Page 38 - 2023 Elctronic Book (3) Normal Labor_Neat

examination revealed a fundal height of 39 cm, cephalic presentation and 3/5

palpable abdominally. Vaginal examination revealed intact membranes with the

head 1 cm above the ischial spines, occipitoanterior position and the cervix

dilatation 5 cm. There is mild molding and moderate caput succedaneum. She was

commenced on continuous CTG monitoring which showed an initial baseline rate

135 b/m good variability, acceleration and no decelerations. Twenty minutes ago

spontaneous rupture of membranes occurred with clear liquor leaking after doctor

prescribed 2mg prostaglandin suppositories administered into the vagina at 6pm last

night and again at 6am in this morning.

Introduction:

The process of labor and birth involves more than the birth of a new born Numerous

physiologic and psychological events occur that ultimately result in the birth of a

newborn and the creation or expansion of the family. Therefore , labor and birth

require a woman to use all the psychological and physical coping methodsshe was

available. Regardless of the amount of childbirth preparation or the number of times

she has been through the experience before, family focused nursing care is needed

to support the family as they mark the beginning of a new

Learning Outcomes:

At the end of this this session, the student should be able to:

1-Discuss the physiology of the four stages of normal labor.

2-Describe the nursing management of the four stages of normal labor.

3-Discuss the physiological changes of mothers during each stage of normal labor.

4-Apply the nursing process to the care of women in each stage of normal labor.

5-Recognizethe normal characteristics of the newborn baby & identify abnormalities

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