li style="font-weight: 400;">Station
<ol style="list-style-type: lower-roman;">
<li style="font-weight: 400;">Where the presenting part is located</li>
</ol>
</li>
</ol>
</li>
</ol>
<h4>Assessment</h4>
Mom’s part in the process → 4P’s: the 4P’s all work together and essential to facilitate a safe and successful delivery
<ol>
<li style="font-weight: 400;">Powers
<ol style="list-style-type: lower-alpha;">
<li style="font-weight: 400;">Voluntary &#8211; pushing</li>
<li style="font-weight: 400;">Involuntary &#8211; contractions</li>
</ol>
</li>
<li style="font-weight: 400;">Passageway
<ol style="list-style-type: lower-alpha;">
<li style="font-weight: 400;">The pathway the baby takes out of the mother’s body</li>
<li style="font-weight: 400;">How much room?</li>
</ol>
</li>
<li style="font-weight: 400;">Essentially, the pelvis and related structures
<ol style="list-style-type: lower-alpha;">
<li style="font-weight: 400;">Passenger</li>
<li style="font-weight: 400;">BABY!</li>
</ol>
</li>
<li style="font-weight: 400;">Placenta</li>
<li style="font-weight: 400;">Psyche
<ol style="list-style-type: lower-alpha;">
<li style="font-weight: 400;">Mom’s emotional state
<ol style="list-style-type: lower-roman;">
<li style="font-weight: 400;">Supportive, therapeutic environment will facilitate a smoother labor</li>
<li style="font-weight: 400;">Fearful, angry, tense emotions will make labor much more</li>
</ol>
</li>
</ol>
</li>
</ol>
Baby’s part in the process → ALPPPS
<ol>
<li style="font-weight: 400;">Attitude: relationship of fetal head position to maternal spine 
<ol style="list-style-type: lower-alpha;">
<li style="font-weight: 400;">Flexion: normal attitude, head flexed down with chin to chest</li>
<li style="font-weight: 400;">Extension: abnormal attitude, less commonly seen, head extended back</li>
</ol>
</li>
<li style="font-weight: 400;">Lie:  relationship of fetal spine to maternal spine 
<ol style="list-style-type: lower-alpha;">
<li style="font-weight: 400;">Longitudinal / vertical: normal lie, both spines parallel</li>
<li style="font-weight: 400;">Transverse: both spines form cross, c-section required</li>
</ol>
</li>
<li style="font-weight: 400;">Presentation:  This term is used to describe the way the baby is positioned while coming down the birth canal
<ol style="list-style-type: lower-alpha;">
<li style="font-weight: 400;">Which part is leading the way?</li>
<li style="font-weight: 400;">Cephalic:  head
<ol style="list-style-type: lower-roman;">
<li style="font-weight: 400;">Vertex: most common, head fully flexed down</li>
<li style="font-weight: 400;">Brow:  head tipped back slightly, “eyebrows first”</li>
<li style="font-weight: 400;">Face:  head tipped back fully, full face first</li>
</ol>
</li>
<li style="font-weight: 400;">Breech:  butt
<ol style="list-style-type: lower-roman;">
<li style="font-weight: 400;">Frank: most common, hips flexed, knees extended</li>
<li style="font-weight: 400;">Full / complete: both knees bent, bottom of feet closest to birth canal, cross-legged appearance</li>
<li style="font-weight: 400;">Footling: when a foot presents first</li>
</ol>
</li>
<li style="font-weight: 400;">Shoulder: shoulder, side, arm, back abdomen</li>
</ol>
</li>
<li style="font-weight: 400;">Presenting part:  This term is used to describe which part of the baby will lead the way out of the birth canal
<ol style="list-style-type: lower-alpha;">
<li style="font-weight: 400;">Head, shoulder, side, foot, abdomen, etc.</li>
</ol>
</li>
<li style="font-weight: 400;">Position:  This term is used to describe the position of the baby in relation to mom’s pelvis  
<ol style="list-style-type: lower-alpha;">
<li style="font-weight: 400;">Must know landmark
<ol style="list-style-type: lower-roman;">
<li style="font-weight: 400;">Occiput (most common, back of the head)- “O”</li>
<li style="font-weight: 400;">Scapula- “Sc”</li>
<li style="font-weight: 400;">Sacrum- “S”</li>
<li style="font-weight: 400;">Mentum-”M”</li>
</ol>
</li>
<li style="font-weight: 400;">Look at where the landmark is in relation to mom’s pelvis
<ol style="list-style-type: lower-roman;">
<li style="font-weight: 400;">Right vs. left</li>
<li style="font-weight: 400;">Anterior vs. posterior</li>
</ol>
</li>
<li style="font-weight: 400;">Left occiput anterior is most common and where most babies naturally face.. It allows the widest part of the baby’s head to correspond with the widest part of mom’s pelvis
<ol style="list-style-type: lower-alpha;">
<li style="font-weight: 400;">ie:ROA
<ol style="list-style-type: lower-roman;">
<li style="font-weight: 400;">Occiput is facing right side of pelvis and is towards the front of the pelvis</li>
</ol>
</li>
<li style="font-weight: 400;">Ie: LOA
<ol style="list-style-type: lower-roman;">
<li style="font-weight: 400;">Occiput is facing the left side of pelvis and is anterior (towards the front)</li>
</ol>
</li>
</ol>
</li>
</ol>
</li>
<li style="font-weight: 400;">Station:  how far down the baby is in the birth canal in relation to mom’s ischial spine
<ol style="list-style-type: lower-alpha;">
<li style="font-weight: 400;">Mom’s ischial spine is the narrowest part of her pelvis, so when the baby is there, they are at 0 station</li>
<li style="font-weight: 400;">Negative numbers mean the baby is farther inside/up (-1,-2,-3)</li>
<li style="font-weight: 400;">Positive numbers mean the baby is farther out/closer to delivery (+1,+2,+3)</li>
<li style="font-weight: 400;">Measured in centimeters</li>
</ol>
</li>
</ol>
<h4>Therapeutic Management</h4>
<ol>
<li style="font-weight: 400;">Help mother through labor process
<ol style="list-style-type: lower-alpha;">
<li style="font-weight: 400;">Focusing her powers</li>
<li style="font-weight: 400;">Positioning </li>
<li style="font-weight: 400;">Psyche</li>
<li style="font-weight: 400;">Medications
<ol style="list-style-type: lower-roman;">
<li style="font-weight: 400;">pitocin</li>
</ol>
</li>
</ol>
</li>
</ol>
<h4>Nursing Concepts</h4>
<ol>
<li style="font-weight: 400;">Reproduction</li>
<li style="font-weight: 400;">Comfort</li>
</ol>
<h3>Patient Education</h3>
<ol>
<li style="font-weight: 400;">How to focus energy
<ol style="list-style-type: lower-alpha;">
<li style="font-weight: 400;">Into pelvis when pushing</li>
<li style="font-weight: 400;">Conserve energy during labor</li>
</ol>
</li>
<li style="font-weight: 400;">How to push effectively
<ol style="list-style-type: lower-alpha;">
<li style="font-weight: 400;">Deep breath in, hold and push like they are having a bowel movement  for 10 seconds with each contraction</li>
<li style="font-weight: 400;">Only push with contractions
<ol style="list-style-type: lower-roman;">
<li style="font-weight: 400;">Increases the power</li>
</ol>
</li>
</ol>
</li>
</ol>

