11924226 labor and delivery lecture notes

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Page 1 OB Nursing Intrapartum 01/28/09 1 st time mom need to come to the hospital when contractions are regular and 5 minutes apart. 2 nd time mom and thereafter needs to come to the hospital when contractions are regular and 10 minutes apart. (Because the road has already been paved) OR If they start to bleed. Losing the mucous plug & have the bloody show. (pink tinged discharge, can be brown (textbook def.)) (Truth: red) Mucous plug falls out when cervix starts to dilate (@ 2cm) ***Toco-monitor- leads on fundus- measures contraction. Pg. 121 fig. 6-4 I= Increment A= Acme D= Decreme nt Frequency- Time betwee n the beginning of one contraction to the beginning of the next contraction. * Must be longer than two minutes!!* Duration- beginning of a contraction to the end of that contraction. * should last no more than 90 seconds!!* Interval- time between contractions (uterine relaxation). * Should be at least 60 seconds. No sooner!!* Intensity- strength of contraction. The higher the peak the stronger the contraction. -If any of these #s are off , it increases the risk of uterine rupture.

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8/6/2019 11924226 Labor and Delivery Lecture Notes

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