OB SIM Pre-Work: Obstetrics Simulation Pre-Work Assignment Guide | Nursing Study Guide 2026

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OB SIM Pre-Work - Pre-work


Maternal and Pediatrics (Galen College of Nursing)




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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?




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