STAGES OF LABOR STAGE

44問 • 6ヶ月前

JHAYS

通報

問題一覧

Stage of Cervical Dilatation Stage

Stage of Fetal Expulsion Stage

Stage of Placental Expulsion Stage

Stage of Puerperium or Vigilance, Recovery

STAGES OF LABOR FROM THE ONSET OF TRUE LABOR CONTRACTIONS & ENDS WITH COMPLETE DILATATION OF THE CERVIX. (10 CM).

CERVICAL DILATATION STAGE

STAGES OF LABOR - BEGINS WITH COMPLETE DILATATION (10 CM) & ENDS WITH THE DELIVERY OF THE BABY. - MOST CRITICAL STAGE ON THE PART OF THE FETUS CROWNING IS THE HALLMARK OF THE 2ND STAGE OF LABOR

FETAL EXPULSION STAGE

STAGES OF LABOR - BEGINS WITH THE DELIVERY OF THE INFANT TO THE DELIVERY OF THE PLACENTA.

PLACENTAL EXPULSION STAGE

STAGES OF LABOR - RECOVERY/ VIGILANCE/STABILIZATION/HOMEOSTASIS - Usually 1 to 2 hours or at most up to 4 hours postpartum - MOST CRITICAL ON THE PART OF THE MOTHER BECAUSE OF UNSTABLE VITAL SIGNS

PUERPERIUM STAGE

PHASES OF THE FIRST STAGE OF LABOR - DILATATION: 0-3 CMS - INTENSITY: MILD & SHORT - CONTRACTIONS DURATION:20-30 SECONDS - INTERVAL: 15 – 20 MINS - MULTIS : 4-5 HRS NULLI – 6 HRS

LATENT PHASE

PHASES OF THE FIRST STAGE OF LABOR Maternal discomfort: - backache, abdominal cramps Nsng Intervention: - Proper positioning – LLP; backrub, support system BREATHING: SLOW, DEEP CHEST BREATHING OR ABDOMINAL BREATHING (12-15 BPM) MOTHER IS EXCITED WITH SOME DEGREE OF APPREHENSION BUT STILL WITH ABILITY TO COMMUNICATE. TAKES UP 8 OF THE 12 HOUR FIRST STAGE. BEST TIME TO TEACH BREATHING TECHNIQUES BECAUSE THE WOMAN IS STILL COMFORTABLE, COOPERATIVE & CAN STILL CONCENTRATE ON A CONVERSATION WELL

LATENT PHASE

PHASES OF THE FIRST STAGE OF LABOR - DILATATION: 4 – 7 CMS. - INTENSITY: MODERATE - DURATION: 30 – 50(60) - SECONDS INTERVAL: 3 -5 MINUTES THIS PHASE LASTS APPROXIMATELY 3 HOURS IN A NULLIPARA & 2 HOURS IN A MULTIPARA.

ACTIVE PHASE

PHASES OF THE FIRST STAGE OF LABOR Maternal discomfort: - Hyperventilation Maternal behavior: - less talkative, more anxious,fears losing control ; restless; increasing anxiety with malar flush ( skin is warm & flushed) DRUGS FOR COMFORT IS GIVEN DURING THIS PHASE AT 5-6 (7) CM DILATATION TO AVOID FETAL DEPRESSION.

ACTIVE PHASE

PHASES OF THE FIRST STAGE OF LABOR - WHEN THE MOOD OF THE WOMAN SUDDENLY CHANGES & THE NATURE OF THE CONTRACTIONS INTENSIFY - DILATATION: 8 – 10 Cm - INTENSITY: STRONG - DURATION: 60 – 90 SECONDS - INTERVAL: 2-3 MINUTES - STATION: +1 +2

TRANSITION PHASE

PHASES OF THE FIRST STAGE OF LABOR Maternal behavior: - increased perspiration; n&v; cramps; restlessness, panic; irritability; amnesia at intervals; has lost control of labor; tends to push during contractions; w/ circumoral pallor, & increased show - PUSHING WHEN THE CERVIX is not yet fully dilated can result in caput succedaneumpant blow pattern of chest breathing during the transition phase.

