Page 196 - ترم ثاني كتاب تمريض صحة الام الكتروني

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may be apprehensive about it, particularly if this is her first infant.
•The nurse should ask the woman about her Maternal Health Card, show her the
labor room, and help her undress and get into bed.

•Admission should be carried out as quickly as possible.
Assessment

1-Taking the history of labor:
• Ask the woman why she has come to the hospital and review the history
from her Maternal Health Card.
Determine whether the woman is in labor or not through the presence of the

following signs:
• Uterine contractions: Ask the woman when true contractions began, how

often they are coming and how long they last.
• Show: Ask the woman if she had a blood stained mucous discharge and
examine her underclothes.

• Membranes: Ask the woman if she had a gush of fluid ? If she is not sure,
use litmus papers and smell it to exclude urine. If membranes are ruptured, record
the time of rupture.

• Sleep, rest and food: Ask the woman if she has had enough rest and sleep,
and if she has had food within 6 hours? If yes, it should be recorded and taken
into consideration.

• Ask the woman ·about her previous labor history and her present
pregnancy.

• Bladder and bowel: Ask the woman if she has passed urine or stool?
Examination of woman in labor: Explain all the procedures to the woman and inform
her of the results.

2-General examination:
• The woman's general manner will indicate how she is coping with labor.

• Observe the woman's general condition such as build and stature, limb,
deformity and appearance. Pallor indicates infection and dehydration.
• Temperature, pulse, respiration and blood pressure should be taken
between contractions and recorded. If temperature is high, isolate the woman.

.

• Inspect any edema

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