The second stage of labor begins with ___ and ends with __?
Stage 2 of labor and delivery process begins with full dilatation of the cervix and ends with the delivery of the baby. Stage 1 begins with true labor pains and ends with full dilatation and effacement of the cervix.
The passageway in labor and delivery of the fetus include the following EXCEPT
The pelvis is a bony structure that is part of the passageway but is not flexible. The lower uterine segment including the cervix as well as the vaginal canal and introitus are all part of the passageway in the delivery of the fetus.
The first thing that a nurse must ensure when the baby’s head comes out is
The nurse should check right away for possible cord coil around the neck because if it is present, the baby can be strangulated by it and the fetal head will have difficulty being delivered.
What are the important considerations that the nurse must remember after the placenta is delivered? 1.Check if the placenta is complete including the membranes 2.Check if the cord is long enough for the baby 3.Check if the umbilical cord has 3 blood vessels 4.Check if the cord has a meaty portion and a shiny portion
The nurse after delivering the placenta must ensure that all the cotyledons and the membranes of the placenta are complete. Also, the nurse must check if the umbilical cord is normal which means it contains the 3 blood vessels: 1 vein and 2 arteries.
At what stage of labor and delivery does a primigravida differ mainly from a multigravida?
In stage 1 during a normal vaginal delivery of a vertex presentation, the multigravida may have about 8 hours labor while the primigravida may have up to 12 hours labor.
The following are correct statements about false labor EXCEPT
In false labor, the contractions remain to be irregular in intensity and duration while in true labor, the contractions become stronger, longer and more frequent.
When doing perineal care in preparation for delivery, the nurse should observe the following EXCEPT
Painting of the perineal area in preparation for delivery of the baby must always be done but the stroke should be from the perineum going outwards to the thighs. The perineal area is the one being prepared for the delivery and must be kept clean
The normal umbilical cord is composed of:
The umbilical cord is composed of 2 arteries and 1 vein.
The mechanisms involved in fetal delivery is
The mechanism of fetal delivery begins with descent into the pelvic inlet which may occur several days before true labor sets in the primigravida. Flexion, internal rotation, and extension are mechanisms that the fetus must perform as it accommodates through the passageway/birth canal. Eternal rotation is done after the head is delivered so that the shoulders will be easily delivered through the vaginal introitus.
To ensure that the baby will breathe as soon as the head is delivered, the nurse’s priority action is to
Suctioning the nose and mouth of the fetus as soon as the head is delivered will remove any obstruction that may be present allowing for better breathing. Also, if mucus is in the nose and mouth, aspiration of the mucus is possible which can lead to aspiration pneumonia. (Remember that only the baby’s head has come out as given in the situation.)
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