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