Final answer:
The factors that affect the process of labor and birth include powers, passage, and passenger, but not psyche.
Step-by-step explanation:
The factors that affect the process of labor and birth, the five P's, include all except:
- Powers: The forces that help move the baby through the birth canal. This includes both the contractions of the uterus and the pushing efforts of the mother.
- Passage: Refers to the birth canal, including the cervix, pelvis, and vagina. The size and shape of the birth canal can affect the progress of labor and the ability of the baby to pass through.
- Passenger: Refers to the baby itself. The size and position of the baby, as well as any abnormalities or complications, can affect the course of labor and birth.
- Psyche: Refers to the mental and emotional state of the mother. Factors such as stress, fear, and anxiety can impact the progress of labor.
Therefore, the correct answer is b) Psyche, which is not one of the factors that affect the process of labor and birth.