INTRODUCTION http://www.youtube.com/watch?v=vEFCTyc2vMY.

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Presentation transcript:

INTRODUCTION http://www.youtube.com/watch?v=vEFCTyc2vMY

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 LEOPOLD’S MANEUVER VAGINAL EXAMINATION FETAL POSITION FETAL STATION DX TESTS

Leopold’s Maneuver 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 inlet.

Leopold’s Maneuver

Leopold’s Maneuver

Leopold’s 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 STI’S-RPR,HIV,HEP B,&GBS EFM OTHER

QUESTIONS

THANK YOU http://www.youtube.com/watch?v=ZEY8clFcm2E&feature=related