Nursing Interventions for Vaginal Delivery

When should resuscitation be initiated for a newborn?

What physiological change occurs after the umbilical cord is clamped?

Which structure is NOT one of the shunts that close upon umbilical cord clamping?

What is the primary effect of oxygenated blood flow after birth?

What clinical measure is often used to assess the newborn's condition shortly after birth?

What is the primary nursing intervention during the second stage of labor?

Which principle is NOT a major component of immediate newborn care?

What is the purpose of the Apgar score assessment?

How often should the Apgar score be assessed after delivery?

Which of the following indicates a sign of maternal distress during labor?

What is the focus of continuous monitoring during the second stage of labor?

What is essential for the survival of newborns immediately after delivery?

What must be managed as part of the immediate care of the newborn?

Second Stage of Labour: Nursing Interventions and Care for Normal Vaginal Delivery

Conduct vaginal delivery while ensuring safety and support for the mother.
Encourage clients to push during each contraction to aid in the delivery process.
Use cardiotocograph (CTG) to continuously monitor uterine contractions and fetal heart rate (FHR) for any abnormalities.
Observe the mother closely for any signs of maternal distress during labor.

Immediate Care of Newborn

Simple supportive care is typically sufficient immediately after delivery, yet essential for newborn survival.
Major principles of immediate newborn care include:
- Maintaining airway patency to ensure proper breathing.
- Ensuring thermoregulation to keep the newborn warm.
- Promoting bonding through skin-to-skin contact and initiating breastfeeding.
- Proper identification of newborns for safety and record-keeping.
- Identifying any actual or potential problems that may require immediate intervention.

Apgar Scoring (AS)

Apgar scores are assessed at 1 minute and 5 minutes following delivery to evaluate the newborn's adjustment to extrauterine life.
The Apgar score consists of five criteria: Appearance, Pulse, Grimace response, Activity, and Respiration.
A score below 7 indicates the need for potential resuscitation measures; resuscitation should begin before the 1-minute Apgar score is calculated if necessary.

Newborn Circulation Post-Cord Clamping

Following cord clamping and cutting, significant circulatory changes occur in the newborn.
Closure of shunts includes:
- Ductus arteriosus, which connects the pulmonary artery to the aorta.
- Foramen ovale, an opening between the right and left atria of the heart.
- Ductus venosus, which connects the umbilical vein to the inferior vena cava.
Oxygenated blood begins to flow to the newborn’s lungs and liver, establishing independent circulation.

This quiz covers essential nursing interventions and care strategies for managing the second stage of labor during a normal vaginal delivery. It emphasizes the importance of monitoring both the mother and the newborn, instructing the client on effective pushing techniques, and ensuring timely care throughout the process.