Module 6
What does the bishop score tell?
How ready your body is for labor
How long do you have to wait after giving dinoprostone to give Pitocin?
30-60 minutes
What do you need to do before starting induction?
Have a reactive NST on baby
What are you interventions for Tachysystole?
Stop oxytocin
Give tocolytic to reduce contractions
What would happen if you discover that your patient has abruptio placentae?
C- section
What are the five factors of the Bishop Score?
Cervical dilation
Cervical effacement
Fetal station
Cervical position
Cervical consistency
How long do you have to wait after giving misoprostol to give pitocin?
4 hours
What are major adverse reactions to oxytocin that would need immediate intervention?
Uterine rupture
Placenta abruption
Impaired uterine blood flow
**Need c-section
What is done before an amniotomy?
Vaginal exam
Cervical dilation
Effacement
Fetal station
Presenting part
GOOD fetal HR
What needs to be done prior to the external version?
Non-stress test needs to be reactive
Signed consent
What does a score of 7 above the mean on the Bishop scale?
Cervix is ready for labor
What are mechanical methods of ripening?
Transcervical catheter
Amnihook
Laminaria tents
What does Placenta abruption look like on a fetal strip?
late decelerations
What do you assess after the membranes are ruptured?
Babies heart rate for 1 full minute
When is an external Version done and why?
Attempted at 37 weeks or more
Because it may start labor
What is ripening?
What is a transcervical catheter?
Falls out at 4 cm
Two balloons that press on cervix
Helps effacement and dilation
What are the signs of placenta abruption?
Bleeding may be viable
Extremely painful
Uterine contraction
Uterine hyperactivity: many contractions
How do you assess for infection after ruptured membranes?
Moms temp every 2 hours
Fetal tachycardia often precedes fever
What is done/given during external version?
Pain medication
Ultrasound
Rhogam is given to Rh negative
Tocolytic
What are the medical methods of ripening?
Dinoprostone
Misoprostol
What are Laminaria tents?
Dried seaweed that absorbs fluids and expands
Risk factors for Placenta abruption?
Hypertension/preeclampsia
Smoking
Multigravida
Abdominal trauma
Hx Previous abruption
Maternal use of cocaine
What are signs of Abruptio Placentae?
Vaginal bleeding possible uterine pain and tenderness
Fundal height may increase as the uterus fills with blood
Board like abdomen
When do you not do external version?
Previous c-section
Baby it too large
Low fluids
Twins
Placenta Previa