Labor & Labor Complications
A protruding umbilical cord and fetal HR of 90 requires this priority action.
What is wrap the cord loosely in a sterile towel saturated with warm saline?
This medication may be given if labor is stopped for 48 hours at 31 weeks.
What is betamethasone?
This is a common cause of boggy uterus and heavy bleeding in early postpartum.
What is uterine atony?
This medication is given for severe postpartum pain and monitored carefully
What is oxycodone (Percocet)?
This teaching is essential after a cesarean birth.
What is incision care and signs of infection?
These symptoms in a woman due March 22 suggest preterm labor.
What are dull back pain, pelvic heaviness, and diarrhea?
This side effect is most associated with terbutaline.
What are chest discomfort and palpitations?
Interventions for a boggy uterus include these 3 actions.
What are fundal massage, emptying the bladder, and notifying the provider?
This technique uses pressure or massage for non-pharmacologic pain relief.
What is counterpressure?
Lochia that is pink or brown and lasts until day 10 postpartum is called...
What is lochia serosa?
This breathing technique involves exhaling while pushing.
What is open-glottis breathing?
The fetal HR drops to 90 bpm for 4 minutes. This indicates...
What is fetal distress requiring immediate intervention?
This lab result may indicate postpartum hemorrhage.
What is a decreasing hemoglobin/hematocrit?
These are nursing actions for a patient receiving an epidural.
What are monitor for hypotension, assist with position changes, monitor FHR and contractions?
This intervention supports bonding immediately after birth.
What is skin-to-skin contact?
This action should be questioned when caring for PROM at 37 weeks.
What is performing a vaginal exam every shift?
A baseline FHR should be assessed after applying this.
What is an external fetal monitor?
This is a key difference between postpartum blues and postpartum depression.
What is the duration and functional impact (PPD lasts longer than 2 weeks and impacts functioning)?
This intervention is contraindicated immediately after delivery with regional anesthesia.
What is ambulation without first assessing motor function?
This quick assessment helps determine if a newborn is transitioning well after birth and includes checks of heart rate, respiratory effort, muscle tone, reflexes, and color.
What is the APGAR score?
This is the most appropriate action when contractions are every 5–9 min with 1–2 cm dilation.
What is discharge home to await active labor?
This class of medication is expected in the care of a postpartum UTI.
What is an intravenous antibiotic?
This condition is suggested by foul lochia, fever, and lower abdominal pain.
What is endometritis?
This pain pattern is typical of afterpains.
What is cramping pain that is worse during breastfeeding?
This is an early indicator of postpartum infection.
What is a temperature above 100.4°F on 2 occasions at least 6 hours apart after 24 hrs postpartum?