Dawn P.

Encarnacion
BSN 2F

CARE FOR THE MOTHER AND THE GROWING FETUS

Intrapartum Care
Activity:
1.
Signs and Symptoms of true labor Signs and Symptoms of False labor
Regular Contractions Irregular contractions
Increasing intensity No increasing in intensity
Lower back pain Discomfort in the abdomen or groin area
Bloody show No bloody show
Water breaking No water breaking

2.
Components of labor Description/Influence to labor and
Delivery
Power Power refers to the force of the
contractions that the uterus exerts to push
the baby through the birth canal. The
strength and frequency of contractions are
essential for efficient labor and delivery.
The power of labor is influenced by the
hormones oxytocin and prostaglandins,
which stimulate the uterus to contract.
Passageway The passageway refers to the birth canal,
which includes the cervix, vagina, and
pelvic bones. The size and shape of the
passageway can affect the baby's position
and descent during labor. The
passageway's flexibility and ability to
stretch also play a significant role in
facilitating delivery.
Passenger The passenger refers to the baby and the
placenta. The size, position, and
presentation of the baby can affect the
progress of labor and delivery. The baby's
head is the most critical part of the
passenger, and the position of the head in
the birth canal can significantly impact the
mother's ability to deliver the baby.
Psyche The psyche refers to the emotional and
psychological state of the mother during
labor and delivery. The mother's mindset
can affect the production of hormones that
Dawn P. Encarnacion
BSN 2F
regulate contractions and pain perception.
A positive mindset and support from
healthcare providers and family members
can help mothers cope with the pain and
stress of labor and have a more positive
birth experience.

3.
Stages of Description Onset/Duration Danger signs Nursing
labor responsibilities
or action
First stage of This is the Onset can vary Signs of Monitor the
labor longest stage from woman to distress in the mother's vital
of labor and woman, but mother or signs and
can last usually starts baby, such as contractions,
anywhere from with mild heavy vaginal provide pain
several hours contractions that bleeding, relief as needed,
to a full day. It gradually abnormal fetal assist with
starts with the become stronger heart rate, or positioning and
onset of and closer signs of breathing
regular together. infection. techniques,
contractions Duration can encourage
and ends when last anywhere hydration and
the cervix is from 6 to 12 nutrition, and
fully dilated at hours or longer educate the
10 centimeters. for first-time mother on the
mothers. process of labor
and what to
expect.
Second stage This stage Onset can vary, Signs of fetal Assist with
of labor begins when but usually distress, such pushing,
the cervix is begins with a as a drop in monitor the
fully dilated strong urge to fetal heart rate, mother's vital
and ends with push. Duration or signs of signs and the
the birth of the can last maternal baby's heart
baby. anywhere from a exhaustion or rate, provide
few minutes to distress. emotional
several hours. support, and
prepare for the
delivery of the
baby.
Third stage This stage Onset usually Signs of Monitor the
of labor begins after the occurs within 10 retained mother's vital
baby is born to 30 minutes placenta or signs and
and ends with after the birth of uterine
 Dawn P. Encarnacion
BSN 2F
the delivery of the baby, and heavy contractions,
the placenta. duration can last bleeding. assist with
anywhere from a delivering the
few minutes to placenta, and
an hour. provide
emotional
support and
education on
postpartum care.

4.
Phases Label/Description Onset/Duration Contraction Cervical Nursing
Dilation Responsibilities/Action

Latent The latent phase The onset of the Contractions The Nursing responsibilities
Phase is the early phase latent phase is are mild, cervix during the latent phase
of the first stage typically when irregular, and dilates up include assessing
of labor, during the contractions may be felt to 3-4 cm maternal vital signs, fetal
which the cervix start, but they primarily in heart rate, and contraction
is effacing and may be mild and the lower pattern, offering support
dilating slowly. irregular at first. back or and encouragement,
abdomen. providing education and
The duration of pain management options,
the latent phase and ensuring the mother
varies, but it can stays hydrated and
last for several nourished.
hours, especially
in first-time
mothers.
Active The active phase The onset of the Contractions The Nursing responsibilities
Phase is when labor active phase is are stronger cervix during the active phase
intensifies, and marked by and more dilates include assessing
the cervix dilates stronger and frequent, from 4-6 maternal vital signs, fetal
more quickly. more regular with a cm to 10 heart rate, and contraction
contractions, frequency of cm. pattern, providing pain
which usually every 2-3 management, assisting
occur when the minutes, with comfort measures,
cervix is 4-6 cm lasting 60-90 and offering emotional
dilated. seconds. support.
The duration of
the active phase
 Dawn P. Encarnacion
BSN 2F
is typically
shorter than the
latent phase,
usually lasting 3-
5 hours.
Transition The transition The onset of the Contractions The Nursing responsibilities
Phase phase is the final transition phase are very cervix during the transition
phase of the first is marked by strong and dilates phase include assessing
stage of labor, very strong and frequent, from 8- maternal vital signs, fetal
when the cervix is regular with a 10 cm heart rate, and contraction
almost fully contractions. frequency of pattern, providing pain
dilated. every 1-2 management, assisting
The duration of minutes, with comfort measures,
the transition lasting 60-90 and offering emotional
phase is usually seconds. support. The nurse should
the shortest, also prepare for delivery,
lasting 30 as the baby is likely to be
minutes to 2 born soon.
hours.