TRANSITION PHASE

SECOND STAGE OF LABOR CARDINAL MOVEMENTS/ MECHANISM OF LABOR / FETAL POSITION CHANGES: - DOWNWARD MOVEMENT OF THE BIPARIETAL DIAMETER OF THE FETAL HEAD TO WITHIN THE PELVIC INLET.(occurs due to the pressure on the fetus by the uterine fundus) THE PRESSURE OF THE FETUS ON THE SACRAL NERVES CAUSES THE MOTHER TO EXPERIENCE A PUSHING SENSATION.

DESCENT

SECOND STAGE OF LABOR CARDINAL MOVEMENTS/ MECHANISM OF LABOR / FETAL POSITION CHANGES: - AS FETAL HEAD REACHES PELVIC FLOOR, PRESSURE FROM THE PELVIC FLOOR CAUSES THE FETAL HEAD TO BEND FORWARD ONTO THE CHEST. THIS PERMITS THE SMALLEST AP DIAMETER (SUBOCCIPITOBREGMATIC DIAMETER) TO PRESENT IN THE OUTLET.

FLEXION

SECOND STAGE OF LABOR CARDINAL MOVEMENTS/ MECHANISM OF LABOR / FETAL POSITION CHANGES: - THE HEAD FLEXES & THE OCCIPUT ROTATES UNTIL IT IS SUPERIOR, OR JUST BELOW THE SYMPHYSIS PUBIS BRINGING THE HEAD TO THE BEST RELATIONSHIP TO THE OUTLET OF THE PELVIS. ( SMALLEST DIAMETER IS PRESENTED TO THE PELVIC OUTLET).

INTERNAL ROTATION

SECOND STAGE OF LABOR CARDINAL MOVEMENTS/ MECHANISM OF LABOR / FETAL POSITION CHANGES: - AS THE HEAD COMES OUT, THE BACK OF THE NECK STOPS AT THE PUBIC ARCH & ACTS AS A PIVOT FOR THE REST OF THE HEAD. THE HEAD EXTENDS & THE FOREHEAD, NOSE, MOUTH & FINALLY THE CHIN APPEAR.

EXTENSION

SECOND STAGE OF LABOR CARDINAL MOVEMENTS/ MECHANISM OF LABOR / FETAL POSITION CHANGES: - AS THE HEAD IS BORN IT ROTATES BRIEFLY BACK TO DIAGONAL OR TRANSVERSE POSITION OF THE EARLY PART OF LABOR, (THE POSITION IT OCCUPIED WHEN IT WAS ENGAGED) BRINGING THE SHOULDER TO AN A-P POSITION. - AS THE HEAD ROTATES, DELIVER THE ANTERIOR SHOULDER BY EXERTING A GENTLE DOWNWARD PUSH & THEN SLOWLY GIVE AN UPWARD LIFT TO DELIVER THE POSTERIOR SHOULDER.

EXTERNAL ROTATION

SECOND STAGE OF LABOR CARDINAL MOVEMENTS/ MECHANISM OF LABOR / FETAL POSITION CHANGES: - WITH THE DELIVERY OF THE SHOULDERS, THE REST OF THE BABY IS BORN EASILY & SMOOTHLY BECAUSE OF ITS SMALLER SIZE & BIRTH IS COMPLETED.( END OF PELVIC DIVISION OF LABOR.

EXPULSION

TYPES OF EPISIOTOMY FROM MIDDLE PORTION OF THE LOWER VAGINAL BORDER DIRECTED TOWARDS THE ANUS.

