Stages of Labor correct answers Dilation, expulsion, placental stage
Third Stage ( placental Stage) correct answers From delivery of infant to delivery of
placenta
-After delivery of the neonate,uterus can be felt as a round mass ,just below the level of
the umbilicus .After a few minutes of rest ,uterine contractions begin again and the
organs assume a discoid shape until the placenta has separated approximately 5 min
after the birth of the infant.
-5 to 30 minutes duration,
-Schultze presentation -80%
If the placenta separates first at its center and last at it edges,it tends to fold onto itself
like an umbrella and presents at the vaginal opening with the fetal surface evident
-shiny and glistening from the fetal membranes
Duncan presentation correct answers placenta separates first at its edges,it slides
along the uterine surface and presents at the vagina with the maternal surface evident.
-raw, red,irregular with the ridges or cotyledons that separate blood collection spaces
Normal blood loss is 300 to 500 ml
Signs of Placental Separation correct answers G - sudden Gush of blood
•U - Uterus changes from discoid to globular
•R - Rising of the fundus
(Calkin's sign)
•L - Lengthening of the cord
•A- appearance of the placenta at the vaginal
opening
Placental expulsion by natural bearing down or gentle pressure on the fundus of the
contracting uterus (Crede's maneuver)
Nursing Care correct answers Assess for placental separation
•Inspection of placenta(Duncan/Schultze)
•Monitor VS
•Initiate breastfeeding
•Administer oxytocin as ordered
•Sending cord blood to laboratory if the mother is blood type O or Rh-negative
•Allow bonding
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