Nursing care during labor and birth
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Created by:
daisyd23 Plus on September 22, 2011
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9 terms
Terms | Definitions |
|---|---|
 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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