lOMoARcPSD|44532475
OB SIM Pre-Work - Pre-work
Maternal and Pediatrics (Galen College of Nursing)
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OB SIM Pre-Work
Vaginal Delivery
1. Describe signs of true labor
Contractions are consistent and do not improve with walking, there is
often pain in the back. True labor produces cervical changes.
2. What is the length of each stage of labor?
Stage 1:
- latent phase – 4-6 hours
- active phase – 2-6 hours
- transition – 30 minutes – 2 hours
Stage 2: 30minutes – 2 hours
Stage 3: 5-30 minutes
Stage 4: 1-4 hours after delivery, continues until mother and baby are
stable
3. What assessments should be made to evaluate the progress of labor?
Duration, frequency, and intensity of contractions and
dilation/effacement of cervix (sterile), fetal station
4. How will you meet the emotional needs of the laboring patient?
Remain calm and aid mother in relaxation techniques such as
breathing exercises and guided imagery. Provide as much comfort as
possible.
5. How is pain managed during labor?
Non-pharmacological: breathing exercises, counter pressure,
movement/positioning, massage, TENS unit.
Pharmacological: Regional anesthetics such as epidural or spinal. Oral
or IV pain medication. Nitrous oxide.
6. What is a reassuring fetal heart rate pattern?
Accelerations and early decelerations. 110-160BPM.
7. How will you recognize when birth is imminent?
Downloaded by madiba South Africa stuvia ()
OB SIM Pre-Work - Pre-work
Maternal and Pediatrics (Galen College of Nursing)
Scan to open on Studocu
Studocu is not sponsored or endorsed by any college or university
Downloaded by madiba South Africa stuvia ()
, lOMoARcPSD|44532475
OB SIM Pre-Work
Vaginal Delivery
1. Describe signs of true labor
Contractions are consistent and do not improve with walking, there is
often pain in the back. True labor produces cervical changes.
2. What is the length of each stage of labor?
Stage 1:
- latent phase – 4-6 hours
- active phase – 2-6 hours
- transition – 30 minutes – 2 hours
Stage 2: 30minutes – 2 hours
Stage 3: 5-30 minutes
Stage 4: 1-4 hours after delivery, continues until mother and baby are
stable
3. What assessments should be made to evaluate the progress of labor?
Duration, frequency, and intensity of contractions and
dilation/effacement of cervix (sterile), fetal station
4. How will you meet the emotional needs of the laboring patient?
Remain calm and aid mother in relaxation techniques such as
breathing exercises and guided imagery. Provide as much comfort as
possible.
5. How is pain managed during labor?
Non-pharmacological: breathing exercises, counter pressure,
movement/positioning, massage, TENS unit.
Pharmacological: Regional anesthetics such as epidural or spinal. Oral
or IV pain medication. Nitrous oxide.
6. What is a reassuring fetal heart rate pattern?
Accelerations and early decelerations. 110-160BPM.
7. How will you recognize when birth is imminent?
Downloaded by madiba South Africa stuvia ()
