Nursing care during labor and birth

Created by daisyd23 

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Stopped at slide 11

Issues for new nurses

-Pain associated with birth
-Inexperience or negative experience
-Unpredictability
-Intimacy

Admission to the birth center

-Conveying confidence in the woman and her support person
-Assigning a primary nurse
-Using touch for comfort
-Respecting cultural values

Admission assessment includes:

-FOCUS ASSESSMENT
Determine whether birth is imminent
-DATABASE ASSESSMENT
Assess fetal well-being,
Determine status of labor
-PHYSICAL EXAM

Admission procedures include:

-Notify relevant staff
-Obtain consent
-Establish IV access, draw labs
-Perineal prep/enema per MD order
-Educate your client and family

Assessments after admission include:

*Fetal assessments
*Amniotic fluid
*Assess maternal vital signs
*Assess contraction pattern
*Progress of labor
*I&O
*Response to labor
*Supports persons response to labor

Application of the nursing process: Early labor

*Assessment
(evaluate status, determine discharge or
admission)
*Analysis
*Planning
*Interventions
(provide reassurance, teach guidelines)
*Evaluation

Application of the nursing process: True Labor

*Fetal assessment at frequent intervals
*Maternal assessment
*Analysis
*Planning
*Interventions
*Evaluation

The Pain of Labor

*Assessment
*Analysis (choices, anxiety)
*Planning
*Interventions
-comfort measures
-teaching
-encouragement
-giving of self
-offering drugs
-caring for birth partner
*Evaluation

Preventing injury

*Assessment: anticipate birth time/prepare
*Analysis: vulnerable before & after delivery
*Planning: avoid or minimize injury
*Interventions: positioning, perineum, fetus
*Evaluation

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