Term
|
Definition
begins with the onset of true labor and ends when the cervix is completely dilated to 10 cm.
It is divided into three phases:
1.Latent phase
2.Active phase
3.Transition phase |
|
|
Term
|
Definition
| Begins with complete complete dilation and ends with the birth of the baby. |
|
|
Term
|
Definition
| begins with the birth of the baby and ends with the expulsion of the placenta. |
|
|
Term
| The fourth stage of labor |
|
Definition
| last 1-4 hours after expulsion of the placenta, the uterus contracts to control bleeding at the placental site. |
|
|
Term
|
Definition
Begins with the onset of contractions.
D: 30-40 sec
I: mild -moderate
F: 5-30 mins |
|
|
Term
|
Definition
Primip: closed progressing to 3 cm
Fetal descent: little to none
Average length: 6-8 hours
Primip: 9 hours
Multip: 5-6 hours |
|
|
Term
|
Definition
May feel relieved that labor has begun
Some feelings of anxiety, but able to smile and verbalize.
Excited |
|
|
Term
| Latent Phase (Assessment) |
|
Definition
Temp:Q4 if membranes intact, Q1-2 if ROM
B/P, P,R: Q30-60 min
Uterine activity, FHR: Q 30-60 min |
|
|
Term
| Latent Phase (Strengthen Lines of Defense) |
|
Definition
Bladder assessment/void Q2hrs
Rest when possible
Light foods/full liquids |
|
|
Term
| Latent Phase (Teaching/Referral) |
|
Definition
Review process of labor
Explain terms
teach breathing techniques
teach comfort measures to significant others |
|
|
Term
|
Definition
more rapid progression of labor
D:40-60 secs
I:moderate to strong
F: 3-5 min |
|
|
Term
|
Definition
Dilation:4-7 cm
Fetal descent +1- +2, varies
Average length: 3-6 hours |
|
|
Term
| Active Phase (Assessment) |
|
Definition
Temp:Q4 if membranes intact, Q1-2 if ROM
B/P, P,R: Q30 min
Uterine activity, FHR: Q 15-30 min |
|
|
Term
| Active Phase (Strengthen Lines of Defense) |
|
Definition
Bladder assessment/void Q2hrs
Rest when possible
Light foods/full liquids |
|
|
Term
| Active Phase (Teaching/Referral) |
|
Definition
Explain procedures as they occur
Continue reinforce breathing/relaxation techniques |
|
|
Term
|
Definition
Last aspect of first stage of labor
D:60-90 sec
I:strong
F: 1 1/2 - 2 min |
|
|
Term
| Transition Phase (Dilation) |
|
Definition
8 cm to complete
Fetal descent: progressive
Average length:
Primip: 3 hours
Multip: 1 hour |
|
|
Term
|
Definition
Behavior changes
Irritable
Amnesia between contraction
Nausea and vomiting
tremors |
|
|
Term
| Transition Phase (Assessment) |
|
Definition
Temp:Q4 if membranes intact, Q1-2 if ROM
B/P, P,R: Q15-30 min
Uterine activity, FHR: Q 10-15 min |
|
|
Term
| Transition Phase (Strengthen Lines of Defense) |
|
Definition
Bladder assessment/void prn
Rest when possible |
|
|
Term
|
Definition
Begins with complete cervical dilation and ends with birth.
D: 60-90 secs
I:Stronger
F: 1 1/2-2 mins |
|
|
Term
|
Definition
progressive
Average length
Primip: 50 min
Multip: 20 min |
|
|
Term
|
Definition
assess urge to push when complete
activated by stretch receptors of pelvis
open glottal pushing
okay to make noise
take breaths
avoid valsalva maneuver
epidurals may diminish pushing reflex
wait for urge to push
Rest between contractions |
|
|
Term
| Second stage (Assessment) |
|
Definition
Temp:Q1 if ROM
B/P, P,R: Q15 min
Uterine activity, FHR: Q15 min |
|
|
Term
| Second Stage (Strengthen Lines of Defense) |
|
Definition
Bladder assessment/void prn
Rest when possible |
|
|
Term
|
Definition
| Period of time from birth of infant until completed delivery of placenta. |
|
|
Term
| Third Stage (Placental separation) |
|
Definition
uterine contractions diminish the size of the uterus.
Surface area of uterus decreases and begins _____________.
separation causes bleeding and resultant hematoma, increasing separation.
Membranes are the last to separate, peeling of uterine wall as placenta descends into uterus. |
|
|
Term
| Third Stage (Signs of placental separation) |
|
Definition
Globular shaped uterus
Rise of fundus in abdomen
Sudden gush and trickling of blood
Further protrusion umbilical cord out of vagina |
|
|
Term
| Third Stage (Facilitation of placental delivery) |
|
Definition
Maternal pushing
If uterus is firm, gentle traction on cord with pressure on fundas
Considered retained if not delivered in 30 min.
Careful examination of placental to make sure all lobes and membranes are delivered. |
|
|
