Learn the stages of labor: Stage 1 (early, active, transition), Stage 2 (pushing/delivery), Stage 3 (placenta), Stage 4 (recovery). Know normal cervical dilation rates and when to call the provider for complications.
Know signs of preeclampsia (HTN, proteinuria, headaches), placental abruption (rigid abdomen, dark bleeding), and fetal distress (late decelerations, decreased variability). These require immediate intervention.
Normal FHR: 110-160 bpm with moderate variability. Early decelerations (mirror contractions) are usually benign. Late decelerations indicate uteroplacental insufficiency - turn mom to left side, give O2, increase IV fluids.
APGAR at 1 and 5 minutes, vital signs, weight, length, head circumference. Check for patent airway, normal breathing, pink color, and appropriate reflexes. Normal newborn vitals: HR 120-160, RR 30-60, temp 97.7-99.5°F.
Teach proper latch (wide mouth, lips flanged out, chin touching breast), positioning, and early feeding cues. Normal newborn feeds 8-12 times per day. Know signs of adequate intake: wet diapers, weight gain, contentment after feeds.
🌟 Pro Tip: Trust your instincts - if something doesn't look right with mom or baby, speak up immediately!