MEDIAN

TYPES OF EPISIOTOMY BEGINS IN THE MIDLINE BUT DIRECTED LATERALLY AWAY FROM THE ANUS

MEDIOLATERAL

TYPES OF EPISIOTOMY Types of Episiotomy (advantages disadvantages) Surgical repair - Easy Faulty healing - Rare Post op pain - minimal Blood loss - less Dyspareunia - rare Extensions - more common Anatomical - excellent

MIDLINE

TYPES OF EPISIOTOMY Types of Episiotomy (advantages disadvantages) Surgical repair - more difficult Faulty healing - more common Post op pain - common Blood loss - more Dyspareunia - occasional Extensions - uncommon Anatomical - occasional faulty results

MEDIOLATERAL

TYPES OF PLACENTAL DELIVERY: (more common) 80% of cases) IF THE PLACENTA SEPARATES FIRST AT ITS CENTER & LAST AT ITS EDGES, IT TENDS TO FOLD ON ITSELF LIKE AN UMBRELLA & PRESENTS THE FETAL SURFACE WHICH IS SHINY. 80% OF PLACENTAS SEPARATE THIS WAY.

SCHULTZ

TYPES OF PLACENTAL DELIVERY: (less common) 20% of cases– IF THE PLACENTA SEPARATES FIRST AT ITS EDGES, IT SLIDES ALONG THE UTERINE SURFACE & PRESENTS AT THE VAGINA WITH THE MATERNAL SURFACE WHICH IS RAW, RED, & IRREGULAR WITH THE RIDGES OR COTYLEDONS THAT SEPARATE BLOOD COLLECTION SPACES SHOWING. ONLY ABOUT 20% OF PLACENTAS SEPARATE THIS WAY.

DUNCAN

CATEGORIES OF LACERATIONS INVOLVES THE FOURCHETTE, PERINEAL SKIN, VAGINAL MUCUS MEMBRANES

FIRST DEGREE

CATEGORIES OF LACERATIONS INCLUDES THE MUSCLES OF THE PERINEAL BODY.

SECOND DEGREE

CATEGORIES OF LACERATIONS EXTENDS TO THE ANAL SPHINCTER

THIRD DEGREE

CATEGORIES OF LACERATIONS – EXTENDS TO THE MUCOSA OR LUMEN OF THE RECTUM.

FOURTH DEGREE

POSTPARTUM ASSESSMENT - BUBBLESHE progress from soft filling with potential for engorgement (vascular congestion related to increased blood and lymph supply; breasts are larger, firmer, and painful)

BREAST

POSTPARTUM ASSESSMENT - BUBBLESHE - FUNDUS OF THE UTERUS SHOULD BE FIRM, IN THE MIDLINE, & DURING THE FIRST 12 HOURS POST PARTUM, IS A LITTLE ABOVE THE UMBILICUS.

UTERUS

POSTPARTUM ASSESSMENT - BUBBLESHE A FULL BLADDER IS EVIDENCED BY A FUNDUS WHICH IS RIGHT TO THE MIDLINE

BLADDER

POSTPARTUM ASSESSMENT - BUBBLESHE GI – bowel sluggishness, decreased abdominal muscle tone, perineal discomfort may lead to constipation; managed by: early ambulation, increased dietary fiber and hydration, stool softeners

BOWEL

POSTPARTUM ASSESSMENT - BUBBLESHE - UTERINE DISCHARGE CONSISTING OF BLOOD, DECIDUAS, WBC & MUCUS. SHOULD BE MODERATE IN AMOUNT.

LOCHIA

POSTPARTUM ASSESSMENT - BUBBLESHE - possible discomfort – swelling and/or ecchymosis - Managed with analgesics and/or topical anesthetics, ice packs for first 12-24 h and then 20 min sitz baths 3-4 times/d, tightening buttocks before sitting - Monitor episiotomy/laceration – teach techniques to prevent infection, e.g., change pads on regular basis, peri care (cleaning from front to back using peri-bottle or surgigator after each voiding and bowel movement), and sitz baths R – redness E - edema E - ecchymosis D – discharges A – approximation of wound edges

EPISIOTOMY

POSTPARTUM ASSESSMENT - BUBBLESHE - abstain from intercourse until episiotomy is healed and lochia has ceased (usually 3-4 wk) - may be affected by fatigue, fear of discomfort, leakage of breast milk, concern about another pregnancy - assess and discuss couple’s desire for and understanding about contraceptive methods - breastfeeding does not give adequate protection - oral contraceptives should not be used during breastfeeding (CONDOM only) - Excluton

