MATERNAL ASSESSMENT

NOTES IN MATERNAL AND CHILD NURSING
Reference: NURSE’S NOTES: MATERNAL and CHILD NURSING
Maritess Manalang-Quinto, RN, MAN(c)


MATERNAL ASSESSMENT
Signs of Labor
Preliminary signs
- Lightening
- ↑ in level of activity
- Braxton hicks contractions
- Ripening of the cervix
Signs of True Labor
- Uterine contractions
- Show or bloody show
- Rupture of the membranes
Maternal assessment
- initial interview: EDC
: Duration, intensity, frequency of contractions
: amt & character of show
: Rupture of membranes
: vital signs, time of last meal
: drug allergies
: past pregnancy history
- Physical Exam
- Abdominal Assessment
: Fundic height
: Leopolds maneuver
- Laboratory analysis
Fetal assessment
a. FHR
- Auscultation
- Electronic monitoring
- Acid-base assessment
: pressure application on fetal scalp in dilated cervix
: absence of fetal acceleration suggests fetal distress
- Fetal reactivity
b. Fetal blood
- Blood sampling