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NURSING 220 2nd Exam - Study Guide with complete solution,latest update

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Study Guide for Second Maternity Exam 1.Stages and phases of labor and when to assess maternal vital signs Stage 1 – (0cm – 10cm) Latent phase (0-3cm) • Beginning cervical dilatat ... ion and effacement to 3 cm • No evident fetal descent • Uterine contractions increase in frequency, duration, and intensity • Contractions usually mild, regular • Excited, talkative, smiling • BP, respirations each hour if in normal ranges; temperature every 4 hours unless over 99.6 degrees F or membranes ruptured, then every hour; uterine contractions every 15-30 minutes Active phase (4-7cm) • Cervical dilatation from 4 to 7 cm • Epidural will be placed in the active phase • Progressive fetal descent • Contractions more frequent and intense • Maternal responses – Increased anxiety • BP, pulse, respirations every hour if in normal range, UC palpated very 15-30 minutes [Show More]

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