SEXUAL ACTIVITIES

POSTPARTUM ASSESSMENT - BUBBLESHE PAIN ON THE CALF ON DORSIFLEXION

HOMANS SIGN

POSTPARTUM ASSESSMENT - BUBBLESHE (EMOTIONAL STATUS OF THE MOTHER) 1 – 3 DAYS POSTPARTUM WHEN MOTHER RELIES ON OTHERS TO CARE FOR HER & HER NEWBORN. PREOCCUPIED WITH SELF & OWN NEEDS ( FOOD & SLEEP), CLIENT MAY VERBALIZE HER FEELINGS REGARDING RECENT DELIVERY. HESITANT ABOUT MAKING DECISIONS.

IN PHASE

POSTPARTUM ASSESSMENT - BUBBLESHE (EMOTIONAL STATUS OF THE MOTHER) 4 – 7 DAYS POSTPARTUM WHEN MOTHER BEGINS TO INITIATE ACTIONS & DECISIONS; FLACTUATION OF HORMONES ( ROLLER COASTER) DEPENDENCY /INDEPENDENCY; READY FOR MOTHERING ROLE; POST-PARTUM BLUES – (AN OVERWHELMING FEELING OF SADNESS THAT CANNOT BE ACCOUNTED FOR) MAY BE OBSERVED. COULD BE DUE TO HORMONAL CHANGES, FATIGUE OR FEELINGS OF INADEQUACY IN TAKING CARE OF A NEW BABY. = BEST TIME TO TEACH MOTHER AND INFANT CARE

HOLD PHASE

POSTPARTUM ASSESSMENT - BUBBLESHE (EMOTIONAL STATUS OF THE MOTHER) - 10 DAYS - WOMAN ATTAINS COMPLETE INDEPENDENCE; ASSUMING NEW ROLES AND RESPONSIBILITIES - may Experience grief for relinquished roles; adjustment to accommodate for infant in family

GO PHASE

PATTERN OF LOCHIA 0-3 DAYS , DARK RED & MODERATE IN AMOUNT, SMALL CLOTS, FLESHY STALE ODOR.

RUBRA

PATTERN OF LOCHIA 4 -7 DAYS ; PINK OR BROWNISH IN COLOR, NO CLOTS, NO ODOR ( UNLESS POOR HYGIENE)

SEROSA

PATTERNS OF LOCHIA 1 – 3 WEEKS; CREAM TO YELLOWISH IN COLOR; MINIMAL IN AMOUNT; NO ODOR; NO CLOTS

ALBA

HCI

HCI

TERMS

TERMS

HEALTH DEF

HEALTH DEF

ANAPHY PRELIMS REVIEW

JHAYS · 43問 · 1年前

ANAPHY PRELIMS REVIEW

INTEGUMENTARY SYSTEM

INTEGUMENTARY SYSTEM

BIOCHEM

BIOCHEM

SKELETAL SYSTEM

SKELETAL SYSTEM

joints

joints

muscle and joint movements

JHAYS · 17問 · 1年前

muscle and joint movements

MUSCULAR SYSTEM

MUSCULAR SYSTEM

LIPIDS

LIPIDS

NEUROTRANSMITTER

NEUROTRANSMITTER

NERVOUS

NERVOUS

NERVOUS PART 2

NERVOUS PART 2

SPECIAL SENSES

SPECIAL SENSES

ENDOCRINE SYSTEM

ENDOCRINE SYSTEM

THEORIST

THEORIST

THEORIST BASICS

THEORIST BASICS

CARBOHYDRATE METABOLISM

JHAYS · 46問 · 1年前

CARBOHYDRATE METABOLISM

LIPIDS METABOLISM

LIPIDS METABOLISM

REVALIDA (BIOGRAPHY)

REVALIDA (BIOGRAPHY)

REVALIDA (THEORY)

REVALIDA (THEORY)

REVALIDA - METAPARADIGM (NURSING)

JHAYS · 7問 · 1年前

REVALIDA - METAPARADIGM (NURSING)

7問 • 1年前

JHAYS

REVALIDA - METAPARADIGM (HEALTH)

