What are the 10 critical Factors in labor - Answers Passageway
Passenger
Powers
Position
Psycho-social response
Philosophy
Partner
Patience
Patient
Pain Management
What are the two general types of fetal position - Answers OA (Occiput anterior)
OP (Occiput posterior)
How to understand fetal Malposition - Answers 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 - Answers 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 - Answers left occiput transverse/right occiput transverse
back of baby's head is is lying horizontally and tilted to the left/right side
LOP/ROP - Answers 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 - Answers *cervical changes are made*
-regular contractions (INC in frequency, duration and intensity)
-pain starts in back and radiates toward abdomen
False Labor - Answers *NO cervical Changes made*
-irregular contractions
-contractions start mainly in front of abdomen
-pain relieved by ambulation
stages of labor - Answers 1: dilation
2: pushing to delivery
3: delivery of placenta
4: recovery
Phases of stage 1 of labor: dilation - Answers 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 - Answers
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 - Answers -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 - Answers -anticipatory guidance
(inform/reassure)