NURS 3590 Study Guide - Midterm Guide: Earlobe, Trilobite, Uterus

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Unpredictable, vary in intensity and frequency, not progressive or increasing in intensity or frequency. Contractions continue or become more intense with change in activity. Contractions go away with change in activity or position or time. Know labor stages & phases and appropriate interventions: ripen cervix feels like earlobe, softer and thinner it is, the readier it is. First stage: onset of regular contractions to full dilation of the cervix, beginning to 10 cm dilation: phases during the first stage, latent (early) 0-4 cm dilation. Contractions are mild, q2-3 minutes, 40-60 seconds: active (get active) 5-7 dilation. Contractions are 2 minutes apart, moderate, 60 seconds: transition (almost there) 8-10cm dilation. Contractions 1 minute apart, lasting 60-90 seconds. Second stage: 10 cm dilation of the cervix to the birth of the baby: no pushing until dilated to 10, labor down rest and calm.