INTRAPARTUM FETAL SURVEILLANCE
Short, irregular, weak contractions during labor.
What is a hypotonic labor dystocia (pattern)?
Group of drugs given as uterine relaxants (Nifedipine, Magnesium Sulfate, Terbutaline and Indomethicin)
What are Tocolytic drugs?
Medical emergency characterized by sudden, severe pain and hypovolemic shock symptoms
What is uterine rupture?
This is the acronym for the rupture of the fetal membrane before the onset of labor
What is PROM (Prelabor Rupture of Membrane)
This position is when a baby is born bottom first instead of head first.
What is breech presentation?
Place patient in knee-chest position to keep pressure off the umbilical cord and facilitate blood flow to the fetus
What is treatment of prolapsed cord?
Stimulates the production of more mature surfactant in the fetal lungs to prevent respiratory distress in preterm infants
What is Corticosteroids?(Betamethasone/dexamethasone)
Uterus turns inside out, usually following childbirth
What is uterine inversion?
A serious condition in pregnant women in which the membranes that surround the fetus and the amniotic fluid are infected by bacteria.
What is Chorioamnionitis?
What procedure is ordered by the physician prior to augmenting a laboring patient with Pitocin, after her contractions become less frequent and weaker?
What is ultrasound to rule out CPD?
Symptoms include bright red vaginal bleeding; soft, relaxed, non tender uterus, fundal height which may be greater than expected for gestational age
What is placenta previa?
Respiratory depression can occur with serum levels above 9mg/dL. Administered as an IV infusion.
What is Magnesium Sulfate?
When placenta attaches abnormally to the myometrium
What is Placenta Accreta?
Delivery of a viable newborn prior to 37 weeks gestation.
What is preterm delivery?
Multifetal pregnancy, polyhydramnios and macrosomia may cause this to the uterus
What is overdistension?
What happen when the baby's umbilical cord is temporarily compressed
What is Variable decelerations (irregular, often jagged dips in the fetal heart rate that look more dramatic than late decelerations)?
Amniotic fluid enters maternal blood circulation which can obstruct pulmonary vessel that can cause respiratory distress and circulatory collapse.
What is Anaphylactoid or Amniotic fluid embolism?
When chorionic villi invade through the perimetrium
What is Placenta Percreta?
The risk to the fetus who has had his first meconium while still in utero
What is meconium aspiration
What are medical indications for performing a caesarean section
What is non-reassuring (fetal distress) heart rate pattern, complete previa, abdominal pain over abdomen with board-like rigidity?