The 4 P’s describe the mother’s role in the process of labor. The 4P’s all work together and essential to facilitate a safe and successful delivery. Powers – The power the mother exerts to push out the baby – Uterine power (contractions) and Cervical power (dilation and effacement). Passageway – the pathway the baby takes out of the mother’s body (pelvis and related structures). Passenger – the baby and placenta. Psyche – Mom’s emotional state: Supportive, therapeutic environment will facilitate a smoother labor. Fearful, angry, tense emotions will make labor much more difficult
Cornell Note-Taking System Instructions:
- Record: During the lecture, use the note-taking column to record the lecture using telegraphic sentences.
- Questions: As soon after class as possible, formulate questions based onthe notes in the right-hand column. Writing questions helps to clarifymeanings, reveal relationships, establish continuity, and strengthenmemory. Also, the writing of questions sets up a perfect stage for exam-studying later.
- Recite: Cover the note-taking column with a sheet of paper. Then, looking at the questions or cue-words in the question and cue column only, say aloud, in your own words, the answers to the questions, facts, or ideas indicated by the cue-words.
- Reflect: Reflect on the material by asking yourself questions, for example: “What’s the significance of these facts? What principle are they based on? How can I apply them? How do they fit in with what I already know? What’s beyond them?
- Review: Spend at least ten minutes every week reviewing all your previous notes. If you do, you’ll retain a great deal for current use, as well as, for the exam.
For more information, visit www.nursing.com/cornell