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INTRAPARTAL NURSING ASSESSMENT

INTRAPARTAL NURSING ASSESSMENT. Developed by D . Ann Currie, R.N., M.S.N. INTRAPARTAL MATERNAL ASSESSMENT. REVIEW PRENATAL DATA HISTORY AND INTRAPARTAL RISK SCREENING ASSESSMENT OF LABOR PHYSICAL ASSESSMENT FETAL ASSESSMENT PSYCHOSOCIAL ASSESSMENT. INTRAPARTAL MATERNAL ASSESSMENT.

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INTRAPARTAL NURSING ASSESSMENT

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  1. INTRAPARTAL NURSING ASSESSMENT Developed by D. Ann Currie, R.N., M.S.N.

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

  3. INTRAPARTAL MATERNAL ASSESSMENT • CONT. • CULTURAL ASSESSMENT • LEARNING NEEDS ASSESSMENT • LABORATORY AND DX TESTS

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

  5. HISTORY AND INTRAPARTAL RISK SCREENING • PHYSICAL • PSYCHOSOCIAL • CULTURAL • PRENATAL CARE

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

  7. 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

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

  9. CONTRACTION ASSESSMENT • METHODS • CONTRACTION CHARACTERISTICS

  10. METHODS OF CONTRACTION ASSESSMENT • PALPATION • ELECTRONIC-EFM • INTERNAL • EXTERNAL

  11. CONTRACTION CHARACTERISTICS • FREQUENCY • DURATION • INTENSITY • RESTING PERIOD • RESTING TONE (TONUS)

  12. Contractions

  13. CERVICAL ASSESSMENT • VAGINAL EXAMINATION • DILATATION • EFFACEMENT

  14. Effacement

  15. Effacement

  16. FETAL POSITION AND STATION • LEOPOLD’S MANEUVER • VAGINAL EXAMINATION • FETAL POSITION • FETAL STATION • DX TESTS

  17. Figure 23–7 Leopold’s 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. Leopold’s Maneuver

  18. Leopold’s Maneuver

  19. Leopold’s Maneuver

  20. Leopold’s Maneuver

  21. Fetal Station

  22. MEMBRANE STATUS ASSESSMENT • FHR • COLOR • TIME • AMOUNT • PH • METHODS

  23. PHYSICAL ASSESSMENT • HEAD TO TOE ASSESSMENT • VAGINAL EXAMINATION • VITAL SIGNS • PREECLAMPSIA SCREENING

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

  25. FETAL HEART RATE TERMINOLOGY • BASELINE FETAL HEART RATE • BASELINE FETAL HEART VARIABILITY • ACCELERATIONS • DECELERATIONS

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

  27. LABORATORY AND DX TESTS • PRENATAL LABS &DX TESTS • CBC • UA • STI’S-RPR,HIV,HEP B,&GBS • EFM • OTHER

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