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This document outlines the stages of labor and nursing management during labor. It discusses 4 maneuvers to assess maternal and child health with normal findings. It then covers the cardinal signs of labor, mechanisms of labor, and 3 stages of labor including phases, dilation times, and contraction intensity. Nursing management is described such as monitoring vital signs and FHR, providing comfort, breathing techniques, and placental delivery using Duncan or Schultze maneuvers. Credes and Brandth-Andrew maneuvers are also outlined.
This document outlines the stages of labor and nursing management during labor. It discusses 4 maneuvers to assess maternal and child health with normal findings. It then covers the cardinal signs of labor, mechanisms of labor, and 3 stages of labor including phases, dilation times, and contraction intensity. Nursing management is described such as monitoring vital signs and FHR, providing comfort, breathing techniques, and placental delivery using Duncan or Schultze maneuvers. Credes and Brandth-Andrew maneuvers are also outlined.
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This document outlines the stages of labor and nursing management during labor. It discusses 4 maneuvers to assess maternal and child health with normal findings. It then covers the cardinal signs of labor, mechanisms of labor, and 3 stages of labor including phases, dilation times, and contraction intensity. Nursing management is described such as monitoring vital signs and FHR, providing comfort, breathing techniques, and placental delivery using Duncan or Schultze maneuvers. Credes and Brandth-Andrew maneuvers are also outlined.
Droits d'auteur :
Attribution Non-Commercial (BY-NC)
Formats disponibles
Téléchargez comme PPTX, PDF, TXT ou lisez en ligne sur Scribd
FIRST MANEUVER NORMAL FINDINGS SECOND MANEUVER NORMAL FINDINGS THIRD MANEUVER NORMAL FINDINGS FOURTH MANEUVER NORMAL FINDINGS MOVIE CLIP OF LEOPOLD’S MANEUVER CARDINAL SIGNS OFF LABOR / MECHANISMS OF LABAOR ENGAGEMENT DESCENT FLEXION INTERNAL ROTATION EXTENSION EXTERNAL ROTATION EXPULSION (ED FIRE ERE) Cardinal / mechanisms of labor STAGES OF LABOR STA GE PHASE DILATA DURATION / INTENSITY TION INTERVAL 1ST PHASE I : Latent 0-3 cm 20-40sec, 5- Mild to ST PHASE II : 4-7 cm 30mins 40-60sec, 3-5mins Moderate Moderate to A Active Strong GE PHASE III : 8-10 cm 60-90sec, 2-3mins Strong Transition PHASE STATIO CONTRACTION 2N PHASE I N 0 to +2 2 to 3 minutes apart D PHASE II +2 to +4 2 to 2.5 mins apart with urgency to ST bear down A PHASE III +4 to birth2 mins apart; fetal head visible GE RD increased 3 PLACENTA DELIVERY – Sudden gush of blood, lengthening of the cord, rising of STAG E the fundus, globular uetrus. 2 PHASES: 1. placental separation 2. placental expulsion 4th First 4 hours after delivery of the placenta STAG E *vital signs, fundus and lochia monitoring every 15 minutes until stable* NuRSING MANAGEMENT DURING LABOR Vital signs and FHR Provide comfort measures ( ambulate and if BOW not yet ruptured , left side lying is the most comfortable position and provide sacral pressures and back rubs) Note: left side lying position prevents vena cava syndrome Breathing technique during transition phase: Take a deep breath and exhale slowly and completely. At the beginning of contraction, take a fairly deep breath. Then engage is shallow breathing. If there is an urge to push, puff out every 3rd , 4th , or 5th breath. Take a deep breath at the end of contraction. Placental delivery may take 5 – 10 minutes ( maximum 20 minutes). Either by Duncan (dirty presentation of the uterus) or schultze ( shiny glistening). Evaluate placental completeness( up to 30 cotyledons, weighing about 400 to 600 grams (1lb) and is 1/6 of the fetal weight. Credes maneuver is gentle pressure on the contracted uterine fundus ( never on the non-contracted state or the uterus may evert and lead to hemorrhage). Meanwhile, Brandth-Andrew maneuver is pushing the uterus upward while gently pulling the cord downward to deliver
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