OB (Maternal Newborn)

06-01-process-of-labor

06.01 Process of Labor

In this course, you'll be able to learn different mnemonics that will help you to remember the need to know nursing information!

nursing-mnemonics-cram

Aortic Aneurysm – Management Nursing Mnemonic (CRAM)

nursing-mnemonics-pee-bads

Aortic Aneurysm – Thoracic signs Nursing Mnemonic (PEE BADS)

nursing-mnemonics-sad

Aortic Stenosis Symptoms Nursing Mnemonic (SAD)

nursing-mnemonics-be-joan-of-arc

Bacterial Endocarditis – Symptoms Nursing Mnemonic (Be Joan Of Arc)

nursing-mnemonics-toilet-paper-my-ass

Cardiac Valves Blood Flow Nursing Mnemonic (Toilet Paper my Ass)

nursing-mnemonics-the-5-ps

Circulatory Checks (5 P’s) Nursing Mnemonic (The 5 P’s)

nursing-mnemonics-i-have-a-right-to-camp-if-you-left-off-the-ac

Coronary Arteries – Location Nursing Mnemonic (I have a RIGHT to CAMP if you LEFT off the AC)

nursing-mnemonics-please-read-his-text

Cor Pulmonale – Signs & Symptoms Nursing Mnemonic (Please Read His Text)

nursing-mnemonics-unload-fast

CHF Treatment Nursing Mnemonic (UNLOAD FAST)

nursing-mnemonics-the-4-ts

Cyanotic Defects Nursing Mnemonic (The 4 T’s)

nursing-mnemonics-chop

Heart Failure-Left-Sided Nursing Mnemonic (CHOP)

nursing-mnemonics-left-lung-right-rest

Heart Failure-Origin Nursing Mnemonic (Left – Lung|Right – Rest)

