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- Maternal-Newborn and Child Nursing
- London, Ladewig, Ball, & Bindler
- Prepared by Mary Ann Gagen, Professor of Nursing
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- Critical Factors in Labor
- The birth passage
- The fetus
- The relationship between the passage and the fetus
- Primary forces of labor
- Psychosocial considerations
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- Implications of Pelvic types for Labor and Delivery
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- Attitude
- Lie
- Presentation
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- Engagement
- Station
- Fetal position
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- Primary
- Secondary
- Phases of Contractions
- Characteristics of contractions
- Frequency
- Duration
- Intensity
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- Motivation for pregnancy
- Support
- Preparation
- Trust in staff
- Maintaining control
- Cultural influences
- Table 15-3
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- Premonitory signs of labor
- Lightening or quickening
- Braxton Hicks Contractions
- Cervical changes
- Bloody show
- Rupture of membranes
- Sudden burst of energy
- Other: diarrhea, nausea, etc
- True vs False Labor
- Table 15-4: p 321
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- First stage
- Second stage
- Crowning
- Positional changes of the fetus
- Table 15-5: Characteristics of Labor, p 323
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- Third stage
- Placental separation
- Placental delivery
- Fourth stage
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- Maternal responses to labor
- Cardio, B/P
- Respiratory
- Renal, GI
- Immune/blood
- Pain
- Fetal responses
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- Admission assessment
- Data Collection
- Assessments
- Assessment Guide, pp 335 - 339
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- Evaluating labor progress
- Leopold’s Maneuvers
- FHR and Pattern
- Accelerations
- Decelerations
- Early
- Late
- Variable
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- Contractions
- Frequency
- Intensity
- Duration
- Vaginal exam
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- Nursing management
- The admission process
- The first stage of labor
- Family expectations
- Cultural beliefs
- Promotion of comfort
- Clinical Pathways
- pp355 - 357
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- Nursing management
- Second stage
- Third stage
- Initial care of newborn
- Apgar
- Umbilical cord
- Warmth
- Newborn identification
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- Nursing management
- Fourth stage
- Enhancing attachment
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