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    M3 Cia

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    ApplePi Simp
    Mrs. J. is a 25-year-old woman admitted at full term for labor. She has been having contractions every 8-10 minutes for over an hour. On examination, her cervix is 4 cm dilated and 70% effaced. She is in the active phase of the first stage of labor. The fetal heart rate is 140 beats per minute and regular.

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    M3 Cia

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    ApplePi Simp
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    Mrs. J. is a 25-year-old woman admitted at full term for labor. She has been having contractions every 8-10 minutes for over an hour. On examination, her cervix is 4 cm dilated and 70% effaced. She is in the active phase of the first stage of labor. The fetal heart rate is 140 beats per minute and regular.

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    M3-CIA

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    Mrs. J. is a 25-year-old woman admitted at full term for labor. She has been having contractions every 8-10 minutes for over an hour. On examination, her cervix is 4 cm dilated and 70% effaced. She is in the active phase of the first stage of labor. The fetal heart rate is 140 beats per minute and regular.

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    26 views2 pages

    M3 Cia

    Uploaded by

    ApplePi Simp
    Mrs. J. is a 25-year-old woman admitted at full term for labor. She has been having contractions every 8-10 minutes for over an hour. On examination, her cervix is 4 cm dilated and 70% effaced. She is in the active phase of the first stage of labor. The fetal heart rate is 140 beats per minute and regular.

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    of 2

    MODULE 3: LESSON 4 – CIA

    CASE SCENARIO:
    Mrs. J. is a 25-y/o gravida 2, para 1, who was admitted at full term at 5:00 p.m. She stated that
    she had been having contractions at 8 to 10 minute intervals since 4 p.m. They lasted 25 seconds.
    She also stated that she had been having "a lot of false labor" and this makes her still able to feed
    and able to maintain a conversation and is getting excited. But now she hoped that this was "the
    real thing". Her membranes were intact. Mrs. J.'s temperature, pulse and respirations were
    normal and her blood pressure was 115/70. The fetal heart tones were 140 and regular. The nurse
    examined Mrs. J. and found that the baby's head was at +1 station, and the cervix was 4 cm.
    dilated and 70 percent effaced.

    Stages of labor Other name Description Duration

    1st stage Dilation/Cervical The patient had “a lot 13 to 18 hours


    Stage of false labor” despite (primi)
    being in the stage of
    having contractions. 8 to 9 hours
    (multiparas)

    Latent phase Still capable of feeding


    herself and carrying on 20-40 seconds
    conversation.

    Active phase
    She will experience 40-60 seconds
    regular contractions
    during this stage.
    60-90 seconds
    The patient from this
    Transition phase scenario has a 4 cm
    dilated cervix opening.
    2nd stage The Expulsion Stage The period beginning 2 hours (primi) 20
    at full dilatation and minutes (multiparas)
    lasting till the birth of a
    child. Additionally, it
    is the descending to
    bulging toward the
    crowning.

    3rd stage The Placental Stage From the moment a 20 minutes


    child is born until the
    placenta is delivered,
    this process starts.

    4th stage Postpartum/Recovery The mending of 1 to 4 hours


    Stage laceration or the
    episiorrhaphy takes
    place within the first
    one to four hours of the
    placenta's birth.

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