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Learning Feedback Diary in Nursing

The document summarizes key points learned from a Maternal and Child Health Nursing class. It discusses the four stages of labor in detail, including the characteristics and typical durations of the latent phase, accelerated phase, transition phase, and pushing/delivery of the baby in stage 2. It expresses gratitude for the professor's effective teaching methods and knowledge shared, which will help students in their future nursing careers.

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Alhadzra Alih
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0% found this document useful (0 votes)
1K views3 pages

Learning Feedback Diary in Nursing

The document summarizes key points learned from a Maternal and Child Health Nursing class. It discusses the four stages of labor in detail, including the characteristics and typical durations of the latent phase, accelerated phase, transition phase, and pushing/delivery of the baby in stage 2. It expresses gratitude for the professor's effective teaching methods and knowledge shared, which will help students in their future nursing careers.

Uploaded by

Alhadzra Alih
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
  • Learning Feedback Diary (LFD)

LEARNING FEEDBACK DIARY (LFD):

General Objective:

To be able to enhance knowledge and skills learned in Maternal and Child Health
Nursing.

Specific Objectives:

To carefully listen to our professor during our class discussion.


To be punctual regularly in attendance.
To take important notes during discussion.
To be resourceful and creative.
To manage my time wisely and properly.

Despite having a lot of information to process in my brain, I learned a lot in our Maternal
and Child Health Nursing class. There were numerous things I learned as a result of our
activities. The first topic covered in our NCM 107 lecture was providing comfort during
labor and birth, followed by the stages of labor, the postpartal family, and finally, the
nutritional needs of a newborn. We were given a group activity in which we were tasked with
presenting the four stages of labor, with our group being tasked with presenting the first stage
of labor. In addition, we were given four assessments to complete individually.

I learned a lot from all of the topics that were discussed with us, particularly during the
stages of labor. I learned that the first stage of labor is the longest stage. For nulliparous, it
can last for 8 hours. It may be shorter (about 4 hours) for moms who’ve already had children.
It’s when contractions become strong and regular enough to cause the cervix to dilate (open)
and thin out (efface). This lets the baby move lower into the pelvis and into the birth canal
(vagina). This stage of labor ends when the woman is 10 centimeters dilated. The first stage
is divided into three parts: latent phase, accelerated phase and transition to stage 2 of labor.
For most first-time mothers, the latent phase lasts 6 to 8 hours. The woman can spend this
time at home or wherever she feels most at ease. During early labor, the woman may
experience mild contractions that last 60 to 90 seconds and come every 5 to 15 minutes, as
well as a bloody show. This is a vaginal discharge that is pink, red, or bloody. If the woman
experiences heavy bleeding or bleeding similar to her period, she should contact her provider
right away. Accelerated phase is when the woman needs to head to the hospital. Active labor
typically lasts 2 to 3 hours. It begins when the cervix has dilated to 4-7 centimeters and the
contractions are regular. Contractions become stronger, longer, and more painful during
active labor. Each last about 40-60 seconds and can occur as close to 3-5 minutes apart as
possible. During this stage, the woman may experience lower back pain and leg cramps. She
might feel compelled to push. If her water hasn't already broken, it might now. Finally, she
might feel sick to her stomach. The last phase is the transition phase. During the transitional
phase, the cervix will open to about 8-10 centimeters (3-4 inches), which is the diameter
needed for the baby to pass through. Contractions become intense, occurring about every 2-3
minutes and lasting for 60-90 seconds. At this point, the legs may cramp and you may feel
shaky or nauseated. Some women choose to receive pain medication such as tranquilizers
and regional blocks like epidurals. The baby’s head continues to descend more into the
pelvis. By the end of the transitional phase, a birth canal will have formed. This is a single
passage of the open womb, cervix and vagina for the baby to pass through. The second stage
of labor begins when the cervix is fully dilated to 10 centimeters and 100% effaced and ends
with the delivery of the baby. This stage may last between 20 minutes to 2 hours. It may take
longer for first-time mothers and for those who have an epidural. And immediately after the
baby is born, the provider places the baby on the woman's chest, skin-to-skin, and covers the
baby with a blanket. Skin-to-skin contact keeps the baby warm as she or he adjusts to life
outside the womb. It's also an excellent way to begin breastfeeding. Breastfeeding can begin
within an hour of the woman's baby's birth. Even if she does not intend to breastfeed, she
should hold her baby skin-to-skin so they can get to know each other right away. The baby
will appreciate her gentle touch, and this closeness can aid in the mother-baby bonding
process. The third stage of labor begins after the baby is born and ends with pushing out the
placenta through the vagina. Typically, this occurs between 5-30 minutes after childbirth.
Lastly, the fourth stage of labor begins within the first 2-3 hours after birth. The uterus
contracts here and there during this time, pushing out what's left inside and reestablishing
muscle tone. These contractions are hastened by breastfeeding, which stimulates the
production of the hormone oxytocin

