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INTRODUCTION

INTRODUCTION. http://www.youtube.com/watch?v=vEFCTyc2vMY. INTRAPARTAL NURSING ASSESSMENT. Developed by D. Ann Currie, R.N., M.S.N. 2012. INTRAPARTAL MATERNAL ASSESSMENT. REVIEW PRENATAL DATA HISTORY AND INTRAPARTAL RISK SCREENING ASSESSMENT OF LABOR PHYSICAL ASSESSMENT

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INTRODUCTION

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  1. INTRODUCTION • http://www.youtube.com/watch?v=vEFCTyc2vMY

  2. INTRAPARTAL NURSING ASSESSMENT Developed by D. Ann Currie, R.N., M.S.N. 2012

  3. INTRAPARTAL MATERNAL ASSESSMENT • REVIEW PRENATAL DATA • HISTORY AND INTRAPARTAL RISK SCREENING • ASSESSMENT OF LABOR • PHYSICAL ASSESSMENT • FETAL ASSESSMENT • PSYCHOSOCIAL ASSESSMENT

  4. INTRAPARTAL MATERNAL ASSESSMENT • CONT. • CULTURAL ASSESSMENT • LEARNING NEEDS ASSESSMENT • LABORATORY AND DX TESTS

  5. REVIEW PRENATAL DATA • OBTAIN PRENATAL RECORD FROM HEALTH CARE PROVIDER • REVIEW PRENATAL RECORD • CLARIFY AREAS • COMPLETE MISSING INFORMATION • NO PRENATAL CARE

  6. HISTORY AND INTRAPARTAL RISK SCREENING • PHYSICAL • PSYCHOSOCIAL • CULTURAL • PRENATAL CARE

  7. ASSESSMENT OF LABOR • CLINCAL MANIFESTATIONS OF LABOR • CONTRACTION ASSESSMENT • CERVICAL ASSESSMENT • FETAL POSITION AND STATION ASSESSMENT • MEMBRANE STATUS ASSESSMENT

  8. CLINICAL MANIFESTATIONS OF LABOR • PREMONITORY SIGNS OF LABOR- LIGHTENING,BRAXTON HICKS CONTRACTION,CERVICAL RIPENING,BLOODY SHOW,ROM,BURST OF ENERGY,WT LOSS,BACKACHE,GI PROBLEMS,LEG PAIN • TRUE VS FALSE LABOR

  9. STAGES OF LABOR • FIRST STAGE OF LABOR-LATENT PHASE,ACTIVE PHASE,AND TRANSITION PHASE. • SECOND STAGE • THIRD STAGE • FOURTH STAGE

  10. CONTRACTION ASSESSMENT • METHODS • CONTRACTION CHARACTERISTICS

  11. METHODS OF CONTRACTION ASSESSMENT • PALPATION • ELECTRONIC-EFM • INTERNAL • EXTERNAL

  12. CONTRACTION CHARACTERISTICS • FREQUENCY • DURATION • INTENSITY • RESTING PERIOD • RESTING TONE (TONUS)

  13. Contractions

  14. CERVICAL ASSESSMENT • VAGINAL EXAMINATION • DILATATION • EFFACEMENT

  15. Effacement

  16. Effacement

  17. FETAL POSITION AND STATION • LEOPOLD’S MANEUVER • VAGINAL EXAMINATION • FETAL POSITION • FETAL STATION • DX TESTS

  18. 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 inlet. Leopold’s Maneuver

  19. Leopold’s Maneuver

  20. Leopold’s Maneuver

  21. Leopold’s Maneuver

  22. Fetal Station

  23. MEMBRANE STATUS ASSESSMENT • FHR • COLOR • TIME • AMOUNT • PH • METHODS

  24. PHYSICAL ASSESSMENT • HEAD TO TOE ASSESSMENT • VAGINAL EXAMINATION • VITAL SIGNS • PREECLAMPSIA SCREENING

  25. FETAL ASSESSMENT • FETAL HEART RATE • METHODS OF ASSESSMENT • FETAL HEART PATTERN TERMINOLOGY

  26. FETAL HEART RATE TERMINOLOGY • BASELINE FETAL HEART RATE • BASELINE FETAL HEART VARIABILITY • ACCELERATIONS • DECELERATIONS

  27. LEARNING NEEDS ASSESSMENT • EXPERIENCE • BIRTHPLAN • CHILDBIRTH CLASS/METHOD • PAIN MANAGEMENT • PROCEDURES AND TESTS • SUPPORT PERSON LEARNING NEEDS

  28. LABORATORY AND DX TESTS • PRENATAL LABS &DX TESTS • CBC • UA • STI’S-RPR,HIV,HEP B,&GBS • EFM • OTHER

  29. QUESTIONS

  30. THANK YOU • http://www.youtube.com/watch?v=ZEY8clFcm2E&feature=related

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