Active Learning Template Basic Concept PDF

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ACTIVE LEARNING TEMPLATE:

Basic Concept

Erika Panol ST UDENT NAME _____________________________________ Stages and phases of labor CONCEPT ______________________________________________________________________________

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Underlying Principles

(E.G., DELEGATION, LEVELS OF PREVENTION, ADVANCE DIRECTIVES)

First stage of labor. Thinning and opening of the cervix. This is called effacement and dilatation. While the cervix is dilating the doctor will check for the opening in centimeters. Latent phase: The cervix opens about 4 cm, pt can spend this time at home. Patient can do regular activities until a clear contraction can be notice. Active phase: The cervix opens up to 7 cm, the patient should contact provider and got to the hospital. Contractions should be felt every 3 to 4 minutes and should last about 60 seconds. Transition phase: Most painful part of labor, the cervix opens up to 10 cm. Contractions last for 60-90 seconds and come every 2-3 minutes. Painful, urge to push, increase rectal pressure

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REVIEW MODULE CHAPTER ___________

Nursing Interventions WHO? WHEN? WHY? HOW?

On the first stage there will be some dilatation, the patient does not feel more pressure, as the dilatations progresses and the fetal goes down the patient will feel less able to control pain and breathing, she will feel anxious and restless. When she is on the transition stage the patient will experience nausea and vomiting, the urge to push, and will be irritable, this is the most difficult part of labor.

The blood pressure and pulse should be asses at least every 15 minutes for the first 2 hours after birth and the temperature every 4hr for the first 8 hr. Assess the fundus and lochia every 15 minutes for the 1st hr massage the uterine fundus and administer oxytocics to prevent hemorrhage Assess the perineum, and provide comfort. Encourage voiding to prevent bladder distention Promote maternal/newborn bonding.

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