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INTRODUCTION

http://www.youtube.com/watch?v=vE
FCTyc2vMY

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
FETAL ASSESSMENT
PSYCHOSOCIAL ASSESSMENT
INTRAPARTAL MATERNAL
ASSESSMENT
CONT.
CULTURAL ASSESSMENT
LEARNING NEEDS ASSESSMENT
LABORATORY AND DX TESTS
REVIEW PRENATAL DATA
OBTAIN PRENATAL RECORD FROM
HEALTH CARE PROVIDER
REVIEW PRENATAL RECORD
CLARIFY AREAS
COMPLETE MISSING INFORMATION
NO PRENATAL CARE
HISTORY AND
INTRAPARTAL RISK
SCREENING

PHYSICAL
PSYCHOSOCIAL
CULTURAL
PRENATAL CARE
ASSESSMENT OF LABOR
CLINCAL MANIFESTATIONS OF LABOR
CONTRACTION ASSESSMENT
CERVICAL ASSESSMENT
FETAL POSITION AND STATION
ASSESSMENT
MEMBRANE STATUS ASSESSMENT
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
STAGES OF LABOR
FIRST STAGE OF LABOR-LATENT
PHASE,ACTIVE PHASE,AND
TRANSITION PHASE.
SECOND STAGE
THIRD STAGE
FOURTH STAGE
CONTRACTION
ASSESSMENT
METHODS
CONTRACTION CHARACTERISTICS
METHODS OF
CONTRACTION
ASSESSMENT

PALPATION
ELECTRONIC-EFM
INTERNAL
EXTERNAL
CONTRACTION
CHARACTERISTICS
FREQUENCY
DURATION
INTENSITY
RESTING PERIOD
RESTING TONE (TONUS)
Contractions
CERVICAL ASSESSMENT
VAGINAL EXAMINATION
DILATATION
EFFACEMENT
Effacement
Effacement
FETAL POSITION AND
STATION
LEOPOLDS MANEUVER
VAGINAL EXAMINATION
FETAL POSITION
FETAL STATION
DX TESTS
Figure 237 Leopolds 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.
Leopolds Maneuver
Leopolds Maneuver
Leopolds Maneuver
Leopolds Maneuver
Fetal Station
MEMBRANE STATUS
ASSESSMENT
FHR
COLOR
TIME
AMOUNT
PH
METHODS
PHYSICAL ASSESSMENT
HEAD TO TOE ASSESSMENT
VAGINAL EXAMINATION
VITAL SIGNS
PREECLAMPSIA SCREENING
FETAL ASSESSMENT
FETAL HEART RATE
METHODS OF ASSESSMENT
FETAL HEART PATTERN
TERMINOLOGY
FETAL HEART RATE
TERMINOLOGY
BASELINE FETAL HEART RATE
BASELINE FETAL HEART VARIABILITY
ACCELERATIONS
DECELERATIONS
LEARNING NEEDS
ASSESSMENT
EXPERIENCE
BIRTHPLAN
CHILDBIRTH CLASS/METHOD
PAIN MANAGEMENT
PROCEDURES AND TESTS
SUPPORT PERSON LEARNING NEEDS
LABORATORY AND DX
TESTS
PRENATAL LABS &DX TESTS
CBC
UA
STIS-RPR,HIV,HEP B,&GBS
EFM
OTHER

QUESTIONS
THANK YOU
http://www.youtube.com/watch?v=ZE
Y8clFcm2E&feature=related