Nspn 7100 - 5a Normal labour and Birth Complete Set
Questions With Complete Solutions
Second stage of labour:
define nullip (nullipara)
a woman who has not completed a pregnancy beyond 20 weeks
gestation
Second stage of labour:
define multip (multipara)
a woman who ahs completed 2 or more pregnancies to 20 weeks
gestation or more.
Second stage of labour:
second stage (image)
,Third stage of labour:
When does it begin? When does it end?
Overview?
Begins:
-with the birth of the baby
Ends:
-once the placenta and membranes are delivered.
Overview:
-baby is born
-separation of the placenta is facilitated by uterine
contractions (usually felt by the mother, but not as intense as the
contractions during the 1st and 2nd stages of labour)
-uterus contracts and retracts → the placenta to pull away from
the walls of the uterus.
-usually occurs within 2-30min from delivery of the infant.
Third stage of labour:
What are signs that the placenta has separated (following the
birth of the infant)?
-firmly contracted fundus
-change in shape of uterus from discoid to globular
-sudden gush of blood
,-apparent lengthening of the cord
-feeling of vaginal fullness
Third stage of labour:
Stage 3 (image)
Fourth stage of labour:
When does it begin/end, or how is it defined?
Overview?
defined from 1-4 hrs post birth (2 hrs is the commonly accepted
time)
Overview:
-time for physiologic adjustment and stabilization for the mother
-uterus should be well contracted
-should be a moderate amount of vaginal bleeding as her uterus
, returns to the pre-pregnant state (involution)
-also includes the adjustment of the newborn to extrauterine life.
Nursing care during labour:
What is the role of the nurse in the latent phase (of Stage 1)?
Ideally they are at home and not admitted.
Give guidance/support over the phone to women in possible
labour.
-how are they coping w/ contractions
-do they have support
-what are her plans for birth
Upon arrival to the hospital:
-help them to feel safe and establish trust
-assess maternal and fetal wellbeing and the stage/progress of
labour to determine plan of care.
Nursing care during labour:
What does admission during the latent phase of stage 1 do to the
odds of caesarean birth?
It doubles them.
Nursing care during labour:
What are the specific areas of inquiry required to determine
Questions With Complete Solutions
Second stage of labour:
define nullip (nullipara)
a woman who has not completed a pregnancy beyond 20 weeks
gestation
Second stage of labour:
define multip (multipara)
a woman who ahs completed 2 or more pregnancies to 20 weeks
gestation or more.
Second stage of labour:
second stage (image)
,Third stage of labour:
When does it begin? When does it end?
Overview?
Begins:
-with the birth of the baby
Ends:
-once the placenta and membranes are delivered.
Overview:
-baby is born
-separation of the placenta is facilitated by uterine
contractions (usually felt by the mother, but not as intense as the
contractions during the 1st and 2nd stages of labour)
-uterus contracts and retracts → the placenta to pull away from
the walls of the uterus.
-usually occurs within 2-30min from delivery of the infant.
Third stage of labour:
What are signs that the placenta has separated (following the
birth of the infant)?
-firmly contracted fundus
-change in shape of uterus from discoid to globular
-sudden gush of blood
,-apparent lengthening of the cord
-feeling of vaginal fullness
Third stage of labour:
Stage 3 (image)
Fourth stage of labour:
When does it begin/end, or how is it defined?
Overview?
defined from 1-4 hrs post birth (2 hrs is the commonly accepted
time)
Overview:
-time for physiologic adjustment and stabilization for the mother
-uterus should be well contracted
-should be a moderate amount of vaginal bleeding as her uterus
, returns to the pre-pregnant state (involution)
-also includes the adjustment of the newborn to extrauterine life.
Nursing care during labour:
What is the role of the nurse in the latent phase (of Stage 1)?
Ideally they are at home and not admitted.
Give guidance/support over the phone to women in possible
labour.
-how are they coping w/ contractions
-do they have support
-what are her plans for birth
Upon arrival to the hospital:
-help them to feel safe and establish trust
-assess maternal and fetal wellbeing and the stage/progress of
labour to determine plan of care.
Nursing care during labour:
What does admission during the latent phase of stage 1 do to the
odds of caesarean birth?
It doubles them.
Nursing care during labour:
What are the specific areas of inquiry required to determine
