What do you need to get for the initial Intrapartum assessment?
FULL head to toe going through all body systems
Psychosocial and Knowledge assessment
Why do you want to know what the top of the skull looks like?
You will see the suture lines
MAIN THING: Pay attention to the anterior fontanele.
-That is going to tell you the position when checking mom
What is the first phase of Stage 1?
Latent BEST time to do education
What is the second phase of Stage 1?
Active Dilation between 4-6cm
Baby moves to the pelvis
Anxiety rises as contractions get stronger
Doing a lot of reassuring to the mom
Physiological changes: Inc BP, O2 demand Inc, Mild respiratory acidosis at time of birth, Edema may occur, keep bladder empty bc it can empede baby coming down, Gastric volume remain inc, WBC inc during labor
What is the third phase of stage 1?
Body tremors, inc feelings of anxiety, irritability, eager to complete birth process, need support at bedside