First stage of labor - Remediation for Maternal Newborn ATI exam. PDF

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Summary

Remediation for Maternal Newborn ATI exam....

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ACTIVE LEARNING TEMPLATE:

Basic Concept

Celeste Godfrey ST UDENT NAME _____________________________________ First Stage of Labor (and Substages) CONCEPT ______________________________________________________________________________

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Underlying Principles

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

1. Latent Stage - cervical dilation is 0-4 cm - contractions are every 15-30 minutes lasting 30-45 seconds each - duration of this stage can vary but may last up to 20 hrs - the mother will appear alert, excited, verbalizes their concerns, may even relax or sleep 2. Active Stage - cervical dilation is 4-7 cm - contractions are every 3-5 minutes lasting approx 60 seconds each - water may have already broken or may break in this stage - duration of this stage can be 4-8 hours. This is when most mothers should go to the hospital. - the mother may be anxious, restless, need pain relief, using breathing techniques 3. Transition Stage - this stage is the shortest but the most intense. - cervical dilation is 7-10cm - contractions are 2-3 minutes apart and lasting 60-90 seconds. - This stage may take 30 min to 2 hours. - the mother may be restless, agitated, or concentrating on the labor. She may report pressure on her rectum.

ACTIVE LEARNING TEMPLATES

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Nursing Interventions WHO? WHEN? WHY? HOW?

This is the first of 4 stages of labor. Stage one begins when mom is experiencing regular contractions until the cervix is fully dilated and effaced.

Nursing Care for Latent Stage: Encourage ambulation, guide/encourage breathing techniques, perform leopold's maneuvers to assess fetal presentation.

This stage takes longer for first time mothers. Nursing Care for Active Stage: provide counter-pressure on the sacral area, support with pillows, or provide back rubs with consent. Talk through the contractions. Assist with position changes or ambulation to the bathroom ( a full bladder may hinder contractions) Initiate hydrotherapy, if requested Offer, explain, and administer pain medications Monitor vital signs for both mother and baby.

Nursing Care for Transition stage: Stay with the mother! Encourage relaxation and breathing, teaching her to pant (this avoids pushing prematurely). Monitor vital signs for mother and baby. Prepare for birth....