Chapter 14 powerpoint- labor Flashcards
what are the four stages of labor
Stage 1-Onset of contractions to complete dilation
Stage 2-Full dilation to birth of fetus
Stage 3-birth of fetus to delivery of placenta
Stage 4-post placenta until 1-2 hours after delivery (stabilization)
what is the shortest phase of labor
stage 3
what is uterine inversion
the uterus starts to come out so you have to shove it back in
what are the two phases of the first stage of labor
Latent phase (0 to 6 cm of dilation)
Active phase (6 to 10 cm of dilation)
what are Leopold maneuvers
abdominal palpation to move the baby
what tests and assessments are done during the firs stage of labor
fetal heart monitoring, vital signs, analysis of urine, blood tests such as HIV/syphilis, CBC, voiding at least every 2 hours
what is an amniotomy, what do you document, and what are the indications
it is when you purposefully rupture the amniotic sac
document amount, color, and smell
indications for if you need them to deliver and placement of internal fetal monitors
what is the pushing stage
second stage
what are the two phases of the second stage of labor
Latent: relatively calm with passive descent of baby through birth canal
Active: pushing and urge to bear down
what is the Ferguson reflex
the urge to push down
what are the perineal laceration stages
First degree: laceration that extends through the skin and vaginal mucous membrane but not the underlying fascia and muscle
Second degree: laceration that extends through the fascia and muscles of the perineal body, but not the anal sphincter
Third degree: laceration that involves the external anal sphincter
Fourth degree: laceration that extends completely through the rectal mucosa, disrupting both the external and internal anal sphincters
how long does the third stage of labor usually last
10-15 minutes
how loon his the fourth stage of labor
1-2 hours after birth
