MCN 273: STAGES OF LABOR EXAM 2
What are the 10 critical Factors in labor - Answer -Passageway
Passenger
Powers
Position
Psycho-social response
Philosophy
Partner
Patience
Patient
Pain Management
What are the two general types of fetal position - Answer -OA (Occiput anterior)
OP (Occiput posterior)
How to understand fetal Malposition - Answer -1st letter= position on mom (R/L side)
2nd letter= presenting part of fetus
3rd letter = presenting part position in relation to portion of maternal pelvis (anterior,
posterior, transverse)
LOA/ROA - Answer -left occiput anterior/right occiput anterior
back of baby's head is pointed anterior to the pelvis and tilted to the left/right side
LOT/ROT - Answer -left occiput transverse/right occiput transverse
back of baby's head is is lying horizontally and tilted to the left/right side
LOP/ROP - Answer -left occiput posterior/Right Occiput posterior
Back of baby's head is pointed to posterior of maternal pelvis and tilted to the left/right
side
True labor - Answer -*cervical changes are made*
-regular contractions (INC in frequency, duration and intensity)
-pain starts in back and radiates toward abdomen
False Labor - Answer -*NO cervical Changes made*
-irregular contractions
-contractions start mainly in front of abdomen
-pain relieved by ambulation
stages of labor - Answer -1: dilation
2: pushing to delivery
, 3: delivery of placenta
4: recovery
Phases of stage 1 of labor: dilation - Answer -phase 1: latent/early (0-3cm dilated)
phase 2: active (4-7cm dilated)
phase 3: transition (8-10cm dilated)
general pattern of contraction frequency and length in each phase of dilation stage -
Answer -contractions become more frequent and last a longer period of time
latent: last 5-9hrs
active: last 4-6hrs
transition: last 30min-1hr
Nursing assessment During the First Stage of Labor: Latent phase - Answer --EFM/UC
assessment per protocol (Q30min)
-Vtials assessment (BP, HR, RR Q30min-1hr; Temp Q1-2hr)
-Bladder assessment
-SVE sparingly (least numebr of times as possible)
Nursing Interventions during 1st stage of labor: latent phase - Answer --anticipatory
guidance (inform/reassure)
-pain managment (encourage non-pharm management/position change)
-encourage fluids (clear liquid/ice chips)
-comfort measures (linen change, pericare, rest periods)
Nursing assessment during first stage of labor: active phase - Answer --EFM/UC
assessment per protocol (Q15min)
-Vtials assessment (BP, HR, RR Q30min-1hr; Temp Q1-2hr)
-Bladder assessment (Foley/straight cath Q2hr)
-SVE PRN
Nursing Interventions during first stage of labor: active phase - Answer --IV fluids if PO
not tolerated
-N/V meds PRN
-assist with amniotomy (AROM)
-pericare
-pain mnt (meds if indicated; support of all decisions)
Nursing Assessment during first stage of labor: transition phase - Answer --EFM/UC
assessment per protocol (Q15min)
-Vtials assessment (BP, HR, RR Q30min-1hr; Temp Q1-2hr)
-Bladder assessment (empty bladder before pushing)
-SVE PRN
What are the 10 critical Factors in labor - Answer -Passageway
Passenger
Powers
Position
Psycho-social response
Philosophy
Partner
Patience
Patient
Pain Management
What are the two general types of fetal position - Answer -OA (Occiput anterior)
OP (Occiput posterior)
How to understand fetal Malposition - Answer -1st letter= position on mom (R/L side)
2nd letter= presenting part of fetus
3rd letter = presenting part position in relation to portion of maternal pelvis (anterior,
posterior, transverse)
LOA/ROA - Answer -left occiput anterior/right occiput anterior
back of baby's head is pointed anterior to the pelvis and tilted to the left/right side
LOT/ROT - Answer -left occiput transverse/right occiput transverse
back of baby's head is is lying horizontally and tilted to the left/right side
LOP/ROP - Answer -left occiput posterior/Right Occiput posterior
Back of baby's head is pointed to posterior of maternal pelvis and tilted to the left/right
side
True labor - Answer -*cervical changes are made*
-regular contractions (INC in frequency, duration and intensity)
-pain starts in back and radiates toward abdomen
False Labor - Answer -*NO cervical Changes made*
-irregular contractions
-contractions start mainly in front of abdomen
-pain relieved by ambulation
stages of labor - Answer -1: dilation
2: pushing to delivery
, 3: delivery of placenta
4: recovery
Phases of stage 1 of labor: dilation - Answer -phase 1: latent/early (0-3cm dilated)
phase 2: active (4-7cm dilated)
phase 3: transition (8-10cm dilated)
general pattern of contraction frequency and length in each phase of dilation stage -
Answer -contractions become more frequent and last a longer period of time
latent: last 5-9hrs
active: last 4-6hrs
transition: last 30min-1hr
Nursing assessment During the First Stage of Labor: Latent phase - Answer --EFM/UC
assessment per protocol (Q30min)
-Vtials assessment (BP, HR, RR Q30min-1hr; Temp Q1-2hr)
-Bladder assessment
-SVE sparingly (least numebr of times as possible)
Nursing Interventions during 1st stage of labor: latent phase - Answer --anticipatory
guidance (inform/reassure)
-pain managment (encourage non-pharm management/position change)
-encourage fluids (clear liquid/ice chips)
-comfort measures (linen change, pericare, rest periods)
Nursing assessment during first stage of labor: active phase - Answer --EFM/UC
assessment per protocol (Q15min)
-Vtials assessment (BP, HR, RR Q30min-1hr; Temp Q1-2hr)
-Bladder assessment (Foley/straight cath Q2hr)
-SVE PRN
Nursing Interventions during first stage of labor: active phase - Answer --IV fluids if PO
not tolerated
-N/V meds PRN
-assist with amniotomy (AROM)
-pericare
-pain mnt (meds if indicated; support of all decisions)
Nursing Assessment during first stage of labor: transition phase - Answer --EFM/UC
assessment per protocol (Q15min)
-Vtials assessment (BP, HR, RR Q30min-1hr; Temp Q1-2hr)
-Bladder assessment (empty bladder before pushing)
-SVE PRN
