Intrapartum

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Author:
jfinch25
ID:
100920
Filename:
Intrapartum
Updated:
2011-09-13 12:56:40
Tags:
Intrapartum labor
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Description:
Stages of labor
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  1. What are the 4 stages of labor?
    • 1st- cervical dilation, contractions, pressure- baby coming
    • 2nd- Baby head coming out
    • 3rd- birth of newborn, placenta comes out
    • 4th- 1-4 hours postpartum, uterus shrinking
  2. In the 1st stage of labor what happens in the Latent Phase?
    • -Cervical change (dilation 0-3)
    • -Mom excited still smiling
    • -Contractions 5-10 mon apart, duration 30-45 sec
    • - Mild to moderate hills on monitor
  3. In the 1st stage of labor what happens in the Active Phase?
    • -4-7 cm dilated
    • -Able to get a epiderual
    • -Difficulty adjusting to contractions
    • -Become irritable, yelling at people, talk to her between contractions
    • -Contractions 2-3 or 3-5 mins apart, duration 60 seconds, intensity moderate to strong
    • -Breathing, bearing down like having a BM
    • -Nursing intervention- reassuring fetal monitoring- 110-160
  4. In the 1st stage of labor what happens in the Transition Phase?
    • -8-10 cm
    • -nausea
    • -Restless, want to quit, exhausted
    • -Contraction 1 ½-2 mins, 45-60 seconds in duration
    • -Strong contraction, uniform hills on monitor
    • -NI- try to get her to relax during contraction-
    • -ALWAYS watching fetal monitoring- 110-160
    • -Feel a lot of pressure- baby coming
    • -May have a BM
  5. Non- pharm- effleurage-
    2 hands to 2 fingers down from breast to pubic around belly to breast again
  6. 2nd Phase of labor
    • -Baby head is coming out- check for nuchal cord
    • -Shoulders – rotate baby to get out shoulders
    • -Suction baby’s mouth and nose- 2x
    • -** cord away from head & shoulders are out
  7. What are the 7 cardinal movements of labor?
    Who does them?
    • 1. Engagement
    • 2. Descent
    • 3. Flexion
    • 4. Internal Rotation
    • 5. Extension
    • 6. External rotation
    • 7. Expulsion
  8. What is the 3rd stage of labor?
    • - birth of newborn
    • - placenta comes out
    • - picotcin used to contract uterus
    • - Do not use picotcin for breach baby, cephal pelvic disportion,
    • - Monitor BP, HR, RR
  9. What is the 4th stage of labor?
    • -1-4 hours of postpartum- uterus shrinking
    • - Vital sign q 15 mins for 1st hour, q 30 min 2nd hour,
    • - Fundus should be midline and firm
    • - full bladder will not let the fundus shrink- straight cath if needed
    • - Lochia check
    • - Bonding needs to take place immediately after delivery, put baby on mom's breast- not feeding
  10. What are the different names for lochia?
    • 1st rubra- bright red
    • 2nd seroa- pink- yellowish
    • 3rd – alba- light yellow to clear

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