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  • SDL 2 1

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    LOPEZ, MARY GRACE F.
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    This document provides information about the stages of labor and delivery in 4 stages: 1) The first stage includes the latent, active, and transition phases measured by cervical dilation and duration of contractions. 2) The second stage begins with full cervical dilation until delivery of the fetus. 3) The third stage occurs after delivery of the fetus and ends with delivery of the placenta, which can separate either circumcentrically or marginally. 4) The fourth stage involves monitoring the vital signs of the mother and newborn for an hour after delivery to promote bonding. The document also lists Leopold's maneuvers, fetal and maternal danger signs during labor, and instructs students to

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    This document provides information about the stages of labor and delivery in 4 stages: 1) The first stage includes the latent, active, and transition phases measured by cervical dilation and duration of contractions. 2) The second stage begins with full cervical dilation until delivery of the fetus. 3) The third stage occurs after delivery of the fetus and ends with delivery of the placenta, which can separate either circumcentrically or marginally. 4) The fourth stage involves monitoring the vital signs of the mother and newborn for an hour after delivery to promote bonding. The document also lists Leopold's maneuvers, fetal and maternal danger signs during labor, and instructs students to

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    Download as docx, pdf, or txt
    0 views4 pages

    SDL 2 1

    Uploaded by

    LOPEZ, MARY GRACE F.
    This document provides information about the stages of labor and delivery in 4 stages: 1) The first stage includes the latent, active, and transition phases measured by cervical dilation and duration of contractions. 2) The second stage begins with full cervical dilation until delivery of the fetus. 3) The third stage occurs after delivery of the fetus and ends with delivery of the placenta, which can separate either circumcentrically or marginally. 4) The fourth stage involves monitoring the vital signs of the mother and newborn for an hour after delivery to promote bonding. The document also lists Leopold's maneuvers, fetal and maternal danger signs during labor, and instructs students to

    Copyright:

    © All Rights Reserved
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    of 4

    SCHOOL OF HEALTH AND ALLIED HEALTH SCIENCES

    Nursing Department

    SELF-DIRECTED LEARNING 2 (CLINICAL AREA)

    Name: ________________________________________ Group: _____ Date:________

    I. Complete the needed data on Stages of Labor and Delivery.

    STAGES OF LABOR

    I. ______________________
    II. ______________________
    III. _____________________
    IV. _____________________

    1st Stage
    _______________________

    • Measured from ______________________________________________________________________

    Phases Duration of Contractions Cervical Dilatation Duration

    Latent _________ seconds _________ cm Nullipara: _____ hours

    - mild and short Multipara: ____ hours

    Active

    - stronger and longer _________ seconds _________ cm Nullipara: _____ hours


    - true discomfort
    Multipara: ____ hours

    Interval: _____ minutes

    Transition

    - at peak intensity _________ seconds _________ cm Until full cervical dilatation

    Interval: _____ minutes

    2nd Stage
    _____________________________

    • from ___________________________________________________:

    1
    • _______________:
    – fetal head pushes against the perineum, the vaginal introitus opens and the fetal scalp appears at the
    opening to the vagina
    Cardinal Movements of Labor
    • E - ______________________________________
    • D - ______________________________________
    • F - ______________________________________
    • I - ______________________________________
    • E - ______________________________________
    • E - ______________________________________
    • E - ______________________________________
    3rd Stage
    ______________________________

    • Duration: ___________________

    Types of Placental Separation:

    ____________ - separation begins in the center and fold unto themselves


    - appears shiny and glistening from the fetal membranes

    ____________ - placenta separates at its edges, delivered with maternal surface exposed
    - appears red, raw and irregular from the ridges that separate the blood collection spaces

    Signs of Placental Separation:

    1. _____________________________________________
    2. _____________________________________________
    3. Calkin’s sign – _________________________________

    4th Stage
    __________________________

    • ______ hour after delivery


    • Monitor vital signs every ______ minutes for 1 hour
    • Primary activity is stabilizing the status of the neonate and mother
    • Focus is on promoting maternal-neonatal bonding

    LEOPOLD’S MANEUVER
    Maneuver Procedure Purpose

    First Maneuver

    2
    Second Maneuver

    Third Maneuver

    Fourth Maneuver

    II. Explain the possible indications to the following:

    Fetal danger signs of labor:

    a. High or low Fetal Heart Rate

    b. Meconium Staining

    c. Hyperactivity

    d. Low Oxygen Saturation

    Maternal danger signs of labor:

    a. High or low blood pressure

    b. Abnormal pulse

    3
    c. Inadequate or prolonged contractions

    d. Abnormal lower abdominal contour

    e. Increasing apprehension

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