PTS: 1 DIF: Cognitive Level: Analysis REF: Page 799, OBJ: 4 TOP: Effacement KEY: Nursing Process Step: Assessment. Labor is the first stage of childbirth. Here is an example of how the conversation might go: The knee-chest position reduces the pressure on the prolapsed cord. (Contractions last about 30 to 70 seconds.). (Select all that apply.). No interventions are required. The size of the true pelvis needs to be larger. The first stage is the longest of the three stages. List and clearly describe the 4 stages of labor. First stage of labor. When can my child sit in the front seat in Idaho? Contractions become progressively more rhythmic and stronger 5. Your cervix begins to dilate more rapidly and contractions are longer, stronger, and closer together during this phase. Discomfort of the contraction is in the fundus. The keyword is comfort in the question. PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 808. When does the second stage of labor end? How should the nurse document the fetal position? A labor and delivery nurse is trained to handle the necessary monitoring of the patient during this phase of childbirth. What do these symptoms describe? Cooper and Gosnell: Foundations and Adult Health Nursing, 7th Edition. 10.Using Leopold maneuvers to assess fetal position, the nurse finds a soft rounded prominence at the level of the fundus, a hard round prominence just above the symphysis pubis, and nodulations on the left side of the uterus. PTS: 1 DIF: Cognitive Level: Application REF: Page 799. 29.For the first hour following delivery, how often should the nurse assess the mother? Late in the dilation stage, the amniochorionic membrane inside the mother's uterus, which is a sac that contains amniotic fluid, may break or rupture. PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 800, OBJ: 5 TOP: True pelvis KEY: Nursing Process Step: Implementation. True labor contractions are regular and rhythmic. What are the four stages of labor quizlet? PTS: 1 DIF: Cognitive Level: Application REF: Page 815. Early and later symptoms and signs of labor and delivery are unique to each woman. Learn vocabulary, terms, and more with flashcards, games, and other study tools. The upper portion of the uterus provides the force during contractions. 1.A woman who is 38 weeks pregnant tells the nurse that the baby has dropped and she is having urinary frequency again. How much does a construction company owner make a year? 23.A primigravida patient is admitted to the labor and delivery unit. PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 809. Use this guide to learn more about specific medications used during labor and delivery. 16.The patients membranes have just ruptured. The amount of time spent in each stage of delivery will vary. 26.Why is oxytocin administered in the third stage of labor? 20.A mother is in early labor and asks the nurse how long the labor will last. Normal labor Emanuel Friedman in his elegant treatise on labor (1978) stated correctly that "the clinical features of uterine contractions namely frequency, intensity, and duration cannot be relied upon as measures of progression in labor nor as indices of normality. Spicy foods. What is the longest stage of the birth process? PTS: 1 DIF: Cognitive Level: Application REF: Page 812. 9.What is the ideal attitude for the fetal body during labor? What Apgar score should be assigned to this infant? Your cervix will dilate from 4cm to 7cm. How many bones do you break giving birth? PTS: 1 DIF: Cognitive Level: Analysis REF: Pages 817, 819, 33.A pregnant woman is discussing her desire to have her baby in a birthing center. As estrogen begins to stimulate uterine contractions, the uterus also produces hormones called prostaglandins. Acupressure. The second stage is when the baby moves down through the vagina and is born. The size and shape of the true pelvis is more important than the false pelvis because the fetal head must be able to pass through for vaginal delivery to occur. Afterbirth. PTS: 1 DIF: Cognitive Level: Analysis REF: Pages 803, 804, Figure 26-5, KEY: Nursing Process Step: Assessment MSC: NCLEX: Health Promotion and Maintenance. If this is your first pregnancy, labor and delivery usually lasts about 12 to 14 hours. The narrow outlet of the android-type pelvis usually requires a cesarean delivery. What do these symptoms describe? Most healthy pregnant women with no risk factors for problems during labor or delivery have their babies vaginally. What action should the nurse take based on the assessment? 22.During labor, the patient screams at her husband to get out of her sight. There are many different types of careers to choose from in labor and delivery that deal with the care of pregnant mothers and newborn babies. If you haven't headed to your labor and delivery facility yet, now's the time. This indicates early decelerations because of head compression. This pain can be felt as strong cramping in the abdomen, groin, and back, as well as an achy feeling. Consequently, what are the 3 stages of birth quizlet? Birth: Stage 1-Labor. There are four stages of labor. The largest transverse diameter of the fetal skull is the biparietal measurement. Membrane stripping. First stage: This starts with contractions and your cervix dilating and ends when your cervix is fully open. The charge nurse will need to be notified, and the contractions will need to be monitored. Engagement occurs when the biparietal diameter, which is the widest part of the fetal head, crosses the pelvic inlet. 25.A mother has entered the second stage of labor. Your career 1 DIF: Cognitive Level: Application REF: Page 812 depicts the position. 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