Describe the first stage and phase(s) of the labor process including cervical dilation, expected duration or...

Describe the first stage and phase(s) of the labor process including cervical dilation, expected duration or each and maternal behavior and nursing care during each stage. Select a nursing diagnosis for each stage.

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Expert Solution

The first stage of labor starts from the start of regular contraction to complete cervical dilatation:

phases of the first stage of labor:

Latent stage: starts from the onset of true labor pain to cervical dilatation
Active phase: Start when cervical dilatation is at 4 - 7 cm and contraction last for 40 - 60 sec with 3 - 5-minute interval
Transition phase - When contraction reaches it peak with an interval of 2 - 3 min. Now the cervix is dilated to 10 cm

Duration:

Primigravida - 12 hr
Multigravida - 6 hr

Nursing care in stage 1 labor:

labor should be allowed to start naturally
Pregnant woman's mobility should be encouraged.
Avoid intervention
Allow the patient to assume a non-supine position for delivery
Upon delivery of the child, the mother and child should be given enough opportunity to breastfeed

Nursing diagnosis -

Ineffective coping regarding fear and anxiety ( pertaining to labor)
Impaired gas exchange ( fetal distress)
Reduced maternal perfusion due to excess blood loss during delivery.

Nightingale answered 1 year ago

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