Maternal Issues
fever, chills and tachycardia
what are signs of infection?
Can be compressed between fetal body and woman’s pelvis, interrupting blood supply to placenta
What is prolapsed cord?
side effect of this medication can cause maternal tachycardia
What is Brethine?
Having sterile gloves available for the physician
What can the nurse do to assist the physician with the exam?
causes nausea and vomiting
Why can't you eat in active labor?
Hypertonic labor, sluggishness, absence of activity
What is primary Inertia?
Immediately dry the infant, then place it skin to skin on the mother's abdomen.
How to prevent the infant from cold stress?
Medication used to decrease chance of hemorrhage
What is Oxytocin (Pitocin)?
Contractions lasting longer than 90 seconds
What to report immediately to the physician or charge nurse
Rise of fundus in the abdomen
What is impending delivery of the placenta?
I pack a picnic basket and put in next to the sofa so I do not have to get up for food during the day
What to do when you are to decrease activity or bedrest?
Presence of green amniotic fluid
what is a sign of fetal distress?
50. Laboring patient is given brethine which action should the nurse take prior to administration?
What is an apical pulse?
The contractions do not increase in frequency or duration
What are braxton hicks
Over the fundus of the uterus,located just above the umbilicus
Where is hand placement to feel contractions
Gravid uterus falls back on inferior vena cava
What is supine hypotension?
respiratory depression on the fetus
What are effects of long acting epidural narcotics
She may experience pressure but will not feel any pain after the procedure
What is an epidural
Checking temp every 1-2 hours
when to check temp with ROM
Keeps the bladder empty during a surgical procedure
What is a foley
Headache, dizziness, epigastric pain, spots before eyes, edema of hands and face
What is PIH ( toxemia)
The baby's head is the presenting part and the chin is fully flexed toward the chest
What is vertex position
Increased fluid intake
What are ways to reduce spinal headache
with this type of labor you want to promote rest and general comfort
What is hypertonic labor?
Breech presentation at 38 weeks gestation
When to attempt a version
feels anxious, restless and feels like they are losing control
What is the transition phase?
Green amniotic fluid
What is Passage of the first bowel movement by the fetus in the fluid
Urinary output less than 30cc
when to call the dr for a patient on Magnesium Sulfate
Nursing care during the second stage of labor
What is encouraging pushing with contractions?
Assisting the patient to ambulate in the hallway
What to do to help with abdominal pain and bloating
to relieve post spinal headache
What is a blood patch
Hands and knee position
How to facilitate change in the fetal position
calcium gluconate
What do you have on hand for a patient receiving Mag
26. a long needle is needed to reach the nerves near the mothers ischial spines to provide numbness in the lower two thirds of the vaginal while not blocking contraction pains
What is a pudendal block
Emergency c section
When is general anesthesia most likely needed?