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    Ryan Robert V. Ventolero
    This document provides an overview of the nursing responsibilities related to the mechanisms of labor. It defines key terms like mechanism of labor and the second stage of labor. It also describes the cardinal movements of labor including descent, flexion, internal rotation, extension, external rotation, and expulsion. Finally, it outlines the nursing responsibilities during the second stage of labor such as teaching the patient proper pushing techniques, maintaining a quiet environment, monitoring vital signs and the fetal heart rate, and assisting with restrictive episiotomy if needed. An example clinical scenario is also provided to demonstrate how to apply these nursing responsibilities.

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    Resource Unit

    Uploaded by

    Ryan Robert V. Ventolero
    112 views5 pages
    This document provides an overview of the nursing responsibilities related to the mechanisms of labor. It defines key terms like mechanism of labor and the second stage of labor. It also describes the cardinal movements of labor including descent, flexion, internal rotation, extension, external rotation, and expulsion. Finally, it outlines the nursing responsibilities during the second stage of labor such as teaching the patient proper pushing techniques, maintaining a quiet environment, monitoring vital signs and the fetal heart rate, and assisting with restrictive episiotomy if needed. An example clinical scenario is also provided to demonstrate how to apply these nursing responsibilities.

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    Resource Unit on the Mechanisms of Labor

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    This document provides an overview of the nursing responsibilities related to the mechanisms of labor. It defines key terms like mechanism of labor and the second stage of labor. It also describes the cardinal movements of labor including descent, flexion, internal rotation, extension, external rotation, and expulsion. Finally, it outlines the nursing responsibilities during the second stage of labor such as teaching the patient proper pushing techniques, maintaining a quiet environment, monitoring vital signs and the fetal heart rate, and assisting with restrictive episiotomy if needed. An example clinical scenario is also provided to demonstrate how to apply these nursing responsibilities.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    112 views5 pages

    Resource Unit

    Uploaded by

    Ryan Robert V. Ventolero
    This document provides an overview of the nursing responsibilities related to the mechanisms of labor. It defines key terms like mechanism of labor and the second stage of labor. It also describes the cardinal movements of labor including descent, flexion, internal rotation, extension, external rotation, and expulsion. Finally, it outlines the nursing responsibilities during the second stage of labor such as teaching the patient proper pushing techniques, maintaining a quiet environment, monitoring vital signs and the fetal heart rate, and assisting with restrictive episiotomy if needed. An example clinical scenario is also provided to demonstrate how to apply these nursing responsibilities.

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    © All Rights Reserved
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    Download as docx, pdf, or txt
    of 5

    Silliman University

    COLLEGE OF NURSING

    RESOURCE UNIT ON THE NURSING RESPONSIBILITIES OF


    THE NURSE IN RELATION TO THE MECHANISMS
    OF LABOR

    Submitted to: Asst. Prof. Maria Theresa C. Belcina Jr, RN, MN, JD, PhD

    Prepared by: Ryan Robert V. Ventolero, S.N.


    Topic: Nursing Responsibilities of the Nurse in Relation to the Mechanisms of Labor
    Topic Description: This topic deals with the nurses’ responsibilities with regards to the mechanisms of labor in normal cephalic
    delivery through the vagina.
    Central Objectives: At the end of the discussion, the students will be able to define the term mechanism of labor, second stage of
    labor, and the cardinal movements and understand the differences of each. The students will also have the knowledge on the nursing
    responsibilities during the mechanisms of labor.
    Specific Objectives Content T.A. T-L Evaluation Method
    Activities
    At the end of the
    discussion, the
    students will:

    Define satisfactorily A. Definition of Terms 2 mins PowerPoint Open Forum


    mechanism of labor, a. Mechanism of Labor- According to Birat presentation
    and second stage of Health College (2019), the series of
    labor movements that occur on the head in the
    process of adaptation during its journey
    through the pelvis.
    b. Second Stage of Labor- Nidhin (2015)
    stated that it begins when the cervix is fully
    dilated and the woman feels the urge to
    expel the baby; Expulsion of the fetus.

