Management of the Fourth Stage of Labor
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Management of the Fourth Stage of Labor

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Questions and Answers

What is the fourth stage of labor and how long does it typically last?

The fourth stage of labor occurs immediately after the delivery of the placenta and usually lasts for about 1 to 4 hours.

How often should maternal vital signs be checked during the fourth stage of labor?

Maternal vital signs should be checked every 5 to 15 minutes.

When should vaginal bleeding be evaluated during the fourth stage of labor?

Vaginal bleeding should be evaluated every 5 to 15 minutes immediately after the birth of the infant.

How should the position of the uterus be assessed during the fourth stage of labor?

<p>The uterus should be assessed by abdominal palpation to ensure it is midline in the middle of the abdomen, between the symphysis pubis and the umbilicus.</p> Signup and view all the answers

What is the expected tone of the uterus during the fourth stage of labor?

<p>The uterus should be firm to the touch and immediately identifiable.</p> Signup and view all the answers

What can a distended bladder cause in postpartum women?

<p>Increased uterine bleeding</p> Signup and view all the answers

What should be done if the uterus does not become firm following abdominal massage?

<p>Assess for postpartum hemorrhage and presence of blood or clots</p> Signup and view all the answers

How can a short period of tremor in the fourth stage of labor be relieved?

<p>Warm blankets, reassurance, and relaxation techniques</p> Signup and view all the answers

What is the recommended action if a woman without regional anesthesia is unable to void spontaneously?

<p>Urinary catheterization</p> Signup and view all the answers

What is the purpose of placing an ice pack next to the perineum intermittently for the first 24 hours after birth?

<p>Reduce edema and provide pain relief</p> Signup and view all the answers

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