Fetal Monitoring
What is the normal baseline fetal heart rate?
110-160
A postpartum mom complains of uterine cramping with breastfeeding. What causes this to occur?
The hormone oxytocin, which is released during breastfeeding, stimulates the uterus to contract
A new mother asks you why her newborn's stool is black. You tell her___________
This is a normal baby stool and it is called meconium.
What is the hallmark sign of preeclampsia
Hypertension after 20 weeks gestation
What medication is commonly used to induce labor?
Oxytocin (Pitocin)
Which fetal heart rate pattern is associated with umbilical cord compression?
Variable decelerations
What should the nurse assess first when excessive postpartum bleeding occurs?
Uterine tone/fundal firmness
What medication is routinely administered to prevent hemorrhagic disease of the newborn?
Vitamin K
What medication is used to prevent seizures in severe preeclampsia?
Magnesium Sulfate
What medication is used for initiation and/or continuation of cervical ripening in patients at or near term in whom there is a medical or obstetrical indication for the induction of labor.
Cervidil (Dinoprostone)
Early decelerations are usually caused by what?
Fetal head compression
How often should the fundus be assessed immediately after birth?
Typically every 15 minutes during the first hour
What is the purpose of erythromycin eye ointment?
Prevention of neonatal ophthalmia
What antidote is used for magnesium sulfate toxicity?
Calcium Gluonate
Which postpartum hemorrhage medication is contraindicated in patients with hypertension?
Methylergonovine (Methergine)
Late decelerations are associated with what condition?
Uteroplacental insufficiency
A boggy uterus is most likely associated with what complication?
Uterine atony
The body of the newborn is pink but the hands and feet remain blue. What is this called?
Acrocyanosis
What are common signs of magnesium toxicity?
Absent deep tendon reflexes, respiratory depression, decreased urine output
What medication is indicated for antenatal use of corticosteroids to accelerate fetal lung maturation?
Betamethasone
Name three nursing interventions for recurrent late decelerations.
Reposition the patient
Discontinue oxytocin
Administer oxygen
Increase IV fluids
Notify the provider.
Name the "4 Ts" of postpartum hemorrhage.
Tone, Trauma, Tissue, Thrombin
What APGAR components are evaluated?
Appearance, Pulse, Grimace, Activity, Respiration
What is HELLP syndrome?
Hemolysis, Elevated Liver enzymes, Low Platelets.
Which uterotonic is contraindicated in patients with asthma?
Carboprost (Hemabate)