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    Mechanisms of Labor

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    Ryan Robert V. Ventolero
    The document discusses the nurse's responsibilities during the second stage of labor. It defines the cardinal movements of labor as the series of movements that occur on the head during its journey through the pelvis. The second stage begins when the cervix is fully dilated and the woman feels the urge to push. During this stage, the nurse should provide a quiet environment, teach the mother proper pushing techniques, assist in positioning, provide encouragement, and monitor vital signs. The nurse should also record the delivery time and initiate newborn care.

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    Mechanisms of Labor

    Uploaded by

    Ryan Robert V. Ventolero
    204 views16 pages
    The document discusses the nurse's responsibilities during the second stage of labor. It defines the cardinal movements of labor as the series of movements that occur on the head during its journey through the pelvis. The second stage begins when the cervix is fully dilated and the woman feels the urge to push. During this stage, the nurse should provide a quiet environment, teach the mother proper pushing techniques, assist in positioning, provide encouragement, and monitor vital signs. The nurse should also record the delivery time and initiate newborn care.

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    The document discusses the nurse's responsibilities during the second stage of labor. It defines the cardinal movements of labor as the series of movements that occur on the head during its journey through the pelvis. The second stage begins when the cervix is fully dilated and the woman feels the urge to push. During this stage, the nurse should provide a quiet environment, teach the mother proper pushing techniques, assist in positioning, provide encouragement, and monitor vital signs. The nurse should also record the delivery time and initiate newborn care.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    204 views16 pages

    Mechanisms of Labor

    Uploaded by

    Ryan Robert V. Ventolero
    The document discusses the nurse's responsibilities during the second stage of labor. It defines the cardinal movements of labor as the series of movements that occur on the head during its journey through the pelvis. The second stage begins when the cervix is fully dilated and the woman feels the urge to push. During this stage, the nurse should provide a quiet environment, teach the mother proper pushing techniques, assist in positioning, provide encouragement, and monitor vital signs. The nurse should also record the delivery time and initiate newborn care.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 16

    Nursing Responsibilities of

    the Nurse in Relation to the


    Mechanisms of Labor

    Ryan Robert V. Ventolero


    Topic Description:
    This topic deals with the nurse’s responsibilities with
    regards to the mechanisms of labor in normal cephalic
    delivery.

    Central Objectives:
    Define and understand mechanisms of labor and the
    cardinal movements, and the second stage of labor
    and know the nursing responsibilities during this stage.
    Identifying Information

    Mechanisms of Labor
    Also called the cardinal movements, is“the series of
    movements that occur on the head in the process of
    adaptation during its journey through the pelvis.”
    (Birat Health College, 2019)
    Second Stage of Labor
    “it begins when the cervix is fully dilated, and the
    woman feels the urge to expel the baby.”
    (Nidhin, 2019)
    Anatomy
    Descent
    “is the downward movement of the
    biparietal diameter of the fetal head to
    within the pelvic inlet” (Foley &
    Pillitteri, 2010)

    The Mechanisms Of Labor


    Flexion
    “fetal head comes into contact with the
    pelvic floor, cervical flexion occurs”
    (Geeky Medics, 2018)

    The Mechanisms Of Labor


    Internal Rotation
    “fetal head rotates from a left or right-
    occipito-transverse position to an
    occipito-anterior position” (Geeky
    Medics, 2018)

    The Mechanisms Of Labor


    Extension
    “occiput slips beneath the suprapubic
    arch as the head extends and the nape is
    pivoting against the arch” (Geeky
    Medics, 2018)

    The Mechanisms Of Labor


    External Rotation
    “immediately after the fetal head is born,
    the head then rotates back to the
    diagonal or transverse position of the
    early part of labor” (Foley & Pillitteri,
    2010)

    The Mechanisms Of Labor


    Expulsion
    “when the shoulders are born, the rest of
    the baby is born easily and smoothly
    because of its smaller size.”

    The Mechanisms Of Labor


    Nursing Responsibilities during the second
    stage of Labor
    Tabangcora (2016) & RegisteredNurseRN (2017)
    Provide a quiet
    The patient should be
    environment should be
    taught on quality
    provided to concentrated
    pushing (when and how
    on bearing down
    to push)

    The patient should be


    Provide positive feedbacks
    assisted in high or
    as the patient pushes
    semi-fowler’s or
    lithotomy position
    Record exact time of Assist in restrictive
    delivery then proceed to episiotomy in vaginal
    initiate newborn care births

    Monitor vital signs


    The nurse should repeat
    and fetal heart rate
    the instructions made by
    the physician to the mother
    Clinical Scenario
    A 26-year-old primigravida is admitted at the
    birthing room. Her husband is an OFW and they
    have been married for 1 year. She has no family
    member with her as of the moment. Patient’s VS are
    stable
    Gynecological history
    Had regular menstrual cycles since menarche. 1st,
    2nd, and 3rd trimesters with no any abnormal
    complains and normal ultrasonic scans. No Pap
    smear done, and contraception never taken.
    Questions
    10. What should be taught to the mother in the delivery?

    9. What occurs when


    1. When does the second fetal head comes into
    stage of labor begins? contact with the pelvic
    floor?
    2. In the flexion phase,
    8. What should the nurse
    where does the fetal head
    record after the delivery?
    comes into contact?

    3. What position does the 7. In what position should


    fetal head rotates in the the nurse assist the
    internal rotation phase? mother in giving birth?

    4. In the internal rotation, 6. What should be the


    the fetal head rotates nurse’s feedbacks to the
    from? mother during delivery?

    5. This part where the head extends, and the foremost parts of the head, the face and chin are born?
    References
    ● Birat Health College, Purwanchal University, Nepal. 2019. “Mechanism of Labour.” SlideShare. January 13, 2019.

    https://www.slideshare.net/MrsHeeraKCParajuli/mechanism-of-labour-127882457.

    ● Chambers, Josh, Faye Alabdulghafoor·Obstetrics, and Gynaecology. 2018. “Mechanism of Labour - OSCE Guide.” Geeky Medics.

    September 5, 2018. https://geekymedics.com/mechanism-of-labour/.

    ● Foley, Maryann, and Adele Pillitteri. 2010. Study Guide to Accompany Maternal & Child Health Nursing : Care of the

    Childbearing & Childrearing Family. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins.

    ● Nidhin, Drisya. 2015. “NURSING MANAGEMENT OF SECOND STAGE OF LABOUR.” SlideShare. July 30, 2015.

    https://www.slideshare.net/drisyavr1/nursing-management-of-second-stage-of-labour.

    ● Pillitteri, Adele. 2007. Maternal & Child Health Nursing : Care of the Childbearing & Childrearing Family. Philadelphia, Pa:

    Lippincott Williams & Wilkins.

    ● RegisteredNurseRN. 2017. “Stages of Labor Nursing OB for Nursing Students | Stages of Labour NCLEX Explained Video Lecture.”

    YouTube Video. YouTube. https://www.youtube.com/watch?v=uMmbpbpmDes&t=697s.

    ● Tabangcora, Iris Dawn. 2016. “Stages of Labor: Nursing Care Tips for Various Stages.” Nurseslabs. June 20, 2016.

    https://nurseslabs.com/stages-of-labor/.

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