NUR 4445 Third and Fourth Stages of Labor

NUR 4445 Third and Fourth Stages of Labor
1. What is the third stage of labor characterized by?
- The third stage of labor lasts from the birth of the baby until the placenta is expelled.
- The placenta has separated and has been delivered
2. What are indicationsthat the placenta hasseparated (4)?
· Contraction ofthe uterus - globular shaped uterus and rises in the abdomen
· Gush of blood
· Lengthening of the cord
· Vaginal fullness/urge to push - per mom
3. What medications may be used after the delivery of the placenta (3)?
· Cytotec
· Methergine
· Hemabate
4. How and when do we administer cytotec?
- do not give while pregnant, induces labor
- Given rectally
- Also given PO or vaginally but in situation of atonic uterus and increased bleeding PR for
fastest absorption
5. How do we give Methergine? Who is it contraindicated in?
- Given IM
- Not given to person with hypertension as it can precipitate a hypertensive crisis!

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