Study Guide for Maternal Child Exam
i. 1st stage (Labor) (dilation 1cm-1.5cm/hr) – can take any time 1. Latent phase a. Longest and most variable duration (many hours dur) b. 0-4 cm dilation; some effacement c. Contractions are irregular, mild to moderate; 5-30 min apart lasting 30-45 sec d. Mother i. Talkative and eager, excited e. Baby i. Little risk ii. Ask is the baby moving? 2. Active phase a. 4-6 hrs duration ( move 1-1.5 cm per hour); 2 hrs for multip i. Longer than 6 hours decreased perfusion to baby, fatigue of uterus b. 4-7 cm dilation; rapid effacement c. Contractions are regular, moderate to strong; 3-5 min apart lasting 40-70 sec d. Mother i. Feeling helpless; anxiety; restless; focused and introspective ii. Pain – best time to medicate at peak of contractions mother (see #4 Pain Management) iii. Hyperventilate – paper bag, oxygen mask without oxygen, relaxation and deep breathing e. Baby i. Some fetal descent; hypoxia during contractions ii. Decreased variability
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