FHR
Baseline FHR 110 - 160/min
What is a normal FHR?
Therapeutic Uses:
-Induction of Labor
-Enhancement of Labor
-Management of Postpartum Hemorrhage
What are oxytocics?
- Oxytocin
- Methylergonovine
- Carboprost
1hr after birth, the fundus (top portion of the uterus) should be located _______.
What is, at the level of the umbilicus?
Assessment performed at both 1 minute and 5 minutes after birth to assess the infant's adjustment to extrauterine life.
What is APGAR scoring?
Combines FHR monitoring (nonstress test) and fetal ultrasound to visualize physical and physiological characteristics of the fetus and responses to stimuli
What is a Biophysical Profile (BPP)?
Slowing of FHR after contraction has started with return of FHR to baseline well after contraction has ended.
What is Late Deceleration?
Medications given for a client in preterm labor.
- Indomethacin
- Nifedipine
- Magnesium Sulfate
- Terbutaline
Lasts 1 to 3 days after birth, dark red color, bloody consistency, fleshy odor, and can contain small clots.
What is lochia rubra?
Pink body with blue extremities (hands and feet)
Acrocyanosis
A noninvasive procedure that monitors response of the FHR to fetal movement. The most widely used technique for evaluation of fetal well-being in the third trimester.
Hint: The client pushes a button whenever they feel fetal movement.
What is a nonstress test?
Causes uteroplacental insufficiency, and inadequate fetal oxygenation.
What is Late Deceleration?
Releases enzymes that produce and release lung surfactant to stimulate lung maturity in a fetus.
What is Betamethasone?
Fundal height above the umbilicus.
Fundus displaced from midline.
Bladder bulges above the symphysis pubis.
Excessive lochia
Tenderness over the bladder area
Voiding less than 150ml of urine
What is signs of bladder distention?
Localized swelling of the soft tissues of the scalp caused by pressure on the head during labor, can be palpated as a soft edematous mass and can cross over the suture line.
What is Caput Succedaneum?
The aspiration of amniotic fluid for analysis by insertion of a needle transabdominally into a client's uterus and amniotic sac under direct ultrasound guidance. Performed after 14 weeks of gestation.
What is an amniocentesis?
Transitory, abrupt slowing of FHR 15/min or more below baseline for at least 15 seconds, variable in duration, intensity, and timing in relation to uterine contraction.
What is Variable Deceleration?
A central nervous system depressant that relaxes smooth muscles. Primary use is to prevent seizures in clients who have preeclampsia. Also given in preterm labor to decrease the risk of cerebral palsy in the infant.
What is Magnesium Sulfate?
Should be assessed every 15 min for the first 2hr after birth.
What are maternal vital signs, blood pressure and pulse?
Should be done 24hr after birth, after the newborn has received either formula or breast milk for at least 24hr. Using a spring activated lancet, on the outer aspect of the heel.
What is a newborn metabolic screening?
The assessment of a portion of the developing placenta which is aspirated through a thin sterile catheter or syringe inserted through the abdominal wall or intravaginally through the cervix under ultrasound guidance.
Hint: Usually performed at 10 to 13 weeks of gestation
What is Chorionic Villus Sampling?
Fetal Bradycardia
Fetal Tachycardia
Absence of FHR variability
Recurrent late decelerations
Recurrent variable decelerations
What are Nonreassuring FHR patterns?
Prostaglandin used to promote cervical ripening and to stimulate uterine contractions. Client must remain in supine position with lateral tilt for 2hr following administration of vaginal insert.
What is Dinoprostone gel?
B
U
B
B
L
E
Breasts
Uterus
Bladder
Bowel
Lochia
Episiotomy
List the 7 reflexes that should be assessed during a newborn assessment
- Sucking/Rooting
- Palmar grasp
- Plantar grasp
- Moro
- Tonic neck
- Babinski
- Stepping
A screening tool used to detect neural tube defects. Clients who have abnormal findings should be referred for a quad marker screening, genetic counseling, ultrasound, and an amniocentesis.
What is Maternal alpha-fetoprotein (MSAFP)?