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Intrapartal Care

Prenatal Diagnostic Tests

 1.  What are the purposes for performing an ultrasound in pregnancy?

 

2. What is the purpose of performing alpha-fetoprotein screening? 

 

3.  What is the purpose of an amniocentesis?  What is the nursing care prior to and following an amniocentesis?

 

4. What is the purpose of performing a Non-Stress Test (NST) on the pregnant woman? 

     

Physiology of Labor:

5. Explain the parts of a contraction and the relationship including: 

a. Frequency

b. Duration

c. Intensity

6. Define the following including how measured, significance to labor.  Is effacement considered progress during labor or is dilatation the marker of progress?

     a. Effacement-

     b. Dilatation-

 

Stages of Labor and Birth

7. Describe the components of labor: passage, passenger, powers and stages of labor.

8. Outline supportive nursing measures for each stage of labor.

Maternal Assessment: 

9. What portions of the woman’s health history represent priority information for the Labor & Delivery nurse?

10. What is the difference between the following assessment techniques?  Explain purpose, how to perform, and information gathered:

Leopold’s maneuver
Vaginal examination
Dilation, effacement, station
Condition of membranes
Engagement vs. ballotable

 

Fetal Assessment:

11. Where should the nurse auscultate to assess fetal heart tones? 

12. What is the normal progress, psychological characteristics, and nursing care related to each of the phases of the first stage of labor?   

a. Latent

b. Active

c. Transition

 

 

 

SCIENCE
HEALTH SCIENCE
NURSING
NURSING 231

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