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URL Source: blob://pdf/d8daed43-0e4a-4517-ae88-9397aa669525
Published Time: 2025-04-30T14:24:25.000Z
Markdown Content:
STAGES OF LABOR THE BABY IS DELIVERED
# STAGE 2
q Provide ice chips & ointment for dry lips
q Provide praise & encouragement to the mother
q Monitor uterine contractions & mothers vital signs
q Maintain privacy & encourage rest between contractions
q Encourage effective breathing patterns & rest between contractions
q Monitor for signs of birth (perineal bulging or visualization of fetal head)
> INTERVENTIONS
Starts when cervix is fully dilated & effaced
Ends after the baby is delivered
RECOVERY!
# STAGE 4
RECOVERY: fi rst 1-4 hours after delivery of the placenta
q Assessing the fundus
q Continue to monitor vital signs & temperature for infection
q Administer IV fluids
q Monitor lochia discharge (lochia may be moderate in amount & red).
q Monitor for respiratory depression, vomiting, & aspiration if general anesthesia was used
q Great time to watch for complications such as bleeding (postpartum hemorrhage)
q Soft
q Boggy
q Displaced
q FIRM
q Midline
THE PLACENTA IS DELIVERED
# STAGE 3
The PLACENTA is expelled (5 - 30 min after birth)
q Assessing mothers vital signs
q Uterine status (fundal rubs every 15 minutes)
q Provide warmth to the mother
q Promote parental-neonatal attachment
q Examine placenta & verify it's intact - Should have 2 arteries & 1 vein
> INTERVENTIONS
q Lengthening umbilical cord
q Gush of blood
q Uterus changes from oval to globular shape
SIGNS OF A PLACENTA DELIVERY
"Shiny Schultz"
Side of baby delivered 1st
DELIVERY MECHANICS
"Dirty Duncan"
Side of mother delivered 1st
2 " A" for Arteries
1 " V" for Vein
CERVIX DILATES FROM 0-10 CM
# STAGE 1
q Promote comfort - Warm shower, massage, or epidural
q Offer fluids & ice chips
q Provide a quiet environment
q Encourage voiding every 1 - 2 hours
q Encourage participation in care & keep informed
q Instruct partner in GH GWTCIG (light stroking of the abdomen)
q Encourage effective breathing patterns & rest between contractions
> INTERVENTIONS
q Cervix dilates : 4 - 7 cm
q Intensity : Moderate
q Contractions : 3 -5 min (30-60 sec in duration)
Active
q Cervix dilates : 8 - 10 cm
q Intensity : Strong
q Contractions : Every 2-3 min (60-90 sec in duration)
Transition
q Cervix dilates : 1- 3 cm
q Intensity : Mild
q Contractions : 15 - 30 mins
Latent (early)
Longest Longest Stage Stage Labor
actively
transitioning >30 min = Retained placenta looks like a smiley face!
> MEMORY MEMORY TRICK TRICK
pushing! pushing! MNEMONIC MNEMONIC
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