NUR1 233 Chapter Notes - Chapter 18: Glucose, Amniotic Sac, Hemoglobin
Document Summary
Chapter 18: nursing care during labor and birth. Beings with onset of regular uterine contractions and ends with compelte cervical effacement and dilation. Occur regularly, becoming stronger, lasting longer, and occuring closer together. Fel tin lower back, radiating to lower portion of abdomen. Continue despite use of comfort measures: cervix. Shows progressive change (softening, effacement and dilation bloody show) Moves to increasingly anterior position: fetus. Presenting part usually becomes engaged in pelvis. Presenting part presses downward and compressess the bladder urinary frequency. Warm baths: avoided until cervix 4-5cm dilated because water immersion in early labor can prolong labor process and increase use of oxytocin to stimulate uterine contractions and epidural analgesia for pain reduction. Admission to labor unit: assessment top priority, screening assessment: techniques of interview and physical assessment review lab and diagnostic test findings to determine health status of woman and her fetus and progress of labor.