INTRAPARTAL NURSING ASSESSMENT Developed by D. Ann Currie, R.N., M.S.N.
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Transcript of INTRAPARTAL NURSING ASSESSMENT Developed by D. Ann Currie, R.N., M.S.N.
INTRAPARTAL INTRAPARTAL NURSING NURSING ASSESSMENTASSESSMENT
Developed by Developed by
D. Ann Currie, R.N., M.S.N.D. Ann Currie, R.N., M.S.N.
INTRAPARTAL INTRAPARTAL MATERNAL MATERNAL ASSESSMENTASSESSMENT REVIEW PRENATAL DATAREVIEW PRENATAL DATA HISTORY AND INTRAPARTAL RISK HISTORY AND INTRAPARTAL RISK
SCREENINGSCREENING ASSESSMENT OF LABORASSESSMENT OF LABOR PHYSICAL ASSESSMENTPHYSICAL ASSESSMENT FETAL ASSESSMENTFETAL ASSESSMENT PSYCHOSOCIAL ASSESSMENTPSYCHOSOCIAL ASSESSMENT
INTRAPARTAL INTRAPARTAL MATERNAL MATERNAL ASSESSMENTASSESSMENT CONT.CONT. CULTURAL ASSESSMENTCULTURAL ASSESSMENT LEARNING NEEDS ASSESSMENTLEARNING NEEDS ASSESSMENT LABORATORY AND DX TESTSLABORATORY AND DX TESTS
REVIEW PRENATAL REVIEW PRENATAL DATADATA OBTAIN PRENATAL RECORD FROM OBTAIN PRENATAL RECORD FROM
HEALTH CARE PROVIDERHEALTH CARE PROVIDER REVIEW PRENATAL RECORDREVIEW PRENATAL RECORD CLARIFY AREASCLARIFY AREAS COMPLETE MISSING COMPLETE MISSING
INFORMATIONINFORMATION NO PRENATAL CARENO PRENATAL CARE
HISTORY AND HISTORY AND INTRAPARTAL RISK INTRAPARTAL RISK SCREENINGSCREENING
PHYSICALPHYSICAL PSYCHOSOCIALPSYCHOSOCIAL CULTURALCULTURAL PRENATAL CAREPRENATAL CARE
ASSESSMENT OF ASSESSMENT OF LABOR LABOR CLINCAL MANIFESTATIONS OF CLINCAL MANIFESTATIONS OF
LABORLABOR CONTRACTION ASSESSMENTCONTRACTION ASSESSMENT CERVICAL ASSESSMENTCERVICAL ASSESSMENT FETAL POSITION AND STATION FETAL POSITION AND STATION
ASSESSMENTASSESSMENT MEMBRANE STATUS ASSESSMENTMEMBRANE STATUS ASSESSMENT
CLINICAL CLINICAL MANIFESTATIONS OF MANIFESTATIONS OF LABORLABOR PREMONITORY SIGNS OF LABOR- PREMONITORY SIGNS OF LABOR-
LIGHTENING,BRAXTON HICKS LIGHTENING,BRAXTON HICKS CONTRACTION,CERVICAL CONTRACTION,CERVICAL RIPENING,BLOODY RIPENING,BLOODY SHOW,ROM,BURST OF SHOW,ROM,BURST OF ENERGY,WT LOSS,BACKACHE,GI ENERGY,WT LOSS,BACKACHE,GI PROBLEMS,LEG PAINPROBLEMS,LEG PAIN
TRUE VS FALSE LABORTRUE VS FALSE LABOR
STAGES OF LABORSTAGES OF LABOR
FIRST STAGE OF LABOR-LATENT FIRST STAGE OF LABOR-LATENT PHASE,ACTIVE PHASE,AND PHASE,ACTIVE PHASE,AND TRANSITION PHASE.TRANSITION PHASE.
