The priority assessment immediately after rupture of membranes
What is fetal heart rate
This score is not religious, but can predict if a woman is favorable for induction
What is bishop score
The type of decelerations frequently associated with umbilical cord compression
What are variable decels
The fetal head emerges and retracts
What is turtle sign
The condition where amniotic fluid or fetal cells enter maternal circulation
What is AFE
When the rupture of membranes is preterm and delivery will be delayed, this becomes a risk
What is infection
Prior to initiating an induction using a chemical agent, this is the priority assessment
What is fetal wellbeing and contraction monitoring
The risk of cord prolapse increases with this amniotic fluid level
Polyhydramnios
The maneuver for a shoulder dystocia where the maternal thighs are flexed back towards the abdomen to create more space
What is McRoberts
A mom with a IUFD is at a greater risk for this clotting cascade activation that may present as bleeding from injection sites
What is DIC
A simple test using pH sensitive paper to determine the presence of amniotic fluid
What is nitrazine testing
This medication also used to correct uterine atony in the postpartum period is contraindicated in TOLAC patients. Not because they have to stay in bed after administration for bit.
What is cytotec
What is continues upward digital pressure on the presenting part
Pressure placed from the nurse above the maternal mons pubis to rotate the anterior fetal shoulder
What is suprapubic pressure
This complication is common in post date neonates and in fetal hypoxia
What is meconium stained fluid
When viewing amniotic fluid under a microscope, this plant blooms
What is fern
These are the interventions for fetal distress
What is stop pitocin, change position increase IV fluids, oxygen via face mask
The umbilical cord is protected by
What is whartons jelly
This action is contraindicated during a shoulder dystocia
What is fundal pressure
The tong like instrument used to help delivery of a fetus
What is forceps
If the amniotic fluid becomes foul smelling the nurse suspects this
What is chorioamnionitis
This IV medication would be discontinued if uterine contraction frequency is less than 2 minutes, duration longer than 90 seconds, or if fetal distress occurs
What is pitocin
This procedure is done after the rupture of membranes to relieve pressure on a compressed umbilical cord
What is amnioinfusion
Maternal condition that if uncontrolled can result in fetal macrosomia and increase the risk of a shoulder dystocia
What is diabetes
While use of this instrument in delivery may be helpful, there is risk of maternal tissue injury and injury to the fetal head
What is vacuum