Labor

Stage 1 of labor is _____ phase

latent

which stage of labor: effacement and dilation of cervix

1

what are the 3 stages of the first phase of labor

latent, active, transitional

what stage of labor: expulsion of fetus

2

what stage of labor: separation of fetus

3

what stage of labor: physical recovery

4

stage 4 of labor

1-4 hours after birth.

blood pressure returns to prelabor level

stage 3 of labor

contractions occur until the placenta is expelled.

expulsion of the placenta occurs 5-30 mins after birth of the baby

Schultze mechanism

placenta first appears by its shiny fetal surface

Duncan mechanism

placenta turns to show its dark roughened maternal surface out of the vagina first

stage 2 of labor assessment

\-cervical dilation is complete

\-progress of labor is measured by descent of fetal head through the birth canal (change in fetal station)

\-uterine contractions occur every 2-3 mins, lasting 60-75 seconds, and of strong intensity

\-increase in bloody show

\-patient feels urge to push

transition phase of phase 1: cervical dilation is __ to ?

8-10 cm

active phase of phase 1: cervical dilation is __ to ?

4-7 cm

latent phase of phase 1: cervical dilation is __ to ?

1-4 cm

\
The nurse is caring for a patient in labor. Which asessment findings indicate to the nurse that the patient is beginning the second stage of labor? Selectal

that apply.


1. The contractions are regular.

2. The membranes have ruptured

3. The cervix is dilated completely.

4: The client begins to expel clear vaginal fluid.

5\. The Ferguson reflex is initiated from perinea

3,5

The nurse in the labor room is caring for a patient in the active stage of the first phase of labor. The nurse is assessing the fetal patterns and notes a late deceleration on the monitor strip. What is the most appropriate nursing action?

1\. Administer oxygen via face mask.


2. Place the client in a supine position.
3. Increase the rate of the oxytocin intravenous in
fusion.
4. Document the findings and continue to monitor the fetal patterns.

1

A client arrives at a birthing center in active labor. After examination, it is determined that the clients membranes are still intact and the client is at a -2 station. The primary health care provider prepares to perform an amniotomy. What will the nurse relay to the patient as the most liklt outcomes of the amniotomy? select all that apply.


1. Less pressure on the cervix
2. Decreased number of contractions
3. Increased efficiency of contractions
4. The need for increased maternal blood pressure monitoring
5\.The need for frequent fetal heart rate monitoring to detect the presence of a prolapsed cord

3,5

nurse is monitoring a patient in labor. nurse suspects umbilical cord compression if which is noted on the external monitor tracing during a contraction

1 variability

2 accelerations

3 early decelerations

4 variable decelerations

4