Extra Notes From The Powerpoint

Question 1

What is the first stage of labor latent phase mean?

Answer 1

Extends from the onset of labor, characterized by regular painful urterine contractions that cause cervical change to the beginning of the active phase, when cervical dilation occurs more rapidly

So pretty much painful contractions that go into fast dilation -> active

Question 2

What is the first stage of labor active phase mean?

Answer 2

Defined as the period during which the greatest rate of cervical dilation occurs, which begins at 4-6cm, and ends with comepley cervical dilation at 10CM

Question 3

How do we know it’s true labor ?

Answer 3

Contractions that change the size of the cervix and the fetus is pushing down to help change the size of the cervix or dilate it

Question 4

Notes
Nursing management for 1st

Admission to the labor unit
Cultural factors
Physical examination
Assessment of uterine contractions
Vaginal examination
Laboratory and diagnostic tests
Nutrition and elimation
Supportive care

Question 5

What is the latent second stage of labor phase?

Answer 5

Sometimes referred to as the delayed pushing, or like passive descent

Question 6

What is the active phase of second stage of labor?

Answer 6

Pushing and the urge to bear down

Question 7

The urge to bear down is at what stage and what is the reflex?

Answer 7

Active second stage of labor

Ferguson reflex

Question 8

When does the second stand of labor finish?

Answer 8

When the infant is born

Question 9

During the second stage of labor, are we fully dilated ? (10CM)

Answer 9

Yes

Question 10

So what are some things we’ll see when we see the baby?

Answer 10

Crowning
Ritgen maneuver
Nuchal cord

Question 11

What is crowning?

Answer 11

When we see the baby’s head, like round head

Question 12

What is ritgen maneuver?

Answer 12

Helping the mom by grabbing the head and chin and rotating the baby to allow the rest of the baby to get through

Question 13

What is nuchal cord?

Answer 13

When the cord is wrapped around the baby head and we should watch out since this can cause distress and we want to hold out on it so the baby can breathe

Question 14

Do we do fundal pressure?

Answer 14

No!! Causes more damage

Question 15

So when the newborn is delivered what do we ? (2)

Answer 15

Skin to skin

And assessments

Question 16

There for 4 perineal trauma/lacerations (tears) describe each

Answer 16

1. Just small cut in the vagina
2. Cut that gets close to the anus (middle of vagina and anus)
3. Cut goes to the anus
   ( like cuts the butthole)
4. Cut passes through the entire anus( cuts everything and the entire butthole )

Question 17

How often should FHR be monitored first stage of labor ?

Second stage of labor?

Answer 17

30mins

15mins

Question 18

What is the third stage of labor?

Answer 18

Baby is out until the placenta is out

Question 19

How long does it take for the placenta to come out after the baby?

And when does it become a problematic?

Answer 19

10-15mins

30mins or more

Question 20

For the placenta, what will we see?
Like how do we know it’s ready to come out

Answer 20

Sudden gush of dark blood !!
From the introitus

Question 21

Why do we want to assess the placenta?

Answer 21

Nothing is left behind
Lengthing
1 vein 2 arteries

Question 22

Notes
Be mindful of placenta cultural preferences

Question 23

What’s the fourth stage of labor?

Answer 23

When placenta finally leaves until mom is
1 hour later when mom is fully stable

Question 24

What are 2 signs of potential problems in 4th labor stage?

Answer 24

Excessive blood loss
Alternations in vital signs and consciousness

Question 25

What are the 2 monitors we want on mom and why?

Answer 25

Uterine activity : monitor the contractions

Fetal heart rate : monitor baby if distress and or healthy