Postpartum Care
When would a nurse initiate skin to skin contact with mother and newborn?
Immediately after delivery
What is the best position to put a healthy woman in for an uncomplicated birth
Whatever position she wants
What weeks are 10X10 FHR accelerations acceptable?
</= 32 weeks
Painless bright red vaginal bleeding should cue the nurse to think...
Placenta previs
Name 2 of the 4 characteristics of uterine contractions that a nurse would assess and document
Frequency, intensity, duration, or resting tone
Name 2 signs of newborn respiratory distress
Nasal flaring, grunting, retractions, tachypnea
When is McRobert's position indicated
Shoulder dystocia
In association with uterine contractions, a visually apparent gradual decrease in FHR with a return to baseline
Periodic late deceleration
When PPROM occurs, what is a probable complication
Chorioamniotis or Cord prolapse
FHR baseline 135bpm and increases to 165bpm for 18 minutes, what is this now defined as
Fetal tachycardia
A visually apparent abrupt increase in the FHR baseline is?
Acceleration
A visually apparent, smooth, wave-like undulating pattern in a FHR baseline with a cycle frequency of 3-5 minutes with persist for >/=20 minutes
Sinusoidial pattern
FHR assessment is positive for periodic recurrent late decelerations. What is the cause and what is your 1st intervention?
Placental profusion - reposition mother to left or right side
Tachysystole
This can reappear with similar features after menopause and can cause macrosomia and/or newborn hypoglycemia
Gestational DM
BONUS
What are 3 causes of FHR changes that are not directly related to fetal oxygenation
Maternal fever, infection, medication, sleep cycle, anemia, arrhythmia, anomalies