1. INTRODUCTION

2. INTRAPARTAL NURSING ASSESSMENT
Developed by
D. Ann Currie, R.N., M.S.N.
2012

4. INTRAPARTAL MATERNAL ASSESSMENT
REVIEW PRENATAL DATA
HISTORY AND INTRAPARTAL RISK SCREENING
ASSESSMENT OF LABOR
PHYSICAL ASSESSMENT
FETAL ASSESSMENT
PSYCHOSOCIAL ASSESSMENT

5. INTRAPARTAL MATERNAL ASSESSMENT
CONT.
CULTURAL ASSESSMENT
LEARNING NEEDS ASSESSMENT
LABORATORY AND DX TESTS

6. REVIEW PRENATAL DATA OBTAIN PRENATAL RECORD FROM HEALTH CARE PROVIDER
REVIEW PRENATAL RECORD
CLARIFY AREAS
COMPLETE MISSING INFORMATION
NO PRENATAL CARE

7. HISTORY AND INTRAPARTAL RISK SCREENING
PHYSICAL
PSYCHOSOCIAL
CULTURAL
PRENATAL CARE

8. ASSESSMENT OF LABOR CLINCAL MANIFESTATIONS OF LABOR
CONTRACTION ASSESSMENT
CERVICAL ASSESSMENT
FETAL POSITION AND STATION ASSESSMENT
MEMBRANE STATUS ASSESSMENT

9. 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

10. STAGES OF LABOR
FIRST STAGE OF LABOR-LATENT PHASE,ACTIVE PHASE,AND TRANSITION PHASE.
SECOND STAGE
THIRD STAGE
FOURTH STAGE

11. CONTRACTION ASSESSMENT
METHODS
CONTRACTION CHARACTERISTICS

12. METHODS OF CONTRACTION ASSESSMENT
PALPATION
ELECTRONIC-EFM
INTERNAL
EXTERNAL

13. CONTRACTION CHARACTERISTICS
FREQUENCY
DURATION
INTENSITY
RESTING PERIOD
RESTING TONE (TONUS)

14. Contractions

15. CERVICAL ASSESSMENT
VAGINAL EXAMINATION
DILATATION
EFFACEMENT

16. Effacement

17. Effacement

18. FETAL POSITION AND STATION
LEOPOLD’S MANEUVER
VAGINAL EXAMINATION
FETAL POSITION
FETAL STATION
DX TESTS

19. 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.

20. Leopold’s Maneuver

21. Leopold’s Maneuver

22. Leopold’s Maneuver

23. Fetal Station

24. MEMBRANE STATUS ASSESSMENT
FHR
COLOR
TIME
AMOUNT PH
METHODS

25. PHYSICAL ASSESSMENT HEAD TO TOE ASSESSMENT VAGINAL EXAMINATION
VITAL SIGNS
PREECLAMPSIA SCREENING

26. FETAL ASSESSMENT FETAL HEART RATE METHODS OF ASSESSMENT
FETAL HEART PATTERN TERMINOLOGY

27. FETAL HEART RATE TERMINOLOGY
BASELINE FETAL HEART RATE
BASELINE FETAL HEART VARIABILITY
ACCELERATIONS
DECELERATIONS

28. LEARNING NEEDS ASSESSMENT
EXPERIENCE
BIRTHPLAN
CHILDBIRTH CLASS/METHOD
PAIN MANAGEMENT
PROCEDURES AND TESTS
SUPPORT PERSON LEARNING NEEDS

29. LABORATORY AND DX TESTS
PRENATAL LABS &DX TESTS
CBC UA
STI’S-RPR,HIV,HEP B,&GBS
EFM
OTHER

30. QUESTIONS

31. THANK YOU