nursing-mnemonics-head

Heart Failure – Right Sided Nursing Mnemonic (HEAD)

nursing-mnemonics-ape-to-man

Heart Sounds Nursing Mnemonic (APE To Man – All People Enjoy Time Magazine)

nursing-mnemonics-the-4-cs

Hypertension- Complications Nursing Mnemonic (The 4 C’s)

nursing-mnemonics-diuretic

Hypertension – Nursing care Nursing Mnemonic (DIURETIC)

nursing-mnemonics-vak

Increase MAP Nursing Mnemonic (VAK)

nursing-mnemonics-hard-ass-mrs-msd

Murmur locations Nursing Mnemonic (hARD ASS MRS. MSD)

nursing-mnemonics-tv-sparc-cube

Shock – Signs and symptoms Nursing Mnemonic (TV SPARC CUBE)

nursing-mnemonics-his-leg-might-fall-off

Vascular Disease – Deep Vein Thrombosis Nursing Mnemonic (HIS Leg Might Fall off)

nursing-mnemonics-cold-hand

Vascular disease – Raynaud’s symptoms Nursing Mnemonic (COLD HAND)

nursing-mnemonics-triple-h-therapy

Vasospasm Therapy Nursing Mnemonic (Triple H Therapy)

Cardiovascular (Cardiac, CVD) Mnemonics

nursing-mnemonics-kult

Anion Gap Acidosis 1 Nursing Mnemonic (KULT)

nursing-mnemonics-mudpiles

Anion Gap Acidosis 2 Nursing Mnemonic (MUDPILES)

nursing-mnemonics-rome

Arterial Blood Gases Nursing Mnemonic (ROME)

nursing-mnemonics-universally-odd

Blood Type O Nursing Mnemonic (Universally Odd)

nursing-mnemonics-piso

Electrolytes – Location in Body Nursing Mnemonic (PISO)

nursing-mnemonics-groans-moans-bones-stones-overtones

Hypercalcemia – Signs and Symptoms Nursing Mnemonic (GROANS, MOANS, BONES, STONES, OVERTONES)

nursing-mnemonics-machine

Hyperkalemia – Causes Nursing Mnemonic (MACHINE)

nursing-mnemonics-dry-hot-insulin-shot

Hyperglycemia Management Nursing Mnemonic (Dry and Hot – Insulin Shot)

nursing-mnemonics-aired

Hyperkalemia – Management Nursing Mnemonic (AIRED)

nursing-mnemonics-murder

Hyperkalemia – Signs and Symptoms Nursing Mnemonic (Murder)

nursing-mnemonics-model

Hypernatremia – Causes Nursing Mnemonic (MODEL)

nursing-mnemonics-salt

Hypernatremia – Signs and Symptoms 3 Nursing Mnemonic (SALT)

nursing-mnemonics-cats

Hypocalcemia – Definition, Signs and Symptoms Nursing Mnemonic (CATS)

nursing-mnemonics-tired

Hypoglycemia – Signs and Symptoms Nursing Mnemonic (TIRED)

nursing-mnemonics-6-ls

Hypokalemia – Signs and Symptoms Nursing Mnemonic (6 L’s)

nursing-mnemonics-salt-loss

Hyponatremia- Definition, Signs and Symptoms Nursing Mnemonic (SALT LOSS)

nursing-mnemonics-all-dogs-eat-kibble

Vitamins – Fat Soluble Nursing Mnemonic (All Dogs Eat Kibble)

nursing-mnemonics-birth-control

Vitamins – Water Soluble Nursing Mnemonic (Birth Control)

Electrolytes & Labs Mnemonics

nursing-mnemonics-batted

ADLs (Activity of Daily Living) Nursing Mnemonic (BATTED)

nursing-mnemonics-beep

Bleeding Complications (Minor) Nursing Mnemonic (BEEP)

nursing-mnemonics-mr-dice-runs

Mnemonic for Organ Systems (MR DICE RUNS)

nursing-mnemonics-randi

Bleeding Precautions Nursing Mnemonic (RANDI)

nursing-mnemonics-coal

Canes Nursing Mnemonic (COAL)

nursing-mnemonics-clpn

Caring Licensed Practical Nurse Nursing Mnemonic (CLPN)

nursing-mnemonics-cho-cho-chon

CHO, CHO, CHON Nursing Mnemonic (CHO, CHO, CHON)

nursing-mnemonics-map-it

Community Health Tool Nursing Mnemonic (MAP-IT)

nursing-mnemonics-i-prepare

Environmental Health Assessment Nursing Mnemonic (I PREPARE)

nursing-mnemonics-fit

Exercise Guidelines Nursing Mnemonic (FIT)

nursing-mnemonics-pass

Fire Safety 1 Nursing Mnemonic (PASS)

