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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
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
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
In the 1st stage of labor what happens in the Transition Phase?
- -8-10 cm
- -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
Non- pharm- effleurage-
2 hands to 2 fingers down from breast to pubic around belly to breast again
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
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
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
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
What are the different names for lochia?
- 1st rubra- bright red
- 2nd seroa- pink- yellowish
- 3rd – alba- light yellow to clear