Section: Unit 4: Nursing Care During Labor and Delivery | Maternal Health | NextGenU.org

  • Unit Objectives:
    • Identify the stages of the delivery process.
    • Explore methods of pain management in labor.
    • Identify the key factors for assessment of the fetus during labor.
    • Identify the nurse’s role in the care of the laboring woman.

    • 4.1 Overview of the Labor and Birth Process

      Learning Objectives:
      • Define labor and birth.
      • Define the 4 stages of labor and delivery.
      • List the 5 P’s of labor and delivery.
      • Describe the evidence-based practice on the frequency of vaginal examination in labor.
      • Explain the use of a partograph in labor and birth.
       
      Required Learning Resources and Activities
    • Read the entire chapter (28 minutes). 

       Hesperian Health Guides

    • Read the entire page. (24 minutes)

      Bettercare

    • Read the sections on ‘Definition of Labor ‘ and  ‘Maternal Ambulation and Position’. (5 minutes)

      The Global Library of Women's Medicine

    • Read the sections from ‘Fetal Lie’ to ‘Fig.7’ (23 minutes).

      The Global Library of Women's Medicine

    • Read the contents of G, H, I, K, and L. (5 minutes)

      Bettercare

    • Slide Deck Presentation

    • Read all the slides and answer the questions.

    • Quiz

    • quiz icon
      Quiz: Overview of the Labor and Birth Process

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the attempt quiz button to view the case studies and respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 80%.

      Not available unless: The activity Unit 3 Exam is complete and passed
    • Clinical Skill Procedure

    • 4.2 Pain Management In Labor

      Learning Objectives:
      • Explain the causes of pain in labor.
      • List drugs that can be given during labor for analgesia.
      • Explain the different pain management methods.
       
      Required Learning Resources and Activities
    • Read Section 3: Procedure from P-1 to P-13 (19 minutes).

      WHO

    • Read the entire page. (31 minutes)

      Bettercare

    • Read the entire article (11 minutes).
      NHS
    • Watch the video (11 minutes 52 seconds).

      Geneva University Hospitals

    • Read the entire page (4 minutes).

      NHS

    • Slide Deck Presentation

    • Read all the slides and answer the questions.

    • Quiz
    • quiz icon
      Quiz: Pain Management in Labor

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the attempt quiz button to view the case studies and respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 80%.

    • 4.3 Fetal Monitoring

      Learning Objectives:
      • Identify signs of fetal well-being.
      • Screen for signs of a fetus at risk of complications.
       
      Required Learning Resources and Activities
    • Read all the slides and answer the questions.

    • Quiz

    • quiz icon
      Assessment: Fetal Monitoring Quiz

      FHR Video.

      Complete Learning 1 activity:

      https://de.ryerson.ca/games/nursing/maternity/labour-and-delivery/modules.html?m=3

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

      Not available unless: The activity Quiz: Pain Management in Labor is complete and passed
    • Clinical Skill Procedure

    • 4.4 Nursing Care During First Stage of Labor

      Learning Objectives:
      • Describe the monitoring, management, and evaluation of the first stage of labour.
      • Describe the importance of the partograph.
      • Identify poor progress during the first stage of labor.
      • Recognize the risk factors and management of a prolapsed umbilical cord
       
      Required Learning Resources and Activities
    • Read pages 79-93 (14 minutes).

      Alemaya University

    • Read the entire page (50 minutes).

      Bettercare

    • Slide Deck Presentation

    • Read all the slides and answer the questions.

    • Quiz
    • quiz icon
      Quiz: Nursing Care During First Stage of Labor

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the attempt quiz button to view the case studies and respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 80%.

      Not available unless: The activity Assessment: Fetal Monitoring is marked complete
    • Clinical Skills Procedure

    • 4.5 Nursing Care During Second Stage of Labor

      Learning Objectives:
      • List the signs that stage 2 of labor is starting.
      • Describe the cardinal movements of labor (fetal descent and delivery).
      • Explain 4 ways a nurse can support a woman during delivery.
      • Name 3 warning signs during delivery.
      • Summarize the steps of delivering a baby during stage 2 of labor.
       
      Required Learning Resources and Activities
    • Read the entire page (42 minutes).

      Bettercare

    • Read pages C98-100 (3 minutes).

      WHO

    • Read the entire Chapter 12. Click "NEXT" at the end of each page to go to the other page of the chapter (47 minutes).

      Hesperian Health Guides

    • Read the entire Chapter 24. Click "NEXT" at the end of each page to go to the other page of the chapter (23 minutes).

      Hesperian Health Guides

    • 'Read the sections on 'Station' and 'Cardinal Movements of Labor.' (6 minutes)

      The Global Library of Women’s Medicine’s

    • Read page 94 (1 minute).

      Alemaya University

    • Watch the video (1 minute 21 seconds).

      NHS

    • Watch the video (1 minute 21 seconds).

      NHS

    • Watch the video. (5 minutes 12 seconds)

      University of South Wales

    • Watch the video (6 minutes).

      Global Health Media

    • Slide Deck Presentation

    • Read all the slides and answer the questions.

    • Quiz
    • quiz icon
      Quiz: Nursing Care During Second Stage of Labor

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the attempt quiz button to view the case studies and respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 80%.

    • Clinical Skills Procedure

    • Read the entire chapter 24. 

    • 4.6 Nursing Care During Third Stage of Labor

      Learning Objectives:
      • Define the third stage of labor and management.
      • List the observations needed during the third stage of labor.
      • Examine a placenta after delivery.
      • List the causes of postpartum hemorrhage.
      • Manage a patient with postpartum hemorrhage.
       
      Required Learning Resources and Activities
    • Read the entire page (31 minutes).

      Bettercare

    • Read the entire book (35 minutes).

      The Global Library of Women's Medicine (GLOWM)

    • Watch the video (7 minutes 12 seconds).

      MedicalAidFilms

    • Slide Deck Presentation

    • Read all the slides and answer the questions.

    • Quiz
    • quiz icon
      Quiz: Nursing Care During Third Stage of Labor

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the attempt quiz button to view the case studies and respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 80%.

    • Clinical Skill Procedure

    • 4.7 Nursing Care During Fourth Stage of Labor

      Learning Objectives:
      • Identify the immediate care needs of a patient in the 4th stage of labor.
      • Describe assessment and treatment related to perineum care.
      • Describe assessment and prevention related to postpartum hemorrhage.
      • Recognize the causes of uterine atony and/or abnormal uterine involution.
      • Identify client teaching for self-care.
       
      Required Learning Resources and Activities
    • Read section 12-1 to 12-19. (21 minutes)

      Bettercare

    • Read pages C105-107 (4 minutes).

      WHO

    • Read pages B10-B12 and D19-D25 of the book (26 minutes).

      WHO

    • Read the entire page (13 minutes). 

      Hesperian Health Guides

    • Read the entire page (3 minutes).

      Royal College of Obstetricians and Gynaecologists

    • In this activity, you can navigate the slides by moving back and forth using the keyboard arrows or swiping left or right if you are using a touch-screen device.

      You must answer all questions for the activity to be marked as complete and you will have unlimited attempts to complete the activity.


    • Slide Deck Presentation

    • Read all the slides and answer the questions.

    • Quiz
    • quiz icon
      Quiz: Nursing Care During Fourth Stage of Labor

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the attempt quiz button to view the case studies and respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 80%.

    • Clinical Skills Procedure

    • quiz icon
      Unit 4 Exam Quiz

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.