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Fire Safety 2 Nursing Mnemonic (RACE)

nursing-mnemonics-brow

Gluten Free Diet Nursing Mnemonic (BROW)

nursing-mnemonics-kings-eat-big-cakes

High Pressure Vent Alarms Nursing Mnemonic (Kings Eat Big Cakes)

nursing-mnemonics-scum

IADLS (Instrumental Activities of Daily Living) Nursing Mnemonic (SCUM)

nursing-mnemonics-never-carry-dirty-socks-or-smelly-clothes

Levels of consciousness Nursing Mnemonic (Never Carry Dirty Socks Or Smelly Clothes)

nursing-mnemonics-cake-everyday

Low Pressure Vent Alarms Nursing Mnemonic (Cake Everyday)

nursing-mnemonics-opqrst

Pain Assessment Questions Nursing Mnemonic (OPQRST)

nursing-mnemonics-precede-proceed

Planning Community Health Interventions Nursing Mnemonic (PRECEDE-PROCEED)

nursing-mnemonics-pooper-scoop

Promotion and Evaluation of Normal Elimination Nursing Mnemonic (POOPER SCOOP)

nursing-mnemonics-perrla

Pupil Reactions Nursing Mnemonic (PERRLA)

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Safety Check Nursing Mnemonic (MADLE)

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SBAR Communication Nursing Mnemonic (SBAR)

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Steps In The Nursing Process 3 Nursing Mnemonic (SOAPIE)

nursing-mnemonics-fast

Stoke Assessments Nursing Mnemonic (FAST)

nursing-mnemonics-adpie-a-delicious-pie

Steps in the Nursing Process 1 Nursing Mnemonic (ADPIE)

nursing-mnemonics-aapie-an-apple-pie

Steps in the Nursing Process 2 Nursing Mnemonic (AAPIE)

nursing-mnemonics-abcdefghi

Trauma – Assessment (Emergency) Nursing Mnemonic (ABCDEFGHI)

nursing-mnemonics-traumatic

Trauma – Complications Nursing Mnemonic (TRAUMATIC)

nursing-mnemonics-ample

Trauma Surgery – Medical History Nursing Mnemonic (AMPLE)

nursing-mnemonics-start

Triage Nursing Mnemonic (START)

nursing-mnemonics-wandering-wilma-always-late

Walkers Nursing Mnemonic (Wandering Wilma Always Late)

old-carts

OLD CARTS Mnemonic (OLD CARTS)

Fundamentals & Nursing Process Mnemonics

nursing-mnemonics-anorexia

Anorexia – Signs and Symptoms Nursing Mnemonic (ANOREXIA)

nursing-mnemonics-pains

Appendicitis – Assessment Nursing Mnemonic (PAINS)

nursing-mnemonics-bulimia

Bulimia – Signs and Symptoms 1 Nursing Mnemonic (BULIMIA)

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Bulimia – Signs and Symptoms 2 Nursing Mnemonic (WASHED)

nursing-mnemonics-christmas

Crohn’s Morphology and Symptoms Nursing Mnemonic (CHRISTMAS)

nursing-mnemonics-please-bring-happy-energy

Cirrhosis Complications Nursing Mnemonic (Please Bring Happy Energy)

nursing-mnemonics-bad-hits

Causes of Pancreatitis Nursing Mnemonic (BAD HITS)

nursing-mnemonics-brat

Diarrhea – Treatment Nursing Mnemonic (BRAT)

nursing-mnemonics-please-fix-his-abscess-soon

Diverticulitis Complications Nursing Mnemonic (Please Fix His Abscess SOon)

nursing-mnemonics-air-raid

Epiglottitis – Signs and Symptoms Nursing Mnemonic (AIR RAID)

nursing-mnemonics-reflux-is-probably-mean

GERD causes Nursing Mnemonic (Reflux Is Probably Mean)

nursing-mnemonics-her-belly-really-hurts-following-dinner

Hiatal Hernia Symptoms Nursing Mnemonic (Her Belly Really Hurts Following Dinner)

nursing-mnemonics-5-fs

Risk Factors for Cholelithiasis Nursing Mnemonic (5-F’s)

nursing-mnemonics-the-3-cs

Tracheal Esophageal Fistula – Sign and Symptoms Nursing Mnemonic (The 3 C’s)

Process of Labor – Baby Nursing Mnemonic (ALPPPS)

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ALPPPS

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Nursing Mnemonics

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Process of Labor &#8211; Baby Nursing Mnemonic (ALPPPS)