labor and delivery
- Identify the differences between traditional maternity care and family centered Maternity care.
- Describe the differences in the physical layout in surgery vs. the birthing room unit. Define these key terms in the content of your paper:
a. Gravida
b.Para
c.Nullipara
d.Primipara
e.Multipara
f. Abortion - Describe the admission process of a normal laboring family. . Differentiate and describe the phases and stages of labor.
a. Stage I (first cervical change full dilatation)
Phase 1 – dilatation of 1 to 3 cm’s, full effacement for nullipara
Phase 2 – dilatation of 4 to 3 cm’s
(iii)Transition – dilatation of 8 to 10 cm’s
b. Stage II (delivery of fetus)
c. Stage III (delivery of placenta)
d. Stage IV (1st hour post-delivery) - Describe the differences and uses of internal and external monitoring.
- Discuss the process of a vaginal delivery:
- Is the delivery spontaneous or operative (forceps or vacuum)?
- Describe positioning of delivery mother, draping and other sterile preparation, and instrumentation, gowning and gloving.
c. Is an episiotomy always done? When and how? Where is the incision? What are extensions?
d. How is perineum prepared for an intact delivery? What are the degrees of lacerations? - Describe non-traditional providers of health care and types of births.
- Discuss the immediate care ‘of the newborn after birth. What is the first priority of care?
- Define circumcision and describe 3 types of circumcision that are most commonly performed.