JHAYS · 7問 · 1年前

REVALIDA - METAPARADIGM (HEALTH)

7問 • 1年前

JHAYS

REVALIDA - METAPARADIGM (ENVIRONMENT)

JHAYS · 7問 · 1年前

REVALIDA - METAPARADIGM (ENVIRONMENT)

7問 • 1年前

JHAYS

REVALIDA - METAPARADIGM (NURSING)

JHAYS · 7問 · 1年前

REVALIDA - METAPARADIGM (NURSING)

RESPIRATORY SYSTEM

RESPIRATORY SYSTEM

CARDIO

CARDIO

VASCULAR

VASCULAR

REPRODUCTIVE - MALE

REPRODUCTIVE - MALE

REPRODUCTIVE - FEMALE

JHAYS · 66問 · 1年前

REPRODUCTIVE - FEMALE

TFN FINALS

TFN FINALS

VITAMINS (AKA)

VITAMINS (AKA)

VITAMINS

VITAMINS

ENZYME

ENZYME

NUCLEIC ACID

NUCLEIC ACID

INTRO TO MICROBIOLOGY (MICROPARA LEC/LAB)

JHAYS · 24問 · 1年前

INTRO TO MICROBIOLOGY (MICROPARA LEC/LAB)

24問 • 1年前

JHAYS

MICROSCOPY (MICROPARA LEC/LAB)

JHAYS · 27問 · 1年前

MICROSCOPY (MICROPARA LEC/LAB)

27問 • 1年前

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STAINING (MICROPARA LEC/LAB)

JHAYS · 31問 · 1年前

STAINING (MICROPARA LEC/LAB)

31問 • 1年前

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NURSING AS A PROFESSION (FUNDA LEC)

JHAYS · 22問 · 1年前

NURSING AS A PROFESSION (FUNDA LEC)

22問 • 1年前

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DIFFERENT WARDS IN HOSPITAL (FUNDA LAB)

JHAYS · 35問 · 1年前

DIFFERENT WARDS IN HOSPITAL (FUNDA LAB)

35問 • 1年前

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CHAIN OF INFECTION (FUNDA LAB)

JHAYS · 26問 · 1年前

CHAIN OF INFECTION (FUNDA LAB)

26問 • 1年前

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INTRODUCTION TO HEALTH ASSESSMENT (HA LEC)

JHAYS · 16問 · 1年前

INTRODUCTION TO HEALTH ASSESSMENT (HA LEC)

HEALTH EDUC

HEALTH EDUC

ETHICS

ETHICS

CULTURE IN MORAL BEHAVIOR

JHAYS · 35問 · 1年前

CULTURE IN MORAL BEHAVIOR

35問 • 1年前

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GROWTH OF PROFESSIONALISM - FUNDA LEC

JHAYS · 30問 · 1年前

GROWTH OF PROFESSIONALISM - FUNDA LEC

30問 • 1年前

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HISTORY OF NURSING IN THE WORLD - FUNDA LEC

JHAYS · 85問 · 1年前

HISTORY OF NURSING IN THE WORLD - FUNDA LEC

85問 • 1年前

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DIFFERENT FIELDS OF NURSING - FUNDA LEC

JHAYS · 11問 · 1年前

DIFFERENT FIELDS OF NURSING - FUNDA LEC

11問 • 1年前

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BODY MECHANICS - FUNDA RLE

JHAYS · 7問 · 1年前

BODY MECHANICS - FUNDA RLE

BED BATH - FUNDA RLE

BED BATH - FUNDA RLE

BED MAKING - RLE

BED MAKING - RLE

HISTORY TAKING - HA

HISTORY TAKING - HA

GENERAL SUVEY - HA

GENERAL SUVEY - HA

METHODS OF EXAMINING - HA

JHAYS · 19問 · 1年前

METHODS OF EXAMINING - HA

SKIN ASSESSMENT - HA

SKIN ASSESSMENT - HA

EYE ASSESSMENT - HA

EYE ASSESSMENT - HA

PROKARYOTIC AND EUKARYOTIC CELLS (MICROPARA)

