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OB > Stages of Labor > Flashcards

Stages of Labor Flashcards

1
Q

How many stages are in labor

A

4 stages

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2
Q

What is the 1st stage of labor

A

Stage of Dilation

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3
Q

When does the 1st stage of labor begin?

A

Onset of labor- regular, painful, uterine contractions

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4
Q

When does the 1st stage of labor end?

A

Complete dilation of the cervix when the cervical goes to 0-10 cm

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5
Q

How many phases is the first stage of labor?

A

2-3 phases

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6
Q

Phase 1 of Stage 1

A

Latent Phase

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7
Q

What is the dilation of the latent phase

A

0-5 cm

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8
Q

What is the timing of contraction during the latent phase

A

2-30 mins apart
30-45 sec long

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9
Q

Strength of the contractions during latent phase

A

Mild

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10
Q

Emotions during latent phase

A

Excited, talkative, confident, anxious, withdrawn

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11
Q

Pain during latent phase

A

Mild (can talk through)

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12
Q

Length of time Latent phase

A

10-14 hrs

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13
Q

Show of Latent phase

A

Scant amount, brownish discharge, mucous plug, pale pink mucous

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14
Q

Phase 2 of Stage 1

A

Active Phase

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15
Q

Beginning of Active Phase

A

More active contractions

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16
Q

Dilation of Active Phase

A

6-10 cm

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17
Q

Timing of contractions Active Phase

A

1.5- 5 mins apart
60-90 sec long regular

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18
Q

Strength of Contractions Active Phase

A

Moderate-Strong

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19
Q

Emotions of Active Phase

A

Quiet, concentrated

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20
Q

Pain of Active Phase

A

Moderate to severe– breathing through contractions

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21
Q

Length of time Active Phase

A

1cm per hour (nulliparous)
1.5 per hour (multiparous)

22
Q

Show of Active Phase

A

Pink to bloody, moderate to copious

23
Q

Third Phase

A

Transition Phase

24
Q

Beginning of Transition Phase

A

More frequent, stronger contractions

25
Q

Dilation of Transition Phase

A

8- 10 cm

26
Q

Timing of Contractions Transition Phase

A

2-3 min apart
60-90 sec long

27
Q

Strength of Contractions Transition Phase

A

Moderate - Strong

28
Q

Emotions of Transition Phase

A

Difficulty coping, irritated, agitated, tired, hopeless

29
Q

Pain of Transition phase

A

Severe
Feel rectal pressure or urge to push

30
Q

Length of time Transition phase

A

Equal or faster than active bowel

31
Q

Nursing care during the first stage

A

Assess pt
Assess FHR
Manage pain
Emotional support
Encourage or assist in position changes
Assisting with interventions
Advocate for patient’s needs

32
Q

When does the 2nd stage of labor begin

A

Full dilation (10 cm)

33
Q

When does the 2nd stage of labor ends

A

Birth of the infant

34
Q

Emotions of 2nd stage of labor

A

Burst of energy, exhaustion, excitement, and fear

35
Q

How long does stage 2 last?

A

15 mins to 4 hrs

36
Q

T or F: The nurse maintain bedside with the mother during 2nd stage

A

True

37
Q

Nursing care during stage 2

A

Assist with positioning (esp w/ epidural)
Coach for effective pushing
Offer reassurance and encouragement
Prepare for delivery

38
Q

The third Stage of Labor begins

A

Birth of the infant

39
Q

The 3rd stage of labor ends

A

Birth of the placenta

40
Q

How long does 3rd stage lasts

A

5-10 mins
can be 30 mins

41
Q

What is the mother focuses on the 3rd stage of labor

A

Infant
Crying and relief

42
Q

What happens if there is a piece of placenta still left

A

The mother’s body still provides it what its needs which results in prolonged bleeding ( postpartum hemorrhage)

43
Q

Nursing care during 3rd stage

A

Immediate infant care
Assign APGAR score: wellness of the baby
ID infant and mother
Administer utertonics
Emotional support
Assisting w/ interventions

44
Q

What happens if the placenta does not deliver in the 30 mins (intervention)

A

The doctor will perform a DC or manual extraction

45
Q

Fourth Stage of Labor

A

Recovery

46
Q

When does the 4th stage of labor begin

A

Birth of the placenta

47
Q

Lochia rubra

A

Bleeding after delivery; heavy period but should return to normal period flow

48
Q

Uterus rt to 4th stage

A

Should be fully contracted

49
Q

What can help the uterus contract

A

Massaging the fundus
Breastfeeding
Oxytocin (any uterotonics)

50
Q

Nursing care during 4th stage

A

Assist w/ feeding
Assist w/ the golden hour
Administer baby medications
Assess BP, HR, and fundus q 15 mins
Take temperature q 4 hr 2x then 8 hr
Assess Bladder
Assess Lochia
Assess Perineum

OB (12 decks)

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