Birth Process & Pain Management
Before an epidural is placed, the nurse typically administers an IV fluid bolus of LR to reduce this common side effect of the epidural.
What is hypotension?
This mnemonic helps nurses remember causes and management of fetal heart rate patterns.
What is VEAL CHOP MINE?
This obstetric emergency occurs when the umbilical cord slips below the presenting part and requires the nurse to lift the presenting fetal part off of the cord to prevent fetal hypoxia.
What is umbilical cord prolapse?
During the postpartum period, the nurse should assess these 3 fundal findings.
What is firm, midline, and at the level of the umbilicus (or lower)?
Following this procedure, the caregivers should be educated on how to apply petroleum jelly with each diaper change, monitor bleeding, clean the site, and mothers are encouraged to breastfeed afterwards.
What is circumcision using the Gomco technique?
This is the number one finding indicating a patient is in true labor.
What is cervical dilation/effacement?
This fetal heart rate pattern mirrors contractions and is caused by head compression.
What are early decelerations?
Failure of the fetal head to fit through the maternal pelvis which often results in the need for a C/S delivery is known as this complication.
What is cephalopelvic disproportion (CPD)?
A primiparous client with obesity who delivered twins following a precipitous labor is at risk for this postpartum complication.
What is postpartum hemorrhage?
Increased RR (>60), low blood glucose level (less than 40; jitteriness), central/circumoral cyanosis, breakdown of brown fat, and a low axillary temperature (less than 97.7F) are possible outcomes for an infant experiencing this complication following birth.
What is cold stress?
This is a common sign of impending labor in which the client may feel the fetus drop/engage into the pelvis to prepare for birth.
What is lightening?
This fetal heart rate pattern is associated with uteroplacental insufficiency and fetal hypoxia and warrants that pitocin/oxytocin be stopped if being infused.
What are late decelerations?
Name two newborn complications associated with shoulder dystocia.
What are brachial plexus injury, clavicle fracture, humerus fracture, or hypoxia?
This is the first nursing intervention for a boggy uterus.
What is fundal massage?
A newborn that has not fed, voided, or stooled in the first 24 hours of life and is displaying signs of lethargy, sleepiness, and yellowing of the skin and eyes may be displaying this complication.
What is hyperbilirubinemia/jaundice?
Instructing on pushing technique, preparing warm infant blankets, ensuring neonatal resuscitation equipment is available, and monitoring the fetal heart rate are essential in this stage of labor.
What is the second stage of labor?
This fetal heart rate pattern is caused by cord compression and requires the nurse to reposition the patient and then continue to assess the fetal heart rate and contraction pattern to monitor for improvement.
What are variable deceleration?
Frequent cervical examinations should be avoided after ROM because they increase the risk for this complication.
What is infection (chorioamnionitis)?
This life-threatening postpartum complication is characterized by tachycardia, hypotension, cool clammy skin, and decreased urine output.
What is hypovolemic shock?
Feeding instructions including attempting breastfeeding, using a longer nipple while bottle feeding, feeding in the upright position, frequent burping throughout feedings, and offering support resources are encouraged for infants born with this anomoly.
What is cleft lip/palate?
This clinical scoring system (highest score is 13) includes assessment of the cervix and fetal station to assess cervical readiness for the induction of labor.
What is a Bishop score?
List the five nursing interventions for late decelerations using the TOOND mnemonic.
What are Turn the patient, Open IV fluids, give Oxygen, Notify the provider, and Document the events?
A client had a forceps-assisted delivery with an episiotomy. She reports severe perineal discomfort 6 hours after birth. Name three nursing interventions.
What are:
Name two nursing interventions for a client with mastitis.
What are:
These are four signs that a breastfed newborn is adequately hydrated.
What are: