NUR2633 Exam 2 Study Guide
Modules 3 ,4 and 5 (Labor, Postpartum and Newborn care)
1. Know the Stages and phases of labor including the physiological
changes, the normal progression and the psychological impact to your
patient. (page 125 ATI Maternal Newborn)
Stages of labor
• First Stage - labor- variable
has three phases latent, active, andtransition
Begins with onset of labor though 10cm dilation ends with
(completedilation)
longest phase 12.5 hrs.
latent phase 0-3cm begins with cervical dilation 0 endswith cervix @ 3cm
o Cervix 0 cm
o Irregular, mild to moderate contractions
o Frequency 5 to 30 min ›
o Duration 30 to 45 seconds
o 4-6 hours
Objective signs:
,Modules 3 ,4 and 5 (Labor, Postpartum and Newborn care)
o cervical change
o some effacement
o communicative- eager to talk
o Contractions Irregular, mild to moderate
-Frequency: 5 to 30 minutes
-Duration: 30 to 45 Seconds
Cervical dilation 1 cm/hr. for clients who are primigravida, and 1.5 cm
/hr. for clients who aremultigravida, on average
active 4-7 cm- Intensity in contractions. 2-3 hours
Begins with:
o Cervix 4 cm
o More regular, moderate to strong contractions
o Frequency 3 to 5 min
o Duration 40 to 70 secondsEnds with
o cervix 7cm dilated
Objective signs:
o bloody show - This is where we medicate mom
o Contractions are getting closer together andstronger.
o Cervical Dilation (4 to 7 cm)
o Contractions more regular, moderate to strong
, Modules 3 ,4 and 5 (Labor, Postpartum and Newborn care)
o Rapid dilation and effacement
o Some fetal descent
o Feelings of helplessness
o Anxiety and restlessness increase as contractionsbecome stronger
Membranes may rupture, contractions 3-5 min apart, more focused, less talking,
risk to baby is greater, amount of perfusion to baby is less, baby can get hypoxic
during long labor with progression
Transition 8-10 cm very strong contractions 20-40minutes
Begins with:
o Cervix 8 cm
o Strong to very strong contractions
o Frequency 2 to 3 min
o Duration 45 to 90 secondsEnds with:
o Complete dilation of 10cmObjective
signs:
o Tired
o restless, and irritable
o Feeling out of control, client often states,
“cannot continue”
o May have nausea and vomiting
Modules 3 ,4 and 5 (Labor, Postpartum and Newborn care)
1. Know the Stages and phases of labor including the physiological
changes, the normal progression and the psychological impact to your
patient. (page 125 ATI Maternal Newborn)
Stages of labor
• First Stage - labor- variable
has three phases latent, active, andtransition
Begins with onset of labor though 10cm dilation ends with
(completedilation)
longest phase 12.5 hrs.
latent phase 0-3cm begins with cervical dilation 0 endswith cervix @ 3cm
o Cervix 0 cm
o Irregular, mild to moderate contractions
o Frequency 5 to 30 min ›
o Duration 30 to 45 seconds
o 4-6 hours
Objective signs:
,Modules 3 ,4 and 5 (Labor, Postpartum and Newborn care)
o cervical change
o some effacement
o communicative- eager to talk
o Contractions Irregular, mild to moderate
-Frequency: 5 to 30 minutes
-Duration: 30 to 45 Seconds
Cervical dilation 1 cm/hr. for clients who are primigravida, and 1.5 cm
/hr. for clients who aremultigravida, on average
active 4-7 cm- Intensity in contractions. 2-3 hours
Begins with:
o Cervix 4 cm
o More regular, moderate to strong contractions
o Frequency 3 to 5 min
o Duration 40 to 70 secondsEnds with
o cervix 7cm dilated
Objective signs:
o bloody show - This is where we medicate mom
o Contractions are getting closer together andstronger.
o Cervical Dilation (4 to 7 cm)
o Contractions more regular, moderate to strong
, Modules 3 ,4 and 5 (Labor, Postpartum and Newborn care)
o Rapid dilation and effacement
o Some fetal descent
o Feelings of helplessness
o Anxiety and restlessness increase as contractionsbecome stronger
Membranes may rupture, contractions 3-5 min apart, more focused, less talking,
risk to baby is greater, amount of perfusion to baby is less, baby can get hypoxic
during long labor with progression
Transition 8-10 cm very strong contractions 20-40minutes
Begins with:
o Cervix 8 cm
o Strong to very strong contractions
o Frequency 2 to 3 min
o Duration 45 to 90 secondsEnds with:
o Complete dilation of 10cmObjective
signs:
o Tired
o restless, and irritable
o Feeling out of control, client often states,
“cannot continue”
o May have nausea and vomiting
