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Exam 1 Review Guide Focus of maternity nursing questions with answers,
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Exam 1 Review Guide Focus ofmaternity nursing questions with
answers,
Focus of maternity nursing ANS - Family-centered Care
Safe, high-quality care that recognizes and adapts to both the physical and psychosocial needs of the
family, including the newborn
Goal: foster family unity; maintain physical safety
first stage ANS - Cervical effacement and dilation occurs. Begins with onset of true labor contractions
and ends with complete dilation 10 cm and effacement 100% of the cervix.
latent ANS - last through first 0- 3 cm of cervical dilation
active ANS - cervix dilates from 4-7 cm and at a more rapid rate.
- Effacement of the cervix is completed. the fetus descends in the pelvis
-contractions are about 2 to 5 mins apart, with a duration of about 40 to 60 seconds and an intensity
that ranges from moderate to strong.
transition ANS - cervix dilates from 8-10 cm fetus descends further into pelvis.
discomfort interventions for first stage of labor ANS - Lighting
Temperature
Cleanliness
Mouth care
Bladder
Positioning
Water
, Duration of the latent phase of first stage average ANS - 7.3 to 8.6 hours in nulliparas and average 4.1-
5.3 hours in multiparas.
Position for first stage ANS - sitting upright
-standing
- sitting leaning forward with support
-semi sitting
-side lying
-kneeling, leaning forward with support
Second stage of labor ANS - Expulsion
-Begins with complete dilation and full effacement and ends with the birth of the baby.
positions for second stage of labor ANS - -hands and knees
-squatting
-semi-sitting pushing
-side lying pushing
discomfort interventions for second stage of labor ANS - encouragement
Giving for self
-pharmacologic measures
-caring for the birth partner
-evaluation
third stage of labor ANS - Placental stage
- Begin with the birth of the baby and ends with expulsion of the placenta.
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