NSG-432 Topic 2 Labor & Birth AND Pain Management
- Ferns (under a microscope)
- Amnisure test (+ = rupture)
- Ultrasound
What are 3 ways to verify a ruptured membrane?
Infection
What is the greatest risk associated with a rupture membrane?
1st stage of labor
Begins with regular uterine contractions
Ends with complete cervical effacement and dilation
True Labor
- Regular contractions
- Radiating back pain
- Cervical changes
- Fetus engages anteriorly
- Bloody show
False labor
, - Contraction irregular
- Lie down or move makes it stop
- No change in dilation, effacement, or bloody show
- No engaged fetus (is lying posteriorly)
Every 15-30 minutes
Generally, how often are fetal and maternal assessments during labor done?
Protein
Preeclampsia would have what present in mom's urine?
Give antiobiotics
If your birthing mom does had a + Group B Strep, how will the nurse intervene?
Leopolds maneuvers
Palpation to determine presentation and position of the fetus
Early labor phase (latent phase)
1-5cm dilated. Usually sent home
- Mom is excited
- Contractions q5-30 mins
- Have Pt rest/relax
- Distract mom
- Ferns (under a microscope)
- Amnisure test (+ = rupture)
- Ultrasound
What are 3 ways to verify a ruptured membrane?
Infection
What is the greatest risk associated with a rupture membrane?
1st stage of labor
Begins with regular uterine contractions
Ends with complete cervical effacement and dilation
True Labor
- Regular contractions
- Radiating back pain
- Cervical changes
- Fetus engages anteriorly
- Bloody show
False labor
, - Contraction irregular
- Lie down or move makes it stop
- No change in dilation, effacement, or bloody show
- No engaged fetus (is lying posteriorly)
Every 15-30 minutes
Generally, how often are fetal and maternal assessments during labor done?
Protein
Preeclampsia would have what present in mom's urine?
Give antiobiotics
If your birthing mom does had a + Group B Strep, how will the nurse intervene?
Leopolds maneuvers
Palpation to determine presentation and position of the fetus
Early labor phase (latent phase)
1-5cm dilated. Usually sent home
- Mom is excited
- Contractions q5-30 mins
- Have Pt rest/relax
- Distract mom
