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107 Ch. 18
Nursing Care During Labor/Birth
| Question | Answer |
|---|---|
| When does labor begin and end | Labor begins with first uterine contraction adn ends as mom/dad attach |
| Whes does 1st Stage of labor begin and end | 1st Stage of Labor: Begins: reg contractions End: Full cervical effacement and dilation |
| what are 3 phases of 1st stage of labor | Latent: 0-3cm (butterfly) Active: 4-7cm(active) Transitional: 8-10cm(terror) |
| what is Leopold's manuevers | determine fetal position,presentation,point of maximal intensity (PMI) to auscultate FHR - The back is best spot |
| The lab test for amniotic fluid uses nitrazine tape or stick...what is positive result | blue is amniotic fluid green fern under scope |
| What should always be checked after ROM | Check fetal HR T:Time A: amt of fluid C: color of fluid O: odor of fluid |
| When should vaginal exam be done | on admission and with urge to bear down |
| What is only objecitve sign of 2nd Stage of labor | Can't feel cervix bc fully dilated and thinned |
| When does 2nd stage of labor begin and end | begin: full dilation end: birth |
| what are 3 phases of 2nd Stage of Labor | Latent: calm, passive descent Active(descent): active pushing, +1 station adn anterior Transition: presenting part on perineum |
| Where is Heartbeat of RSA/LSA, ROP/LOP, RMA/LMA, ROA/LOA | right sacralanterior/left(breech), rt occipitoposterier/lt(vertex), Rt mentumanterior/lt(vertex), rtoccipitoanterior/lt(vertex) |
| When is fundal pressure contraindicated | shoulder dystocia |
| What is defined as time of birth | time entire body is out of mother |
| what are 3 degrees of lacerations of perineum | 1: skin 2: muscle 3: thru anal spincter 4: rectal wall SIDE LYING less tension |
| What is most common episiotomy | median/midline |
| What is 3rd stage of labor | deliver placenta Shiny shultz: baby's side Dirty Duncan: mom's side |
| what is important in emergency birth when baby comes out to keep blood from rushing to/from placenta | keep baby same level as uterus If out of hospital, do not cut cord |
| What is 4th Stage of labor | puerperium/postpartum recovery, attachment |