how can the nurse minimizes a woman's anxiety in the first stage of labor
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explaining terms commonly used during labor
the woman's interests, response and prior experience will guide the depth
and breadth of these explanations
,four possible categories of variability have been identified
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absent
minimal
moderate
marked
Process of Leopold Maneuvers
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ask the woman to empty her bladder
position the woman in supine
1. identify the fetal part that occupies the fundus. the head feels round, firm,
and freely movable; the breech feels less regular and softer. this maneuver
identifies fetal lie (longitudinal or transverse) and presentation (cephalic or
breech)
2. using the palmar surface of one hand, locate and palpate the smooth
convex contour of the fetal back and the irregular that identify the small
parts (feet, hands, knees, elbow) this maneuver helps to identify fetal
presentation
3. determine which fetal part is presenting over the inlet to the true pelvis.
gently grasp the lower pole of the uterus between your thumb and fingers,
pressing in slightly. if the the head is presenting and not engaged,
determine the attitude of the head (flexed or extended)
4. turn to face the woman's feet using both hands outline the fetal head
, with the palmar surface of your fingers tips. when the presenting part has
descended deeply only a small portion of it may be outlined. palpation of
cephalic prominence helps identify the attitude of the head.
why is the onset of labor difficult to establish
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because the woman may be admitted to the labor unit before birth and the
beginning of labor may be only an estimate
what are the six abnormal labor patterns
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prolonged latent phase
protracted active phase dilation
secondary arrest; no change
protected descent
arrest of descent
failure of descent
during the active phase of the first stage of labor what occurs
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, there is more rapid dilation of the cervix and increased rate of descent of
the presenting part
stage 4 of labor nursing interventions
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assessing the fundus
continue to monitor VS and temp for infection
administer IV fluids
monitor iochia discharge (may be moderate in amount and red)
monitor for respiratory depression, vomiting, and aspiration if general
anesthesia was used
great time to watch for complications such as bleeding (postpartum
hemorrhage)
the normal FHR range is
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110 to 160 beats/min
passive management of the third stage of labor
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explaining terms commonly used during labor
the woman's interests, response and prior experience will guide the depth
and breadth of these explanations
,four possible categories of variability have been identified
Give this one a try later!
absent
minimal
moderate
marked
Process of Leopold Maneuvers
Give this one a try later!
ask the woman to empty her bladder
position the woman in supine
1. identify the fetal part that occupies the fundus. the head feels round, firm,
and freely movable; the breech feels less regular and softer. this maneuver
identifies fetal lie (longitudinal or transverse) and presentation (cephalic or
breech)
2. using the palmar surface of one hand, locate and palpate the smooth
convex contour of the fetal back and the irregular that identify the small
parts (feet, hands, knees, elbow) this maneuver helps to identify fetal
presentation
3. determine which fetal part is presenting over the inlet to the true pelvis.
gently grasp the lower pole of the uterus between your thumb and fingers,
pressing in slightly. if the the head is presenting and not engaged,
determine the attitude of the head (flexed or extended)
4. turn to face the woman's feet using both hands outline the fetal head
, with the palmar surface of your fingers tips. when the presenting part has
descended deeply only a small portion of it may be outlined. palpation of
cephalic prominence helps identify the attitude of the head.
why is the onset of labor difficult to establish
Give this one a try later!
because the woman may be admitted to the labor unit before birth and the
beginning of labor may be only an estimate
what are the six abnormal labor patterns
Give this one a try later!
prolonged latent phase
protracted active phase dilation
secondary arrest; no change
protected descent
arrest of descent
failure of descent
during the active phase of the first stage of labor what occurs
Give this one a try later!
, there is more rapid dilation of the cervix and increased rate of descent of
the presenting part
stage 4 of labor nursing interventions
Give this one a try later!
assessing the fundus
continue to monitor VS and temp for infection
administer IV fluids
monitor iochia discharge (may be moderate in amount and red)
monitor for respiratory depression, vomiting, and aspiration if general
anesthesia was used
great time to watch for complications such as bleeding (postpartum
hemorrhage)
the normal FHR range is
Give this one a try later!
110 to 160 beats/min
passive management of the third stage of labor
Give this one a try later!