JHAYS · 44問 · 1年前

PROKARYOTIC AND EUKARYOTIC CELLS (MICROPARA)

44問 • 1年前

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BACTERIAL GROWTH REQUIREMENTS - MICROPARA

JHAYS · 22問 · 1年前

BACTERIAL GROWTH REQUIREMENTS - MICROPARA

22問 • 1年前

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BACTERIAL MORPHOLOGY- MICROPARA

JHAYS · 28問 · 1年前

BACTERIAL MORPHOLOGY- MICROPARA

28問 • 1年前

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HOST RESPONSE TO INFECTION - MICROPARA

JHAYS · 32問 · 1年前

HOST RESPONSE TO INFECTION - MICROPARA

Communication skills

Communication skills

NURSING PROCESS

NURSING PROCESS

Guidelines for Nursing Diagnosis

JHAYS · 28問 · 12ヶ月前

Guidelines for Nursing Diagnosis

TERMS

TERMS

CLASSIFICATION OF INFECTIOUS DISEASES - MICROPARA

JHAYS · 11問 · 12ヶ月前

CLASSIFICATION OF INFECTIOUS DISEASES - MICROPARA

11問 • 12ヶ月前

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BACTERIA AND DISEASE - MICROPARA

JHAYS · 48問 · 11ヶ月前

BACTERIA AND DISEASE - MICROPARA

48問 • 11ヶ月前

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EXOTOXIN VS. ENDOTOXIN

JHAYS · 28問 · 11ヶ月前

EXOTOXIN VS. ENDOTOXIN

INTRO TO PARA

INTRO TO PARA

HEALTH TEACHING PLAN

HEALTH TEACHING PLAN

DIFFERENT TRADITIONAL TEACHING STRATEGIES

JHAYS · 20問 · 11ヶ月前

DIFFERENT TRADITIONAL TEACHING STRATEGIES

20問 • 11ヶ月前

JHAYS

TEACHING LEARNING PROCESS

JHAYS · 17問 · 11ヶ月前

TEACHING LEARNING PROCESS

CARDIOVASCULAR

CARDIOVASCULAR

ABDOMINAL

ABDOMINAL

BACTERIAL INFECTION (PATHOGEN)

JHAYS · 48問 · 10ヶ月前

BACTERIAL INFECTION (PATHOGEN)

BACTERIAL INFECTION

BACTERIAL INFECTION

COMMON PARASITIC INFECTION

JHAYS · 42問 · 10ヶ月前

COMMON PARASITIC INFECTION

MYCOLOGY

MYCOLOGY

DOCUMENTATION

DOCUMENTATION

Health and Illness

Health and Illness

LOSS AND GRIEF

LOSS AND GRIEF

BACK CARE AND MASSAGE

JHAYS · 8問 · 10ヶ月前

BACK CARE AND MASSAGE

PATIENT POSITIONING

PATIENT POSITIONING

SUPPORT DEVICES

SUPPORT DEVICES

VACCINE

VACCINE

NUDIET TERMINILOGIES

NUDIET TERMINILOGIES

NUTRITION

NUTRITION

1. ANATOMY & PHYSIO

1. ANATOMY & PHYSIO

2. FETAL DEVELOPMENT

2. FETAL DEVELOPMENT

TERMS TO REMEMBER

TERMS TO REMEMBER

PHARMACOLOGY

PHARMACOLOGY

3. MAMMARY GLANDS

3. MAMMARY GLANDS

問題一覧

Stage of Cervical Dilatation Stage

Stage of Fetal Expulsion Stage

Stage of Placental Expulsion Stage

Stage of Puerperium or Vigilance, Recovery

STAGES OF LABOR FROM THE ONSET OF TRUE LABOR CONTRACTIONS & ENDS WITH COMPLETE DILATATION OF THE CERVIX. (10 CM).

