5 Questions
Stages of Labor 1. Dilatation Stage (0-10 cm) - enlarging, opening, widening 1. True Labor - cannot be relieved by ambulation, pain at the back, difference: bloody SHOW 2. False Labor - intermittent, pain at abdomen, can be relieved by ambulation, Braxton Hicks, main difference: white SHOW Dapat ______ na patient; KVO (Keep vein open) Passenger - Placenta, Baby, Amniotic Fluid Cause of prolonged labor / painful labor: distended bladder and abdomen Transfer to DR when: transition phase (7-10) Transition to labor room;l: active phase (4-6) latent (0-3) 1. Delivery Stage - full dilatation to delivery of baby 1. bulging of perineum (area between vagina and anus) - for episiotomy (surgical incision of perineum) 1. perineorrhaphy (repair of perineum) 2. episiorrhaphy (repair of episiotomy) 2. Crowning - encirclement of presenting part 3. Rupture of BOW 1. normal (500) Amniotomy - shorten the second stage of labor Normal Amniotic Fluid - Normohydramniod Amniotic Fluid - straw or clear Amniosynth.
NPO
Passenger - Placenta, Baby, ______ Cause of prolonged labor / painful labor: distended bladder and abdomen Transfer to DR when: transition phase (7-10) Transition to labor room;l: active phase (4-6) latent (0-3) 1. Delivery Stage - full dilatation to delivery of baby 1. bulging of perineum (area between vagina and anus) - for episiotomy (surgical incision of perineum) 1. perineorrhaphy (repair of perineum) 2. episiorrhaphy (repair of episiotomy) 2. Crowning - encirclement of presenting part 3. Rupture of BOW 1. normal (500) Amniotomy - shorten the second stage of labor Normal ______ - Normohydramniod ______ - straw or clear Amniosynth.
Amniotic Fluid
Normal Amniotic Fluid - Normohydramniod Amniotic Fluid - straw or clear Amniosynth.
shorten the second stage of labor
Delivery Stage - full dilatation to delivery of baby 1. bulging of perineum (area between vagina and anus) - for episiotomy (surgical incision of perineum) 1. perineorrhaphy (repair of perineum) 2. episiorrhaphy (repair of episiotomy) 2. Crowning - encirclement of presenting part 3. ______ of BOW 1. normal (500) Amniotomy
Rupture
Delivery Stage - full dilatation to delivery of baby 1. bulging of perineum (area between vagina and anus) - for episiotomy (surgical incision of perineum) 1. perineorrhaphy (repair of perineum) 2. episiorrhaphy (repair of episiotomy) 2. Crowning - encirclement of presenting part 3. Rupture of BOW 1. normal (500) ______ - shorten the second stage of labor Normal Amniotic Fluid - Normohydramniod Amniotic Fluid - straw or clear Amniosynth.
Amniotomy
Study Notes
Stages of Labor
- Dilatation Stage (0-10 cm) involves enlarging, opening, and widening of the cervix.
True Labor vs. False Labor
- True Labor:
- Cannot be relieved by ambulation
- Pain is located at the back
- Bloody SHOW (a sign of labor)
- False Labor:
- Intermittent pain
- Pain is located at the abdomen
- Can be relieved by ambulation
- Braxton Hicks contractions
- White SHOW (a sign of false labor)
Preparation for Labor
- Patient should be NPO (nothing by mouth) to prevent aspiration during delivery
- KVO (Keep vein open) to maintain hydration
Key Concepts
- Passenger refers to the placenta, baby, and amniotic fluid
- Causes of prolonged or painful labor include distended bladder and abdomen
- Transfer to delivery room (DR) when patient reaches the transition phase (7-10 cm)
Phases of Labor
- Latent phase (0-3 cm): early labor
- Active phase (4-6 cm): moderate labor
- Transition phase (7-10 cm): advanced labor
Delivery Stage
- Full dilatation to delivery of baby
- Bulging of perineum indicates need for episiotomy (surgical incision of perineum)
- Perineorrhaphy: repair of perineum
- Episiorrhaphy: repair of episiotomy
- Crowning: encirclement of presenting part
- Rupture of BOW (bag of waters)
Amniotic Fluid
- Normal amniotic fluid: normohydramnios, straw or clear color
- Amniotomy: surgical rupture of membranes to shorten the second stage of labor
Test your knowledge of the stages of labor and differentiating between true and false labor with this quiz. Delve into the dilatation stage, signs of true and false labor, and essential patient care measures during labor.
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