Week 3

Question 1

Premonitory signs of Labour

Answer 1

• Lightening • Braxton Hicks contractions
• Bloody show • Rupture of membranes • Sudden burst of energy 24-48 hrs before labour • Weight loss (2.2-6.5 kg) • Backache • N&V • Diarrhoea

Question 2

Five factors affecting labour progress

Answer 2

1. The birth passageway
2. The passenger
3. The physiologic forces of labour
4. The position of the mother
5. The woman’s psychosocial considerations

Question 3

Stage one of labour

Answer 3

• Latent-phase contractions
• Active-phase contractions
• Transition-phase contractions

Question 4

Normal FHR (baseline rate)

Answer 4

110 to 160 beats/min (140 is good)

Question 5

Nursing interventions during Stage 1

Answer 5

• Continue to assess, monitor vitals, FHR, pain, contractions, VE, fluids
• Help prevent pushing prior to full cervical dilatation

Question 6

Nursing interventions during Stage 2

Answer 6

• Monitor • Assist with comfortable positioning • Provide info regarding progress of labour • Assist physician in prep for birth

Question 7

Nursing interventions during Stage 3

Answer 7

• Provide newborn care
• Assist with delivery of placenta
• Monitor & document
• Recognise signs of placental separation
• Placental delivery