L&D Emergency
The risk of this is increased in Polyhydramnios, - fetal station, breech presentation, and preterm rupture of membranes
What is cord prolapse
The type of deceleration associated with umbilical cord compression
What is variable decel
A patient with this condition would be instructed to avoid sexual intercourse and vaginal exams
What is placenta previa
A condition common during and outside of pregnancy that can cause preterm labor
What is UTI
This action can cause increased risk of infection in patients with preterm or prolonged rupture of membranes
What is Frequent vaginal exams
Normal fetal heart rate baseline
What is 110-160 bpm
Should last no longer than 90 seconds and occur no more frequently than every 2 minutes
What are contractions
Patients should be instructed to avoid smoking and to control hypertension to prevent this condition that causes painful vaginal bleeding and fetal distress
What is placental abruption
This medication is given to accelerate fetal lung maturity
What is Celestone
This action is contraindicated when shoulder dystocia is occurring
What is fundal pressure
Risk of this increases with uncontrolled diabetes and a large fetus.
What is shoulder dystocia
Change the nurse may observe in the amniotic fluid when fetal distress is occurring
This condition is a contraindication to vaginal delivery and induction of labor if it does not resolve
What is previa
This medication used to stop contractions may cause the patient to shake and have increased heart rate
What is terbutaline sulfate (Breathine)
The initial intervention used for patients being induced with medication that start experiencing fetal distress or uterine tachysystole
What is discontinue medication
The initial maneuver to relieve shoulder dystocia
What is McRoberts
A fetal signs of maternal infection
What is tachycardia
A risk of trial of labor after cesarean that patient’s should be aware of
What is uterine rupture
common side effects of this medication used to prevent eclamptic seizures and prevent contractions include flushing, muscle weakness, and fatigue
What is magnesium sulfate
A patient on magnesium sulfate begins to have shallow respirations and absent deep tendon reflexes. What is the initial nursing action?
What is stop magnesium infusion
Anaphylactic process occurring when amniotic fluid enters the maternal blood stream
What is AFE
Fetal response to hypoxia or decreased blood flow from placenta
What is late Decels
Patients that delivery large babies (macrosomia) should be aware and monitoring for this postpartum complication
What is hemorrhage
This diagnostic can be used to predict likelihood of preterm labor occurring in the next 2 weeks
What is fetal fibronectin
The nurses priority when gravid patients experience respiratory failure or distress
What is airway