Exam (elaborations)
NUR 4445 ( LATEST 2024 / 2025 ) THIRD AND FOURTH STAGES OF LABOR | COMPLETE ANSWERS 100% CORRECT
- Course
- Institution
NUR 4445 ( LATEST 2024 / 2025 ) THIRD AND FOURTH STAGES OF LABOR | COMPLETE ANSWERS 100% CORRECT
[Show more]
Content preview
NUR 4445 Third and Fourth Stages of Labor1. What is the third stage of labor characterized by?
- The third stage of labor lasts from the birth of the baby until the placenta is expelled.
- The placenta has separated and has been delivered
2. What are indications that the placenta has separated (4)?
· Contraction of the uterus - globular shaped uterus and rises in the abdomen
· Gush of blood
· Lengthening of the cord
· Vaginal fullness/urge to push - per mom
3. What medications may be used after the delivery of the placenta (3)?
· Cytotec
· Methergine
· Hemabate
4. How and when do we administer cytotec?
- do not give while pregnant, induces labor
- Given rectally
- Also given PO or vaginally but in situation of atonic uterus and increased bleeding PR for
fastest absorption
5. How do we give Methergine? Who is it contraindicated in?
- Given IM
,- Not given to person with hypertension as it can precipitate a hypertensive crisis!
6. Who is hemabate contraindicated in?
Not for asthmatic patients
7. At what stage of labor should newborn initial care be performed?
Newborn initial care should be done during the third stage of labor.
8. What is included in initial newborn care (5)?
· Placing newborn on abdomen of mother or under radiant-heated unit.
· Dry newborn immediately
· Keep newborn warm with warmed blankets and skin-to-skin contact with mother.
· Suction nose and mouth of newborn as needed - if newborn has a lot of secretions or needs
suctioning place them in modified Trendelenburg position!
· APGAR score
9. What are the requirements for receiving an Apgar score of 0 in the following categories
heart rate, respirations, muscle tone reflex response, skin color?
- Heart Rate
Absent
- Respirations
Absent
- Muscle Tone
, Flaccid
- Reflex Response
Absent
- Skin Color
Pale or blue
10. What are the requirements for receiving an Apgar score of 1 in the fol- lowing categories
heart rate, respirations, muscle tone reflex response, skin color?
- Heart Rate
< 100 bpm
- Respirations
Slow & irregular
- Muscle Tone
Some flexion of extremities
- Reflex Response
Grimace, Noticeable facial movement
- Skin Color
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller gradexam. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
83637 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now