CERVICAL DILATATION STAGE

STAGES OF LABOR - BEGINS WITH COMPLETE DILATATION (10 CM) & ENDS WITH THE DELIVERY OF THE BABY. - MOST CRITICAL STAGE ON THE PART OF THE FETUS CROWNING IS THE HALLMARK OF THE 2ND STAGE OF LABOR

FETAL EXPULSION STAGE

STAGES OF LABOR - BEGINS WITH THE DELIVERY OF THE INFANT TO THE DELIVERY OF THE PLACENTA.

PLACENTAL EXPULSION STAGE

STAGES OF LABOR - RECOVERY/ VIGILANCE/STABILIZATION/HOMEOSTASIS - Usually 1 to 2 hours or at most up to 4 hours postpartum - MOST CRITICAL ON THE PART OF THE MOTHER BECAUSE OF UNSTABLE VITAL SIGNS

PUERPERIUM STAGE

PHASES OF THE FIRST STAGE OF LABOR - DILATATION: 0-3 CMS - INTENSITY: MILD & SHORT - CONTRACTIONS DURATION:20-30 SECONDS - INTERVAL: 15 – 20 MINS - MULTIS : 4-5 HRS NULLI – 6 HRS

LATENT PHASE

ACTIVE PHASE

TRANSITION PHASE

DESCENT

FLEXION

INTERNAL ROTATION

EXTENSION

EXTERNAL ROTATION

EXPULSION

TYPES OF EPISIOTOMY FROM MIDDLE PORTION OF THE LOWER VAGINAL BORDER DIRECTED TOWARDS THE ANUS.

MEDIAN

TYPES OF EPISIOTOMY BEGINS IN THE MIDLINE BUT DIRECTED LATERALLY AWAY FROM THE ANUS

MEDIOLATERAL

MIDLINE

MEDIOLATERAL

SCHULTZ

DUNCAN

CATEGORIES OF LACERATIONS INVOLVES THE FOURCHETTE, PERINEAL SKIN, VAGINAL MUCUS MEMBRANES

FIRST DEGREE

CATEGORIES OF LACERATIONS INCLUDES THE MUSCLES OF THE PERINEAL BODY.

SECOND DEGREE

CATEGORIES OF LACERATIONS EXTENDS TO THE ANAL SPHINCTER

THIRD DEGREE

CATEGORIES OF LACERATIONS – EXTENDS TO THE MUCOSA OR LUMEN OF THE RECTUM.

FOURTH DEGREE

POSTPARTUM ASSESSMENT - BUBBLESHE progress from soft filling with potential for engorgement (vascular congestion related to increased blood and lymph supply; breasts are larger, firmer, and painful)

BREAST

POSTPARTUM ASSESSMENT - BUBBLESHE - FUNDUS OF THE UTERUS SHOULD BE FIRM, IN THE MIDLINE, & DURING THE FIRST 12 HOURS POST PARTUM, IS A LITTLE ABOVE THE UMBILICUS.

UTERUS

POSTPARTUM ASSESSMENT - BUBBLESHE A FULL BLADDER IS EVIDENCED BY A FUNDUS WHICH IS RIGHT TO THE MIDLINE

BLADDER

BOWEL

POSTPARTUM ASSESSMENT - BUBBLESHE - UTERINE DISCHARGE CONSISTING OF BLOOD, DECIDUAS, WBC & MUCUS. SHOULD BE MODERATE IN AMOUNT.

LOCHIA

EPISIOTOMY

SEXUAL ACTIVITIES

POSTPARTUM ASSESSMENT - BUBBLESHE PAIN ON THE CALF ON DORSIFLEXION

HOMANS SIGN

IN PHASE

HOLD PHASE

GO PHASE

PATTERN OF LOCHIA 0-3 DAYS , DARK RED & MODERATE IN AMOUNT, SMALL CLOTS, FLESHY STALE ODOR.

RUBRA

PATTERN OF LOCHIA 4 -7 DAYS ; PINK OR BROWNISH IN COLOR, NO CLOTS, NO ODOR ( UNLESS POOR HYGIENE)

SEROSA

PATTERNS OF LOCHIA 1 – 3 WEEKS; CREAM TO YELLOWISH IN COLOR; MINIMAL IN AMOUNT; NO ODOR; NO CLOTS

ALBA