NUR 413 Lecture Notes - Lecture 6: Clinical Urine Tests, Nursing Assessment, Trilobite
6 May 2020
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Lecture 6: nursing care in labor & delivery. Medical/ob hx & prenatal records: gestation, stis, labs, gtpal. Labor status: ctxs, dilation (4 cm, effacement, membranes (ruptured, station. Fetal status: fhr, presentation, position, activity. Psychosocial: getting to know your pt, preparation, coping/response to labor, support. First thing do is have them empty bladder: helps with ctxs, can help you screen. Glucose: 1+, 2+ or greater, diabetes. What usually brings them into the hospital. 511 contraction pattern: every 5 minutes, lasting 1 minute, pattern persists for 1 hr, interview pt in between ctxs. How to time contractions: duration: beginning to end of one contraction, frequency: beginning of one contraction to the beginning of the next contraction. Tocotransducer: external, frequency, duration, can"t measure strength of ctxs. Internal uterine pressure catheter (iupc: internal, rare, after rom, 3 cm dilated, accurate measurement of intensity & resting tone. Normal gradient: stronger at the fundus, minimal at the cervix. Monday, march 30, 2020: effacement, delivery of fetus.
