![]() Assisting with procedures during labor (e.g.Emotional support and education, during delivery as well as postpartum (initial care, breastfeeding, recovery).Assessing and monitoring clients’ vital signs during labor.Here are some primary responsibilities of L&D nurses: Expulsion: Following delivery of the head and shoulders, the rest of the baby’s body is delivered relatively easily and quickly.External rotation: After the head is delivered, it rotates again so that the baby’s face is turned towards one of the mother’s inner thighs, allowing the shoulders to align with the pelvic outlet.Extension: As the baby’s head passes under the pubic bone, it extends backwards, with the chin leaving the chest, so that the head can fully emerge.Internal rotation: The baby’s head rotates about 90 degrees to align with the long axis of the body as it moves down the pelvis, typically from an orientation where the baby is facing sideways to facing the mother’s back.Flexion: As the baby’s head descends and encounters resistance from the pelvic bones and soft tissues, it naturally tucks its chin toward its chest, presenting the smallest head diameter to the birth canal.This occurs throughout labor, aided by uterine contractions, amniotic fluid pressure, and maternal pushing. ![]()
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