PREFI - EINC - 2 Flashcards
Stage 1 is broken into 3 more phases
Latent
Active
Transition
this is marked by:
Dil: 0-3 cm
Dur: 20-40 secs
Inter: 5-10 mins
Inten: mild, short, irregular
Freq: >10 mins
Latent Stage
Latent Stage is marked by:
this is marked by:
Dil: 0-3 cm
Dur: 20-40 secs
Inter: 5-10 mins
Inten: mild, short, irregular
Freq: >10 mins
this is marked by:
Dil: 4-7 cm
Dur: 40-60 secs
Inter: 3-5 mins
Inten: moderste - strong
Freq: 3-5 mins
Active Stage
Active Stage is marked by:
this is marked by:
Dil: 4-7 cm
Dur: 40-60 secs
Inter: 3-5 mins
Inten: moderste - strong
Freq: 3-5 mins
this is marked by:
Dil: 8-10 cm
Dur: 60-90 secs
Inter: 2-3 mins
Inten: strong
Freq: 2-3 mins
Transition Stage
Transition Stage is marked by:
this is marked by:
Dil: 8-10 cm
Dur: 60-90 secs
Inter: 2-3 mins
Inten: strong
Freq: 2-3 mins
these are pain relievers given during labor
narcotic analgesics
Examples of narcotic analgesics:
meperidine hydrochloride
nalbuphine
fentanyl
butarphonol tartrate
this is the most commonly used narcotic analgesic
it is a sedative and antispasmodic
meperidine hydrochloride (demerol)
demerol route and amount
IM or IVTT
25-100 mg
time it takes for demerol to take effect and lasts
30 mins IM, 5 mins IV
2-3 hours
why should demerol not be given too early?
delays labor process
what dilation measurement should demerol be given?
6-8 cm
why shouldn’t demerol be given too late? (include time limit)
causes respiratory depression in newborn
1-2 hours until delivery
meperidine hydrochloride (Demerol) antagonist
Naloxone hydrochloride (Narcan)
EIC during 1st Stage:
allow to walk if BOW intact
light carbs for food
non-pharmacologic pain relief (effleurage, positioning, diversion)
companion in labor for shorter labor
use of partograph and IE
when should partograph be used
at 4cm of Active Stage
guidelines for IE
IE q4h but not more than 5x because of risk of infection
Not recommended during 1st Stage:
no perineal shaving
no enema
no IV
no NPO
no lying down
no amniotomy
no drug induced labor
no fundal push
Latent Nursing Responsibilities
assess pt psychological readiness
measure duration of labor
health teaching on breastfeeding, newborn care, relaxation techniques
total IE should be 5 ONLY
Active Nursing Responsibilities
inform patient on progress of labor
walking is okay as long as BOW intact
anticipate pt needs (ice chips, lip balm)
determine last void of pt
non-pharmacologic pain relief
Transition Nursing Responsibilities
pant-blow breathing (pursed lip)
VS and FHR q15
check for perineal bulging = prepare for delivery
check room temperature