I am grateful to our professor for sharing her knowledge and wisdom with us, which will
help us in our future endeavors. The teaching methods she used were extremely effective.
Instead of spoon- feeding us, she simply showed us the way and forced us to learn more. I'm
also grateful to our professor for being understanding and for giving us enough time to
respond to our activities. Throughout this semester and into my fourth year of college, I will
do everything in my power to achieve passing or high grades. I will study wisely in order to
retain the knowledge I gained from our professor and to be able to apply that knowledge,
skills, and attitude in healthcare settings. Because we, as nursing students and soon-to-be
RNs, are expected to be resilient, engaged, and intelligent because these are essential
characteristics of an RN.

Common questions

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In the latent phase of labor, contractions are mild, lasting 60 to 90 seconds and occurring every 5 to 15 minutes. As labor progresses to the transitional phase, contractions become significantly more intense, occurring approximately every 2 to 3 minutes and lasting 60 to 90 seconds. The increase in frequency and intensity marks the cervix's progression from dilating to facilitating the baby's passage through the birth canal .

The teaching methods described focus on encouraging active learning by not spoon-feeding information but guiding students to explore and learn actively. This approach enhances critical thinking skills and prepares nursing students for real-life healthcare settings where independent problem-solving is crucial . The methods also promote resilience and intelligence, essential traits for registered nurses, by giving students time to respond to activities and make use of the learned skills practically .

Skin-to-skin contact immediately after birth is crucial for newborns as it keeps them warm while they adjust to life outside the womb. It also facilitates breastfeeding within an hour of birth, even if the mother does not intend to breastfeed in the long term, as it aids in the bonding process . This contact helps in the emotional bonding between mother and baby and provides comfort to the newborn through the mother's gentle touch .

Breastfeeding during the postpartum period is important as it stimulates uterine contractions, helping the uterus re-establish muscle tone and remove any remaining contents, which are part of the fourth stage of labor. It further encourages the production of the hormone oxytocin, which assists in these contractions and promotes mother-child bonding .

During the transition phase of the first stage of labor, the cervix opens to about 8-10 centimeters, enabling the baby to pass through the birth canal. Contractions become much more intense, occurring every 2-3 minutes and lasting for 60-90 seconds. This phase may also cause leg cramps, shakiness, and nausea in the woman, with the baby's head continuing to descend into the pelvis .

Classroom discussions and group activities promote deeper understanding by allowing students to actively engage with the material. Discussions provide the opportunity for clarification and interactive learning, while group activities encourage collaboration and a more comprehensive exploration of topics such as the stages of labor. Presenting on specific phases, as done with the presentation on the first stage, helps students internalize the material and gain practical insights, which is essential for their future roles as nurses .

Nursing students are expected to demonstrate resilience, engagement, and intelligence. These traits help them to adapt to the rigorous demands of their coursework and future responsibilities as registered nurses. Students are also encouraged to study wisely and apply their acquired knowledge, skills, and attitudes in practical healthcare settings .

The third stage of labor begins after the baby is born and involves delivering the placenta through the vagina. This process typically occurs 5 to 30 minutes postpartum. It concludes with the expulsion of the placenta, marking the end of childbirth . This stage is crucial for preventing postpartum hemorrhage and initiating the recovery process for the mother.

Effective time management skills are critical in enhancing the learning process in Maternal and Child Health Nursing courses. They allow students to balance attendance, note-taking, and engagement in class activities efficiently. This approach ensures that students can absorb and process a large amount of information systematically, which is vital for mastering complex topics such as the stages of labor .

The learning feedback diary describes four key stages of labor. The first stage is divided into three parts: the latent phase, accelerated phase, and transition to the second stage of labor. During the latent phase, which typically lasts 6 to 8 hours for first-time mothers, contractions are mild and occur every 5 to 15 minutes. The cervix begins to dilate and efface, allowing the baby to move into the pelvis. The accelerated phase occurs when the cervix dilates to 4-7 centimeters and contractions become stronger and more frequent, prompting the woman to go to the hospital. The transition phase sees the cervix dilating to 8-10 centimeters, and contractions become even more intense. This stage ends when the cervix is fully dilated and can last for 8 hours for nulliparous women, but may be shorter for those who have already given birth .

LEARNING FEEDBACK DIARY (LFD):
General Objective:
To be able to enhance knowledge and skills learned in Maternal and Child He
typically lasts 2 to 3 hours. It begins when the cervix has dilated to 4-7 centimeters and the
contractions are regular. Cont
also grateful to our professor for being understanding and for giving us enough time to
respond to our activities. Throughout

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