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Intrapartum

Maternity and Newborn
Across
Birth to delivery of the placenta
Fluid in the upper vaginal area is obtained and placed on a slide and assess for
The contractions
Movement of the fetus through the birth canal
The fetal head aligns the long axis of the maternal pelvis
Greatest diameter of the fetal head passes through the pelvic inlet
Postpartum recovery 4-hours later
Progression of cervical change
8-10 cm
Maternal posture to facilitate labor
0-4 cm
Down
Regular contractions, change in cervix, and effacement
5-7 cm
Contractions, activity does not change pattern, and hydration or sedation slows the contractions
The pelvis and birth canal
Complete dilation to the delivery of the baby
The shoulder and the remainder of the body are delivered
Onset of labor ends with complete cervical dilation
Paper turns blue when in contact with amniotic fluid
The sagittal suture moves to a transverse diameter and the shoulders aligns with the anteroposterior diameter
Presenting part pivots beneath the pubic symphysis
The fetus
The chin moves toward the fetal chest
The response of the woman
May occur before the onset of labor