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Stopped at slide 11

Issues for new nurses

-Pain associated with birth
-Inexperience or negative experience

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:

Determine whether birth is imminent
Assess fetal well-being,
Determine status of labor

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
*Response to labor
*Supports persons response to labor

Application of the nursing process: Early labor

(evaluate status, determine discharge or
(provide reassurance, teach guidelines)

Application of the nursing process: True Labor

*Fetal assessment at frequent intervals
*Maternal assessment

The Pain of Labor

*Analysis (choices, anxiety)
-comfort measures
-giving of self
-offering drugs
-caring for birth partner

Preventing injury

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

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