Fern pattern confirms amniotic fluidġ0 2) AmniSure Test Vaginal secretions obtained using swab May be irregular at first, but over time they become regular, longer, stronger and closer together Usually irregular and short, don’t get longer, stronger or closer: inconsistent Walking makes them stronger Walking does not make them stronger Lying down does not makes them go away Lying down may make them go away Usually felt in lower back and radiates to front Usually felt in upper uterus and groinĬervix softens, thins and dilates: Change is noted Cervix may soften but little thinning or dilation Baby begins to descend into pelvis No change in position for the babyĨ Status of Membranes Bag of water (BOW) Assess C.O.A.T.Ĭolor of fluid (clear or meconium-stained) Odor Amount of amniotic fluid Time of ruptureġ) Fern Test Vaginal fluid swabbed and placed on microscope slide. ![]() ![]() Lightening Baby “drops.” Relief of pressure on the diaphragm and stomach, increased pressure on the bladder Increased vaginal secretions Slight weight loss Mucous plug, bloody show Thinning and softening of cervix Persistent backache Increased Braxton-Hicks (intermittent painless uterine contractions) Pre-labor: “nesting” L&D nurse needs to assess: 1) Uterine contractions 2) Status of cervix 3) Status of membranes (bag of water: BOW) The Labor Process The Stages of Labor Pain Management During Birth High Risk L&D Experience Nursing Care of the High-Risk L&D Patient Problems with the Passenger, Passageway, Powers, and Psyche Cesarean Deliveryģ Onset of Labor: While we do not know what triggers labor: current theory suggests that when the fetus is ready for life outside the womb, it will triggers a hormone shift that begins labor. Presentation on theme: "The Intrapartum Period"- Presentation transcript:Ģ Objectives Normal L&D Experience Nursing Care of the L&D Patient
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