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MATERNAL
NEWBORN
NURSING
Physiological changes that precede labor
• Backache
• Weight loss ( 1-3 pounds)
• Lightening (feeling that baby has dropped lower in pelvis)
• Contractions (Irregular Braxton Hicks contractions that
become stronger and more regular).
• Bloody show (brown
or
bloody mucus discharge)
• Energy burst
•
GI
upset
• Rupture
of
membranes (clear, watery fluid; Amniotic fluid
will cause Nitrazine paper to tum BLUE, paper remains
yellow with urine).
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MATERNAL NEWBORN NURSING
Stages
of
Labor
First
Stage: Begins with onset
of
labor, ends with complete
dilation.
• Latent Phase: Cervix 0-3cm ;
mild
to
moderate contractions ;
mom is talkative and eager.
• Active Phase: Cervix 4-?cm; moderate
to
strong contractions;
mom
1s
anxious, restless, feeling helpless.
• Transition: Cervix 8-10cm; strong
to
very strong contractions;
mom
feels need to push
or
have a bowel movement (i.e.
rectal pressure), feels like she "cannot continue".
Second Stage: Full dilation to birth
of
baby.
Third
Stage: Delivery
of
baby to delivery
of
placenta.
Fourth
Stage
: Delivery
of
placenta to stabilization
of
maternal vital signs.
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MATERNAL NEWBORN NURSING
5 P's
Passenger: Consists
of
fetus and placenta.
• Presentation (head, chin, shoulder, breech)
• Lie (transverse, parallel/longitudinal)
• Attitude (fetal flexion, fetal extension)
• Position : Label with three letters:
o Right (R) or Left (L)
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o Occiput
(0),
Sacrum (S), Mentum (M), or Scapula (Sc)
o Anterior (A), Posterior (P), or Transverse (T)
5'
• Station (station O is at level
of
ischial spines) !
Passageway: Birth canal
Powers: Uterine contractions, resulting
in
effacement, dilation. 8
Position: Upright, sitting, kneeling, squatting promotes fetal descent.
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