![]() Shortest phase but most intense/painful.This phase will lead into Stage 2 where the baby will be delivered. Mother will be serious, anxious, and in pain. Encourage frequent urination to keep bladder empty ( full bladder prevents uterus from contracting properly and can slow down labor), monitor vitals of mother and fetal heart rate. Non-pharmacological: changing positions, warm shower or bath, massages between contractions, breathing techniques, ice or fluids for dry mouth. Interventions: Provide comfort (non-pharmacological and pharmacology). Perform Nitrazine paper test to confirm the water has broke (turns blue if positive).Important to monitor for meconium -stained fluid which is greenish brown/yellowish ammonitic fluid…baby can aspirate this into lungs causing infection or blocking airway and this usually indicates fetal distress).If woman at home, time to go to the hospital.Contractions will be noticeably stronger and longer (45 to 60 seconds) every 3 to 5 minutes.*Starts at 6 cm (instead of 4 cm)…. (The American College of Obstetricians and Gynecologists) has recommended guideline changes for cervical dilation for the stages of labor.Cervix dilates to * 4 to 7 cm and thins.Woman will be talking, excited, and nervous. If woman at home, should monitor contraction duration and intensity…try to stay comfortable at home until water breaks or enters active phase of labor.Longest of the phases (especially first time mothers >20 hours vs >14 multipara)….some women notice contractions while others don’t (can gradually occur over 8-12 hours or 1-3 days).Contractions are less intense compared to other phases and stages.Contractions occur every 5 to 30 minutes and 30-45 seconds in length.*0-6 cm…. (The American College of Obstetricians and Gynecologists) has recommended guideline changes for cervical dilation for the stages of labor.Cervix dilates from 1 to 4 cm* and thins.Remember the mnemonic: “ Labor is Actively Transitioning” Phase 1: Early labor ( Latent) Phases: Early Labor (Latent), Active, and Transition Longest Stage (especially for first time mothers…nulliparous).Goal: Cervical dilation (opening) 0-10 cm & 100% effacement (thinning) due to contractions. Stages of Labor Nursing NCLEX Review Stage 1 of Labor ![]()
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