Stages of Labor (Weeks 1-2)
This stage of labor begins with the onset of true contractions and ends with full cervical dilation.
What is the first stage of labor?
Normal baseline fetal heart rate range.
What is 110–160 bpm?
Lochia that is pinkish-brown, usually occurring days 4–10 postpartum.
What is lochia serosa?
This hormone is responsible for milk production.
What is prolactin?
Expected newborn respiratory rate.
What is 30–60 breaths per minute?
During the transition phase, contractions are how frequent and how long?
What are every 2–3 minutes, lasting 60–90 seconds?
Variable decelerations are most often caused by this condition.
What is umbilical cord compression?
The most common cause of early postpartum hemorrhage.
What is uterine atony?
This practice immediately after birth helps regulate temperature, HR, RR, and promotes breastfeeding.
What is skin-to-skin contact?
Signs of newborn cold stress include these two key findings.
What are hypoglycemia and respiratory distress?
The nurse’s first priority assessment after spontaneous rupture of membranes.
What is fetal heart rate?
Name two intrauterine resuscitation measures a nurse should implement for late decelerations.
What are repositioning the client, giving IV fluids, discontinuing oxytocin, and administering oxygen?
Name two danger signs after discharge that should prompt a postpartum client to call their provider.
What are fever >100.4°F, foul-smelling lochia, severe headache, visual changes, heavy bleeding, or leg pain?
By day 7, how many wet diapers per 24 hours indicate effective feeding?
What is 6–8 wet diapers per day?
Vitamin K is administered to prevent this condition.
What is hemorrhagic disease of the newborn?
Name two nonpharmacologic comfort measures that can reduce labor pain.
What are position changes, breathing, massage, hydrotherapy, heat/cold, or counterpressure?
This medication is the most common oxytocic drug used for induction and augmentation of labor.
What is oxytocin (Pitocin)?
According to Reva Rubin, this phase occurs 2–3 days postpartum when the mother becomes more independent and receptive to teaching.
What is the “taking-hold” phase?
Two common interventions for engorgement in a breastfeeding parent.
What are frequent feeding, hand expression, ice packs, or NSAIDs?
Differentiate physiologic jaundice from pathologic jaundice based on timing.
Physiologic jaundice appears after 24 hours; pathologic jaundice appears within 24 hours.
This uterine assessment term refers to the degree of thinning of the cervix.
What is effacement?
The presence of continuous one-on-one labor support has been shown to reduce this surgical outcome.
What is cesarean birth?
This injection is given within 72 hours postpartum to Rh-negative clients who deliver Rh-positive infants.
What is RhoGAM?
Professional organizations such as AAP and WHO recommend exclusive breastfeeding for how long?
What is 6 months?
Describe three elements of safe sleep teaching for newborns.
What is supine position, in their own crib, no soft bedding or toys?