nursing assessments in first stage labour

Question 1

what should be assessed every 30-60 minutes in the ‘latent phase’? depending on risk status

Answer 1

BP, pulse, resp rate, fetal HR, uterine activity, vaginal fluids

Question 1

how frequently should temperature be assessed?(latent phase)

Answer 1

q4h until membranes rupture and then q2h

Question 2

how often should you be observing the patient? (latent phase)

Answer 2

every 30 mins
- changes in pt mood, appearance, affect

Question 3

what should be assessed every 30-60 minutes in the ‘active phase’? depending on risk status

Answer 3

BP, pulse, resp rate

Question 4

how often should FHR, uterine activity and vaginal be assessed in the activity phase?

Answer 4

every 15-30 mins

Question 5

how frequently should temperature be assessed?(active phase)

Answer 5

q4h until membranes rupture and then q2h

Question 6

in the active phase, how often should the patient be observed?

Answer 6

every 5-15 mins

Question 7

what should be assessed about uterine activity?

Answer 7

frequency, intensity, duration and resting tone of contractions