Stages of Labor Nursing OB for Nursing Students | Stages of Labour NCLEX Explained Video Lecture

Summary

In this informative video, Sarah Thread Sterner provides an in-depth review of the stages of labor as part of a maternity nursing series. She outlines the four stages of labor, emphasizing the importance of understanding each stage for nursing exams. Stage one involves cervical dilation with three phases: latent, active, and transition. Stage two is the baby's delivery, stage three is the placenta's delivery, and stage four is the recovery period. Key points include monitoring cervical dilation, contractions, and nursing interventions. The video also covers signs of the baby's imminent delivery, the appearance of the placenta, and the nurse's role during each stage, concluding with a quiz for knowledge assessment.

Takeaways

• 📚 The video is part of an inkle review series focused on maternity nursing.
• 🤰 There are four stages of labor, each with specific events and nursing interventions.
• 🔑 The first stage is the longest and involves three phases: latent, active, and transition.
• 📏 During the first stage, the cervix dilates from 0 to 10 centimeters.
• 🚑 The latent phase is characterized by mild contractions and may not be recognized as labor.
• 💪 The transition phase is the most intense, with contractions becoming very close together.
• 👶 Stage two is when the baby is delivered, and it can last from 2 to 3 hours for first-time mothers.
• 🌀 In stage two, the mother will experience intense pressure and the urge to push.
• 🩸 Stage three involves the delivery of the placenta, which should happen within 5 to 15 minutes after the baby is born.
• 🔄 The Schultz and Duncan mechanisms are key methods for delivering the placenta.
• 🛌 Stage four is the recovery period, lasting one to four hours post-delivery, where the mother's vital signs and uterine health are closely monitored.

Q & A

What are the four stages of labor mentioned in the video?

The four stages of labor are: Stage one (cervix dilates from 0 to 10 centimeters), Stage two (baby is delivered), Stage three (placenta is delivered), and Stage four (recovery period one to four hours after the delivery of the placenta).

What are the three phases of the first stage of labor?

The three phases of the first stage of labor are the latent phase (also called early labor), the active phase, and the transition phase.

What happens during the latent phase of labor?

During the latent phase, the cervix dilates from one to four centimeters, contractions are every five to thirty minutes and 30 to 45 seconds in length, and they are mild compared to the active and transition phases.

How does the active phase differ from the latent phase?

In the active phase, the cervix dilates from four to seven centimeters, contractions are every three to five minutes and 45 to 60 seconds long, and they are stronger and longer than in the latent phase.

What is the main goal of the transition phase?

The main goal of the transition phase is to dilate the cervix from 8 to 10 centimeters, leading to full dilation for the baby to be delivered.

What are the signs that the baby is about to be delivered during stage two of labor?

Signs that the baby is about to be delivered include intense pressure, the baby descending through the birth canal, and changes in the perineum such as bulging or an increase in bloody show.

What are the two delivery mechanisms for the placenta mentioned in the video?

The two delivery mechanisms for the placenta are the Schultz mechanism, where the shiny side (baby side) is delivered first, and the Duncan mechanism, where the dull side (maternal side) is delivered first.

What is the significance of the color of the amniotic fluid during labor?

The color of the amniotic fluid is significant because meconium-stained fluid, which is yellow-brown or greenish, can indicate fetal distress and the risk of the baby aspirating it into its lungs, potentially causing infection or blocking airways.

Why is it important not to push before the cervix is fully dilated during the transition phase?

It is important not to push before the cervix is fully dilated because pushing before achieving a '10' on the dilation scale can cause the cervix to swell and prevent further dilation, which is necessary for the baby to be born.

What are some nursing interventions during the active phase of labor?

Nursing interventions during the active phase include providing comfort through nonpharmacological (e.g., warm showers, massage) or pharmacological (e.g., epidural) methods, monitoring vital signs, and ensuring the woman's bladder is empty to prevent interference with uterine contractions.

What is the primary focus of stage four of labor?

The primary focus of stage four of labor is the recovery period for the mother, which involves monitoring for complications like hemorrhage or infection, assessing the fundus of the uterus, and promoting bonding and breastfeeding with the baby.