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

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

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

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

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

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

8. 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 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 TRUE VS FALSE LABOR

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

10. CONTRACTION ASSESSMENT METHODS METHODS CONTRACTION CHARACTERISTICS CONTRACTION CHARACTERISTICS

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

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

13. Contractions

14. CERVICAL ASSESSMENT VAGINAL EXAMINATION VAGINAL EXAMINATION DILATATION DILATATION EFFACEMENT EFFACEMENT

15. Effacement

16. Effacement

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

18. 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

22. Fetal Station

23. MEMBRANE STATUS ASSESSMENT FHR FHR COLOR COLOR TIME TIME AMOUNT AMOUNT PH PH METHODS METHODS

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

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

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

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

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