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Module 3.10 Reproduction (Intraapartum­Normal) Part 2­Starting with Fourth Stage of Labor
Durham pgs. 218­220 and a quick overview of Chapter 9

Fourth Stage
•begins after delivery of the placenta and ends within 4 hours or with the stabilization of the mother
•during this stage the nurse is caring for the infant and the mother
•this stage also starts the postpartum period

Medical Interventions
•repair the episiotomy or laceration
•inspect the placenta
•assess the fundus for firmness
•order pain meds as needed

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