16 hours ago See Page 1. The nurse has received report regarding her patient in labor. The woman's last vaginal examination was recorded as 3 cm, 30%, and ?2-2. The nurse'sinterpretation of this assessment is that: The cervix is 3 cm dilated, it is effaced 30%, and the presenting part is 2 cm above the ischial spines. The correct description of the vaginal ... >> Go To The Portal
The woman’s last vaginal examination was recorded as 3 cm, 30%, and -2. The nurse’s interpretation of this assessment is that: a. The cervix is effaced 3 cm, it is dilated 30%, and the presenting part is 2 cm above the ischial spines.
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A woman in labor has just received an epidural block. The most important nursing intervention is to: A nurse is caring for a client in labor. The nurse documents that the client is beginning the second stage of labor when which of the following assessments is noted?
With regard to fetal positioning during labor, nurses should be aware that: a. Position is a measure of the degree of descent of the presenting part of the fetus through the birth canal. b. Birth is imminent when the presenting part is at +4 to +5 cm, below the spine.
These are essential in promoting the strength that the mother would need during delivery.
Second stage of labor. This stage starts at full cervical dilatation until the birth of the infant. The woman may experience an uncontrollable urge to push and bear down with every contraction. Crowning or the appearance of the fetal head on the vaginal opening occurs.
If there is no cervical ripening, there would be no dilatation and coordination of uterine contractions. To determine whether the cervix is ripe, Bishop established criteria for scoring the cervix. If the woman’s score is 8 or greater, the cervix is already ready or birth and would respond to induction.
The active phase occurs when cervical dilatation is at 4 to 7 cm and contractions last from 40 to 60 seconds with 3 to 5 minutes interval. The transition phase occurs when contractions reach their peak with intervals of 2 to 3 minutes and dilatation of 8 to 10 cm.
Use of an infusion pump is recommended to regulate the infusion rate and make sure that the rate would not change even if the woman moves.
Oxytocin is usually mixed with Ringer’s lactate, 10 units of oxytocin in 1000 mL of Ringer’s lactate. The infusion could also be administered piggyback to a maintenance IV solution, so that if the infusion would be discontinued, the main IV line could still be maintained.
The signs of placental expulsion are lengthening of the umbilical cord, sudden gush of vaginal blood, changes in the shape of the uterus and its firm contraction, and the appearance of the placenta at the vaginal opening.
Labor is defined as a series of rhythmic, involuntary, progressive uterine contraction that causes effacement and dilation of the uterine cervix. The process of labor and birth is divided into three stage.
There are instances where labor doesn’t start on it’s own so when the risks of waiting for labor to start are higher than the risks of having a procedure to get labor going, inducing labor may be necessary to keep the woman and baby healthy.
Prenatal education can facilitate the labor and delivery process, assist the client in maintaining control during labor, help promote a positive attitude, and may decrease reliance on medication.
The nursing care plan for a woman in labor includes providing information regarding labor and birth, providing comfort and pain relief measures, monitoring mother’s vital signs and fetal heart rate, facilitating postpartum care, and preventing complications after birth.
These are characteristics associated with TRUE labor: Felt in the back and radiate to the abdomen, increase in intensity, and are consistent (hence regular). 3. You’re assessing a pregnant patient who is 38 weeks pregnant for signs of labor.
The cervix is 90% effaced and dilated to 4 cm. 2. The contractions associated with true labor tend to have what type of characteristics: Select all that apply *. 3. You’re assessing a pregnant patient who is 38 weeks pregnant for signs of labor.