SCHOOL OF HEALTH AND

ALLIED HEALTH SCIENCES

Nursing Department

SELF-DIRECTED LEARNING 5 (CLINICAL AREA)

Name: ________________________________________ Group: _____ Date:________

I. Complete the needed data on Stages of Labor and Delivery.

STAGES OF LABOR

I. ______________________
II. ______________________
III. _____________________
IV. _____________________

1st Stage
_______________________

• Measured from ______________________________________________________________________

Phases Duration of Contractions Cervical Dilatation Duration

Latent _________ seconds _________ cm Nullipara: _____ hours

- mild and short Multipara: ____ hours
Active
- stronger and longer _________ seconds _________ cm Nullipara: _____ hours
- true discomfort Mutlipara: ____ hours
Interval: _____ minutes
Transition
- at peak intensity _________ seconds _________ cm Until full cervical
dilatation
Interval: _____ minutes

2nd Stage
_____________________________

• from ___________________________________________________:
• _______________:
– fetal head pushes against the perineum, the vaginal introitus opens and the fetal scalp appears at the
opening to the vagina
Cardinal Movements of Labor
• E - ______________________________________
• D - ______________________________________
• F - ______________________________________
• I - ______________________________________
• E - ______________________________________
• E - ______________________________________

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• E - ______________________________________
3rd Stage
______________________________

• Duration: ___________________

Types of Placental Separation:

____________ - separation begins in the center and fold unto themselves

- appears shiny and glistening from the fetal membranes

____________ - placenta separates at its edges, delivered with maternal surface exposed
- appears red, raw and irregular from the ridges that separate the blood collection spaces

Signs of Placental Separation:

1. _____________________________________________
2. _____________________________________________
3. Calkin’s sign – _________________________________

4th Stage
__________________________

• ______ hour after delivery

• Monitor vital signs every ______ minutes for 1 hour
• Primary activity is stabilizing the status of the neonate and mother
• Focus is on promoting maternal-neonatal bonding

LEOPOLD’S MANEUVER
Maneuver Procedure Purpose

First Maneuver

Second Maneuver

Third Maneuver

Fourth Maneuver

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II. Explain the possible indications to the following:

Fetal danger signs of labor:

a. High or low Fetal Heart Rate

b. Meconium Staining

c. Hyperactivity

d. Low Oxygen Saturation

Maternal danger signs of labor:

a. High or low blood pressure

b. Abnormal pulse

c. Inadequate or prolonged contractions

d. Abnormal lower abdominal contour

e. Increasing apprehension