Stages of Labor
Stage and phase of labor in which mom is still smiling and talking during contractions
What is stage one, latent phase
Phase of labor when contractions become more intense, mom may reconsider pain relief options.
What is the active phase of labor?
Positioning, Hydration, Breathing techniques, Imagery, Effleurage, Massage, Heat/cold therapy, emotional support, hygiene, music
What are nonpharmacologic measures to promote labor and manage pain?
The strength of a contraction at its peak
What is intensity (mild, moderate, or firm)?
Number one risk in the fourth stage of labor.
What is Postpartum hemorrhage?
Begins with the onset of regular uterine contractions and ends with full effacement and dilation of the cervix
What is The First stage of labor?
latent, active, transition phases
This form of pharmacological intervention for a laboring mother effectively relieves the pain caused by contractions BUT it does not completely remove the pressure sensations that occur when the fetus descends into the pelvis.
What is an epidural?
These 4 factors affect fetal circulation during labor
What are maternal position, maternal BP, uterine contractions, and umbilical cord flow
This is how often uterine contractions occur: the time that elapses from the beginning of one contraction to the beginning of the next contraction
What is frequency?
Anticoagulant therapy, bleeding disorder, platelet count less that 100,000
What are contraindications to spinal or epidural anesthesia?
From complete dilation to birth of fetus
What is the Second stage of labor?
Systemic pain medication that is inhaled and has no known fetal adverse effects.
What is Nitrous Oxide?
This is the descent of the fetal presenting part into the true pelvis approximately 2 weeks before term up until labor starts in the pregnant woman.
What is lightening or dropping?
This is the tension of the uterine muscle between contractions that allows the fetus to recover?
What is the resting tone?
Type of anesthesia used for an emergency cesarean in which fetal sedation is expected.
What is General anesthesia?
This is the Third Stage of Labor
What is the birth of the fetus to delivery of placenta?
Narcotic medication that is contraindicated for persons addicted to opioids.
What are opioid agonist/antagonist medications?
This is the process of the thinning and shortening of the cervix during the first stage of labor. Progress is expressed in percentages from 0%-100%
This is enlargement and widening of the cervical opening (os) and cervical canal that occurs during labor. Expressed in cm 1cm-10 cm
What is effacement?
AND
What is dilation?
The priority nursing assessment after the placenta delivers.
What is the fundal assessment?
An opioid antagonist that can reverse narcotic effects, especially respiratory depression
What is Narcan (Naloxone).
This is the Fourth Stage of Labor
What is the first few hours of Recovery following birth?
(homeostasis is re-established)
These are side effects that can occur with an epidural and spinal
What are hypotension, pruritis (itching), urinary retention?
Priority nursing assessment after rupture of membranes
What is auscultate fetal heart rate?
This is the primary powers of labor that act involuntarily to expel the fetus and the placenta from the uterus
What are Uterine Contractions?
Headache that intensifies with upright positioning.
What is a postdural puncture headache (spinal)?