Labor Delivery passageway flexion Fetal Altitudes relationship of A.ve B 4hr extension military fetal parts to one another Tephaic Fetal presentation cephalic Breech c sect shoulder Frank folding in half turtle complete footling curled up y single double legs age shoulder dystocia dy Fetal position presenting y c Id m 5 A D part occiput chin sacrum comin process Dorsal back relation to mothers 2 pelvis LIR A PIT Fetal Longitudinal Q relationship between fetal spine t mom's spine Lie oblique to diagonal Transverse Get Fetal station head dropping of fetal t goal into pelvis i schial spine Y baby engaged is at O Stagesoflabastalich 1 cewix dilates 0 10cm 100 to will effacement o Latent get 6cm dilation 40 effaced 10min apart s contractions 30 45 Secs long O positions ambulating birthing hall peanut cm dilate to 6 active phase 40 1008 effacement phase mom mom o to rest contractions calm environment is apprehensive but anxiety 2 3miansart 60 90 secs excited talkative Of no pain meds past Nursing responsibilities keep her comfortable empty bladder 8 10 CM fluids respecting her wishes stage may 3 hrs to up ends stage or to push urge strong tired losing giving up mess w crowning Nursing a bloody snow perineum her encourage reposition immanent birth Fenioning confidence feel like Don't pharm measures mom pushes starts when once babies 2 motive non bulging mom uncontrollable urge to push 1 I ratio rest in between contractions glottis push from the birth of teaching how to push baby delivery of stage 3 5 5 delivery of placenta 30 Mins fetal side Shiny grey side Red Interventions to raw Nsg pl ensure bonding skin Stan U tenne fundus ul g side mom watch for hemorrhage assess vs Apgar sheuldbearnn l stage Y Y hrs after birth Recovery placenta of delivery S adjustment of mom is mins checks q fundus lochia skin skin care ice peri apply pain relief excited Mom feels tired bonding schedule voiding education pt e.LI oring maternal hypotension cord meds opiods compression Bradycardia dehydration tachycardia Drugs infection fever HIN card comp hypoxia variability of 0 absent I 5 irregular fluctuations minimal FUR moderate 6 256pm 725 marked accelerations periodic episodic over is beats abovebaseline pattern over is secs decels benign Early Decelerations compression FHR head Uc mirrors will drop after Uc FAR on a late decels placental insult ends strip variable sudden drops card compression VIN Uterine contractions assess strength t Euc of one Beginning Etat end of to begin contraction contraction contraction titty position of another intensity peak Increase Of fluid decels Core camp Head comp Oxygen Notify Accelerations Oxygenated stop pilocin variables Early Placenta Doc Ce Iac T.IS normal categories accelerations mirrored UC cat II I I Baseline strength of 110 160 milEnoge chin mod badycarfstrong forehea intermediate tachycardia variability marked of minimal feeling late decels uterus Tthonitory baseline absent Ibsent variability late decelfariable Fetal bradycardia decels Sect C immed Doc cat Notify True False Us Labor Traxthicks Ingress overtime dilation no D UC effacement regular abd back in irregular vc felt oc after go might away fruit blood ambulatingposition 0 pom UC only felt in abd a priorities FAR nursing T risk for infection hrs 724 of Labor but signs premonitory nesting Shad D Bloody cervical hicks Braxton lightening srom Fern test Nitramine Fetal monitoring Internal mom ensue has been cardinal movements Every Darn Fool In Egypt eats raw Eggs O station Engagement fetus many darn Descent into pelvic inlet ruptured infection resistancefetus meets Flexin that cause chin to thorax Toco mentor's carhaction Duration freq internal rotation fetus will rotate us head is going Extension to emerge bro nose present Ultrasound Measure FAR External rotates go to rotation manuever use leopold's back to to original position assess baby's back chin find I UPC Expulsion measures pressure of contraction baby caned O Ng PP ya sideof L Bagg duo tf A a L side occiput sacrum acromion chin stage O 8 op optimal back labor 2nd FHR A I 110 mm 6 160 25 2110 160 Tythrs unless she ruptured 92hr5 1 stage 30 60 mins latent phase active phase stage S Is mins 2 stage for a risk moms q Is mins 3 stage 15 30 mins 4 HIT then latent is 30 achve sts f mins t risk Apgarits 9 Is mins for 1st then q zoning hr after stable phase a hr temp mine same as US newborns assessments q mins until stable