Care of Woman in Labor

Question 1

physiologic changes of early labor

Answer 1

dilation 0-3cm

contractions = 20min apart lasting 30-45 sec

Question 2

Care of woman in early labor

Answer 2

encourage rest/nap
position changes
assist w/walking
warm bath

Question 3

woman in early labor feels what

Answer 3

mild contractions
back discomfort
excited/fearful

Question 4

physiologic changes of active labor

Answer 4

dilation 4-7 cm

contractions = 2-3 min apart lasting 50-60 sec

Question 5

care of woman in active labor

Answer 5

assist walking if tolerated
position changes (upright)
warm bath
visualize baby
relaxation during pelvic exam

Question 6

woman in active labor feels

Answer 6

strong contractions
back ache
seriousness
concentration
desires companionship
unsure of herself

Question 7

physiologic changes in transition labor

Answer 7

dilated 8-10cm

contractions 1-3 min apart lasting 60-90 sec

Question 8

care of woman in transition labor

Answer 8

help find most comfortable position
concentrate on power of contraction in place of pain
visualize baby moving down
breath/relax techniques
support partner
pant thru contraction if not fully dilated

Question 9

woman in transition labor feels

Answer 9

n/v
intense contractions
desire to give up
shaking legs
out of control - screaming

Question 10

first stage of labor breathing

Answer 10

cleansing breath at the start and end of a contraction

Question 11

relaxation techniques

Answer 11

used in conjunction w/breathing techniques
guided imagery (mental relocation)
progressive relaxation (contract/release muscle)
neuromuscular dissociation(relax all muscles except working muscles)
massage

Question 12

physiologic changes in stage two

Answer 12

15min-3hrs
contractions 2-3min lasting 60-90 sec
urge to bear down
may be less painful than transition

Question 13

care for woman in stage two

Answer 13

locate best position for pushing
open eyes for birth
relax perineum

Question 14

woman in stage two feels

Answer 14

second wind
lull in contractions up to 20 min
urge to push
ring of fire 
exhaustion

Question 15

second stage breathing techniques

Answer 15

cleansing breath at the beginning/end of contractions

grunting/groaning

Question 16

physiologic changes in stage three of labor

Answer 16

placenta separates from uterus
within 5-20 min
lengthening of umbilical cord
gush of blood
cramping (less than stage 1&2)

Question 17

care of woman in stage three

Answer 17

slow paced breathing

push when instructed or as she feels

Question 18

woman in stage three feels

Answer 18

fatigue
mild contractions
joy/relief baby is born

Question 19

physiologic changes in stage four of labor

Answer 19

1-2 hrs recovery time

Question 20

nursing implications in stage four of labor

Answer 20

monitor for hemorrhage (vitals q15x4,q30x2,q1hr until transfer)
fundus and lochia checks
monitor bladder for fullness
monitor response to anesthesia (assess return of sensation)
If general anesthesia monitor respirations, pulse ox, consciousness

Question 21

care of woman in stage four

Answer 21

promote bonding/feeding
allow expression of feelings
provide food/drink
provide comfort(ice packs)

Question 22

woman in stage four feels

Answer 22

mild cramping/soreness
exhaustion
cold
hungry
excited