stages of labor
which stage of labor is the longest?
first stage
what are some typical interventions when you are admitted to labor and delivery?
collecting a CBC, inserting a IV, collecting gbbs if this has not already been collected
what happens during the golden hour regarding breastfeeding?
baby should be placed on moms chest immediately after baby is delivered unless there are complications and breastfeeding should be initiated
What are some benefits of breastfeeding?
helps to stabilize infants temperature, reduces crying, helps an infant feel sure ,helps to stabilize blood glucose levels in infant
what are common signs of true labor?
contractions are 5 mins or less and are consistent, they dont change with position. you may have some bloody show
name the 3 substages of labor during stage 1
When is it too late to get an epidural?
when you are crowning or when you are unable to sit in the crouch position while remaining still
how often does a mother have her fundus assessed and vitals taken in the first hour after birth?
every 15 mins
What is colostrum?
Colostrum or fore milk -thick creamy substance released prior to breastmilk which takes about 3-5 days to come in after delivery. Can be white to light yellowish in color.
what is the rule to keep in mind regarding contractions?
511 contractions are 5 mins or less lasting 60sec to 1 mins and are occurring at least an hour
Dilation is ____ to _____ cm.
1-10
Name some pain management options
epidural, massage, hot shower or bath, nitrous oxide , aromatherapy, guided imagery, using a peanut ball or exercise ball, movement
Can baby's assessment be performed on moms chest during the golden hour?
absolutely
What are some benefits of colostrum?
helps to build baby's immune system. full of fat and helps to support babies gut health
If your water breaks what are 2 things that mom/partner need to monitor?
Effacement is ____to____%
0-100
Do you have to receive IV fluids while in labor?
no, unless you are becoming dehydrated, your spike a fever or severely nauseated or persistent diarrhea
can a dad/partner do skin to skin with baby and if so how?
What is the size of a newborns stomach and how often do they need to eat?
the size of a marble and they eat eery 2-3 hours
true or false: diarrhea or loose stools can be a sign of labor?
true
Fetal station starts in the
negative
Name some reasons for induction:
post dates, intrauterine fetal growth restriction, placenta previa or abruption, AMA
why is the golden hour so important?
It contributes to neonatal thermoregulation, decreased stress levels in a woman and her newborn, and improved mother-newborn bonding
How do you know if baby is positioned correctly on the breast?
infants mouth should cover nipple and areola. Lips should be flanged like a duck. you should not hear clicking noises. infants hands should be opened up
Is rupturing of membranes aka your water breaking a common sign of labor?
no this only occurs approximately 10-15% of the time