SECOND STAGESECOND STAGE THIRD STAGETHIRD STAGE FOURTH STAGEFOURTH STAGE
CONTRACTION CONTRACTION ASSESSMENTASSESSMENT METHODSMETHODS CONTRACTION CHARACTERISTICSCONTRACTION CHARACTERISTICS
METHODS OF METHODS OF CONTRACTION CONTRACTION ASSESSMENTASSESSMENT
PALPATIONPALPATION ELECTRONIC-EFMELECTRONIC-EFM INTERNALINTERNAL EXTERNALEXTERNAL
CONTRACTION CONTRACTION CHARACTERISTICSCHARACTERISTICS FREQUENCYFREQUENCY DURATIONDURATION INTENSITYINTENSITY RESTING PERIODRESTING PERIOD RESTING TONE (TONUS)RESTING TONE (TONUS)
ContractionsContractions
CERVICAL CERVICAL ASSESSMENTASSESSMENT VAGINAL EXAMINATIONVAGINAL EXAMINATION DILATATIONDILATATION EFFACEMENTEFFACEMENT
EffacementEffacement
EffacementEffacement
FETAL POSITION AND FETAL POSITION AND STATIONSTATION LEOPOLD’S MANEUVERLEOPOLD’S MANEUVER VAGINAL EXAMINATIONVAGINAL EXAMINATION FETAL POSITIONFETAL POSITION FETAL STATIONFETAL STATION DX TESTSDX TESTS
Figure 23–7 Leopold’s maneuvers for determining fetal head position, presentation, and lie. 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 NOTE: Many nurses do the fourth maneuver first to identify the part of the fetus in the pelvic inlet.inlet.
Leopold’s Maneuver
Leopold’s ManeuverLeopold’s Maneuver
Leopold’s ManeuverLeopold’s Maneuver
Leopold’s ManeuverLeopold’s Maneuver
Fetal StationFetal Station
MEMBRANE STATUS MEMBRANE STATUS ASSESSMENTASSESSMENT FHRFHR COLORCOLOR TIMETIME AMOUNTAMOUNT PHPH METHODSMETHODS
PHYSICAL PHYSICAL ASSESSMENTASSESSMENT HEAD TO TOE ASSESSMENTHEAD TO TOE ASSESSMENT VAGINAL EXAMINATIONVAGINAL EXAMINATION VITAL SIGNSVITAL SIGNS PREECLAMPSIA SCREENINGPREECLAMPSIA SCREENING
FETAL ASSESSMENTFETAL ASSESSMENT
FETAL HEART RATEFETAL HEART RATE METHODS OF ASSESSMENTMETHODS OF ASSESSMENT FETAL HEART PATTERN FETAL HEART PATTERN
TERMINOLOGYTERMINOLOGY
FETAL HEART RATE FETAL HEART RATE TERMINOLOGYTERMINOLOGY BASELINE FETAL HEART RATEBASELINE FETAL HEART RATE BASELINE FETAL HEART BASELINE FETAL HEART
VARIABILITYVARIABILITY ACCELERATIONSACCELERATIONS DECELERATIONSDECELERATIONS
LEARNING NEEDS LEARNING NEEDS ASSESSMENTASSESSMENT EXPERIENCEEXPERIENCE BIRTHPLANBIRTHPLAN CHILDBIRTH CLASS/METHODCHILDBIRTH CLASS/METHOD PAIN MANAGEMENTPAIN MANAGEMENT PROCEDURES AND TESTSPROCEDURES AND TESTS SUPPORT PERSON LEARNING SUPPORT PERSON LEARNING
NEEDSNEEDS
LABORATORY AND DX LABORATORY AND DX TESTSTESTS PRENATAL LABS &DX TESTSPRENATAL LABS &DX TESTS CBCCBC UAUA STI’S-RPR,HIV,HEP B,&GBSSTI’S-RPR,HIV,HEP B,&GBS EFMEFM OTHEROTHER