Card Set Information
Stages of labor
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?
-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?
4. Internal Rotation
6. External rotation
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