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Zambian nurses platform, lusaka, Lusaka (2025)

10/10/2025

I burn my fuel ⛽️ from nakonde to Lusaka just to come n watch u answer the cause of syphilis is Vibrio cholerae 👀👀

10/10/2025

Mapanza college of nursing is going to win the ongoing quiz trust me 👀those are big machines

10/10/2025

Rip mama 💔💔😭😭😭you entertained the world world 😭💔

09/10/2025

We need a quiz between diploma clinical officers n nurses kaili they both study for 3 yrs olo bambi they call each other doc

09/10/2025

Kashi ba levy nabo kuwayawayafye👀 data therz no

09/10/2025

Kuli ukopo ku quiz Nako ati What is the other name of fontanelle ati lymphoma 👀👀let’s continue watching

09/10/2025

That nursing school in 10 miles av been eliminated they pretend like they are in Lusaka kashi data no bwino bwino 👀

09/10/2025

U 🫵🫵are next to be congratulated 💃🏻

09/10/2025

Gelo ya bakamba na Treponema pallidum 🚮🚮

08/10/2025

Ba RN Incase u dont kuno midwives are ur seniors 👀argue if u want u produced 47%

08/10/2025

Ba Ndola and Livingstone we have slots for you book for your makeup and hair
Lusaka graduates we are also taking bookings
Chanels beau is ready to serve you with dignity 0973358448

07/10/2025

FIRST STAGE OF LABOR MANAGEMENT

AIMS
=To monitor the maternal wellbeing
= To monitor the fetal wellbeing
=To monitor the progress of labour

ADMISSION
=I will welcome the mother and assess her general condition for immediate intervention.
=I will ask her name and do a quick review using antenatal card.
=I will ask the mother the time labour started to know the duration of labour.
=I will ask her if she had taken some traditional medicine to induce labour for it can affect uterine contractions.
=Ask her the last time she had her last meal for nutritional intervention.

INVESTIGATIONS
=I will do vital signs such as blood pressure, temperature and pulse to act as a baseline data.
=I will do urinalysis to rule out proteinuria and ketones.
=I will do a full blood count for Hb and cross match
=I will allow her to lie on the delivery bed and proceed with abdominal examination for base line data.
=I will measure the height of fudus with tape and compare it with calculated gestational age.
=I will do fundal palpation to detect the lie.

ENVIRONMENT
=I will admit the mother in labour ward for close monitoring.
=I will ensure privacy to promote confidentiality.
=I will ensure that relevant equipment and drugs are in place for quick intervention if obstetric emergency arises.

OBSERVATION
=I will Observe the progress of labour using pantograph.

MONITORING OF FETAL WELLBEING
=I will monitor fetal heart rate using fetal scope half hourly to detect any abnormalities.
= I will monitor if the fetal heart rate is regular or irregular to rule out fetal distress.
=I will observe for fetal movements as excessive fetal movements may indicate fetal distress.
=Observe the colour of liquor if it a fresh meconium in vertex presentation indicates fetal hypoxia.
= I will assess degree of moulding during vaginal examination to detect any abnormalities.
=I will take note of cord prolapse during vaginal examination as this requires emergency intervention
= I will record all the findings on the partograph for reference and report all abnormalities for further intervention.

MONITORING OF MATERNAL WELLBEING
=I will Monitor temperature 2 hourly for fever to rule out the onset of infections.
= I will check for pulse half hourly for tarchycardia to rule out maternal distress.
Check for respiration as dyspnea to fetal hypoxia.
= I will check for blood pressure 4 hourly for high blood pressure to rule out pre-eclamsia.
=I will do urinalysis 2 hourly to rule out excess ketones in urine which may indicates starvation, glucosuria indicates diabetes mellitus while proteinuria indicates pre-eclampsia if hypertention is present.
=I will observe urine output to rule out renal disease.
=I will observe the woman any danger sign eg. Severe headache, blurred vision and dizziness and intervene.

MORNITORING THE PROGRESS OF LABOUR

=I will monitor the contractions half hourly and note if length, strength and frequency is according to time spent in labour in order help to identify hypertonic/hypotonic uterine
action.
=I will monitor the descent to assess the downward movement of the fetus.
=I will monitor the cervical dilatation 4 hourly in relation to time in order to rule out prolonged labor.
=I will assess the state of the cervix whether thin or thick, thick cervix may lead to cervical dystocia or prolonged labour during delivery.
=I will Check membranes whether intact or rupture as early rupture of membrane with high descent may be a sign of obstructed labour.

PSYCHOLOGICAL SUPPORT
= I will explain every procedure to the mother to promote cooperation.
= I will Allow the mother to ask questions and answer them in simple terms to promote understanding.
=I will not leave the mother alone in labour ward to allay anxiety
= I will tell her that she must not push before the time to prevent cervical swelling.

PAIN MANAGEMENT
=I will engage the mother in the discussion in order to distract her from pain.
= I will message the back or rub her back to relief backache
=I will allow her to walk around the ward to relieve pain.

POSITION
=I will encourage the mother to lie on left lateral position to prevent compression on the aorta and veinacava.
= I will allow the mother to be in the position of her choice for comfortable and pain relief.

BLADDER CARE/ BOWEL MOVEMENT
=I will encourage the mother to empty the urinary bladder frequently to prevent prevent prolonged second stage of labour.
I will catheterize her if she can’t empty the bladder prevent her from predisposing her to vesicle vaginal fistula.
= I will provide a bucket to her If she feels like opening bowels and not allow her to go to the toilet to prevent her from delivering from the toilet during the process of defecation.

NUTRITION
=I will ncourage the mother to eat small and soft food to promote energy as the mother require energy to push during second stage of labour.
=I will advise the mother not to eat hard foods like nshima as the may cause constipation or hard stool which may delay the progress of labour.
=I will give 50% dextrose If the woman is very weak to promote energy.

INFECTION PREVENTION
= I will avoid multiple vaginal examination to prevent introducing infection to the uterus
= I will use sterile gloves when doing vaginal examination to prevent infection.
=I will do v***a swabbing to every vaginal examination to prevent infection in the uterus
=I will ensure the environment is clean to prevent infection.

REST AND ACTIVITIES
=I will allow the mother to move around labour ward in order to enhance cervical dilatation.
=I will advise the mother not to push in the first stage of labour as she may be tired and fail to push when right time come.

IEC DURING LABOUR
=I will advise her to avoid pushing before time to avoid cervical swelling.
=I will encourage soft and sweat foods for energy
=I will encourage her to move around to promote contractions.
=I will encourage her to be frequency emptying of bladder as full bladder delays descent.
=I will encourage her lying on left lateral to avoid hypostatic hypotension and fetal hypoxia.
Prepared by
Wilson sichivula

Zambian nurses platform

10/10/2025

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09/10/2025

09/10/2025

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