NSG 3111 Lecture Notes - Lecture 3: Cervical Dilation, Nursing Assessment, Trilobite
23 Feb 2018
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Combination of many factors: hormones produces by fetal hypothalamus, pituitary and adrenal cortex, progressive uterine distensions. Sings/symptoms of approaching labour: lightening: effects associated with engagement (ex. 1st: onset of regular contractions to full cervical dilation and effacement (labour stage) Active phase: cervix dilates from 4 to10cm, contractions increasing in frequency & intensity, (q 2-5 minutes, lasting 40 to 90 seconds, contractions are moderate to very strong. Increased rate of fetal descent: more rapid cervical dilation, duration 3-6 hours, cervix can dilate >1cm/hour, nausea/vomiting (decreased gastric emptying time, may fear loss of control, pain threshold usually reached during this phase (may request pain relief) Less likely to start intervening (give meds, increase contractions) better for. This is the stage they would be asking for something for relief. This is when we went pts to be admitted active stage of lab our: on admission complete assessment them to go in to their labor naturally. Assess where she is in process of labour.
