INTRAPARTAL NURSING ASSESSMENT

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INTRAPARTAL NURSING ASSESSMENT

• Developed by
• D. Ann Currie, R.N., M.S.N.

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(No Transcript)
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INTRAPARTAL MATERNAL ASSESSMENT

• REVIEW PRENATAL DATA
• HISTORY AND INTRAPARTAL RISK SCREENING
• ASSESSMENT OF LABOR
• PHYSICAL ASSESSMENT
• FETAL ASSESSMENT
• PSYCHOSOCIAL ASSESSMENT

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INTRAPARTAL MATERNAL ASSESSMENT

• CONT.
• CULTURAL ASSESSMENT
• LEARNING NEEDS ASSESSMENT
• LABORATORY AND DX TESTS

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REVIEW PRENATAL DATA

• OBTAIN PRENATAL RECORD FROM HEALTH CARE PROVIDER
• REVIEW PRENATAL RECORD
• CLARIFY AREAS
• COMPLETE MISSING INFORMATION
• NO PRENATAL CARE

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HISTORY AND INTRAPARTAL RISK SCREENING

• PHYSICAL
• PSYCHOSOCIAL
• CULTURAL
• PRENATAL CARE

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ASSESSMENT OF LABOR

• CLINCAL MANIFESTATIONS OF LABOR
• CONTRACTION ASSESSMENT
• CERVICAL ASSESSMENT
• FETAL POSITION AND STATION ASSESSMENT
• MEMBRANE STATUS ASSESSMENT

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CLINICAL MANIFESTATIONS OF LABOR

• PREMONITORY SIGNS OF LABOR- LIGHTENING,BRAXTON
  HICKS CONTRACTION,CERVICAL RIPENING,BLOODY
  SHOW,ROM,BURST OF ENERGY,WT LOSS,BACKACHE,GI
  PROBLEMS,LEG PAIN
• TRUE VS FALSE LABOR

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STAGES OF LABOR

• FIRST STAGE OF LABOR-LATENT PHASE,ACTIVE
  PHASE,AND TRANSITION PHASE.
• SECOND STAGE
• THIRD STAGE
• FOURTH STAGE

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CONTRACTION ASSESSMENT

• METHODS
• CONTRACTION CHARACTERISTICS

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METHODS OF CONTRACTION ASSESSMENT

• PALPATION
• ELECTRONIC-EFM
• INTERNAL
• EXTERNAL

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CONTRACTION CHARACTERISTICS

• FREQUENCY
• DURATION
• INTENSITY
• RESTING PERIOD
• RESTING TONE (TONUS)

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Contractions
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CERVICAL ASSESSMENT

• VAGINAL EXAMINATION
• DILATATION
• EFFACEMENT

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Effacement
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Effacement
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FETAL POSITION AND STATION

• LEOPOLDS MANEUVER
• VAGINAL EXAMINATION
• FETAL POSITION
• FETAL STATION
• DX TESTS

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Figure 237 Leopolds maneuvers for determining
fetal head position, presentation, and lie. NOTE
Many nurses do the fourth maneuver first to
identify the part of the fetus in the pelvic
inlet.
Leopolds Maneuver
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Leopolds Maneuver
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Leopolds Maneuver
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Leopolds Maneuver
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Fetal Station
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MEMBRANE STATUS ASSESSMENT

• FHR
• COLOR
• TIME
• AMOUNT
• PH
• METHODS

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PHYSICAL ASSESSMENT

• HEAD TO TOE ASSESSMENT
• VAGINAL EXAMINATION
• VITAL SIGNS
• PREECLAMPSIA SCREENING

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FETAL ASSESSMENT

• FETAL HEART RATE
• METHODS OF ASSESSMENT
• FETAL HEART PATTERN TERMINOLOGY

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FETAL HEART RATE TERMINOLOGY

• BASELINE FETAL HEART RATE
• BASELINE FETAL HEART VARIABILITY
• ACCELERATIONS
• DECELERATIONS

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LEARNING NEEDS ASSESSMENT

• EXPERIENCE
• BIRTHPLAN
• CHILDBIRTH CLASS/METHOD
• PAIN MANAGEMENT
• PROCEDURES AND TESTS
• SUPPORT PERSON LEARNING NEEDS

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LABORATORY AND DX TESTS

• PRENATAL LABS DX TESTS
• CBC
• UA
• STIS-RPR,HIV,HEP B,GBS
• EFM
• OTHER