    Distinguish descent, B. Cardinal Movements 6 mins


    flexion, internal a) Descent- Foley & Pillitteri (2010) vouched
    rotation, extension, that it is the downward movement of the
    external rotation, and biparietal diameter of the fetal head to
    expulsion. within the pelvic inlet.
    c. Flexion- According to Geeky Medics
    (2018), fetal head comes into contact with
    the pelvic floor, cervical flexion occurs.
    d. Internal Rotation- Geeky Medics (2018)
    stated that fetal head rotates from a left or
    right occipito-transverse position to an
    occipito-anterior position.
    e. Extension- Geeky Medics (2018) also
    stated that occiput slips beneath the
    suprapubic arch as the head extends and
    the nape is pivoting against the arch.
    f. External Rotation- Foley & Pillitteri
    (2010) stated immediately after the fetal
    head is born, the head then rotates back to
    the diagonal or transverse position of the
    early part of labor.
    g. Expulsion- Foley & Pillitteri (2010)
    vouched that when the shoulders are born,
    the rest of the baby is born easily and
    smoothly because of its smaller size.

    C. Nursing Responsibilities during the second


    Know the nursing stage of labor. 7 mins
    responsibilities during
    the second stage of Tabangcora (2016) & RegisteredNurseRN (2017)
    labor. enumerated:
    a. The patient should be taught on quality
    pushing (when and how to push)
    b. A quiet environment for the patient should
    be provided to concentrate on bearing
    down.
    c. The patient should be assisted in high or
    semi fowler’s or lithotomy position
    d. Provide positive feedback as the patient
    pushes.
    e. During the delivery stage, the mother’s
    attention is directed towards the delivery.
    In this case, the nurse should repeat the
    instructions made by the physician.
    f. Record exact time of delivery then proceed
    to initiate newborn care.
    g. Monitor vital signs and fetal heart rate.
    h. Assist in restrictive episiotomy for patients
    who had vaginal births.

    SCENARIO: A 26-year-old primigravida is


    admitted at the birthing room. Her husband is an
    Apply the nursing Overseas Filipino Worker, and she has no family 5 mins Present a
    responsibilities of the member with her as of the moment. clinical
    nurse in relation to scenario
    mechanisms of labor. emphasizing
    the nursing
    responsibilities
    during the
    second stage of
    labor.

    REFERENCES:
    Birat Health College, Purwanchal University, Nepal. 2019. “Mechanism of Labour.” SlideShare. January 13, 2019.

    https://www.slideshare.net/MrsHeeraKCParajuli/mechanism-of-labour-127882457.

    Chambers, Josh, Faye Alabdulghafoor·Obstetrics, and Gynaecology. 2018. “Mechanism of Labour - OSCE Guide.” Geeky Medics.

    September 5, 2018. https://geekymedics.com/mechanism-of-labour/.


    Foley, Maryann, and Adele Pillitteri. 2010. Study Guide to Accompany Maternal & Child Health Nursing : Care of the Childbearing

    & Childrearing Family. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins.

    Nidhin, Drisya. 2015. “NURSING MANAGEMENT OF SECOND STAGE OF LABOUR.” SlideShare. July 30, 2015.

    https://www.slideshare.net/drisyavr1/nursing-management-of-second-stage-of-labour.

    Pillitteri, Adele. 2007. Maternal & Child Health Nursing : Care of the Childbearing & Childrearing Family. Philadelphia, Pa:

    Lippincott Williams & Wilkins.

    RegisteredNurseRN. 2017. “Stages of Labor Nursing OB for Nursing Students | Stages of Labour NCLEX Explained Video Lecture.”

    YouTube Video. YouTube. https://www.youtube.com/watch?v=uMmbpbpmDes&t=697s.

    Tabangcora, Iris Dawn. 2016. “Stages of Labor: Nursing Care Tips for Various Stages.” Nurseslabs. June 20, 2016.

    https://nurseslabs.com/stages-of-labor/.

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