Maternal & Child Health
"Future RN! MCH focuses on the care of childbearing women and their children. Two lives in your hands!"
1. Stages of Labor 🤰
| Stage | What Happens | Nursing Focus |
|---|---|---|
| 1st Stage (Dilation) | Onset of true labor to Full Dilation (10cm). Includes Latent, Active, Transition phases. | Monitor FHR, contractions, pain management. |
| 2nd Stage (Expulsion) | Full Dilation to Birth of Baby. | Coaching on pushing, newborn immediate care. |
| 3rd Stage (Placental) | Birth of Baby to Delivery of Placenta. | Check placenta completeness, prevent hemorrhage. |
| 4th Stage (Recovery) | First 1-2 hours after delivery. | Monitor VS, fundus, lochia. Watch for bleeding! |
2. EDD Calculation (Naegele's Rule) 📅
LMP - 3 months + 7 days + 1 year
Example: LMP is January 1, 2024
Jan 1 - 3 months = Oct 1 (previous year)
Oct 1 + 7 days = Oct 8
Add 1 year = October 8, 2024
3. APGAR Scoring (Newborn) 👶
Assess at 1 min and 5 mins. Score 0-2 for each.
- Appearance (Color): Blue/Pale (0), Body Pink/Ext Blue (1), All Pink (2)
- Pulse (Heart Rate): Absent (0), <100 (1), >100 (2)
- Grimace (Reflex): No response (0), Grimace (1), Cry (2)
- Activity (Muscle Tone): Flaccid (0), Some flexion (1), Active (2)
- Respiration: Absent (0), Slow/Irregular (1), Strong Cry (2)
Test Your Knowledge! 🧠
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