Care of the Family in Labor and Birth
The priority action for the RN to take when spontaneous rupture of membranes occurs.
What is assess the fetal heart rate?
The normal fetal baseline is this.
What is 100-160 beats per minute?
It is birth occurring at less than 37 weeks of gestation.
What is preterm birth?
This medication is used to ripe the cervix and prepare for induction of labor.
What is misoprostol?
It is the nursing response to non-reassuring fetal heart patterns or tachysystole in labor.
What is intrauterine resuscitation?
They include lightening, bloody show, nesting instincts, Braxton-Hicks contractions.
What are signs of impending labor?
They represent a gradual decline from the baseline with a gradual return to the baseline and they start after the high point of the contraction.
What are late decelerations?
Diagnosis includes maternal fever and at least two of the following: uterine tenderness, maternal tachycardia, fetal tachycardia, foul-smelling amniotic fluid.
What is chorioamnionitis?
This medication is used as a neuro-protective intervention for the fetus in pre-eclampsia.
What is magnesium sulfate?
Palpation to assess the position of the fetus.
What are Leopold's Manuevers?
The sterile vaginal exam results include 100% effacement, ten centimeters dilation, +2 fetal station.
What is stage II labor?
More than five contractions in a ten minute period, contractions lasting more than 90
seconds, or when the uterine muscle does not return to resting between contractions.
What is tachysystole?
Birth occurring after 42 weeks of gestation.
What is post-term birth?
This medication helps mature the fetal lungs and is used when pre-term birth is anticipated.
What is betamethasone (or possibly dexamethasone)?
Nursing interventions to support this intervention include: fluid bolus, administration of antacid medication, assure normal platelet levels, assist the patient to maintain position.
What is epidural analgesia?
These include: engagement, descent, flexion, internal rotation, extension, external rotation.
What are the cardinal movements of labor?
The desirable rate of variability in the FHR is moderate or how many beats per minute?
What is 5-25 beats per minute?
This often happens when there is rupture of membranes and the fetal head is not engaged. Emergent delivery is indicated.
What is prolapsed umbilical cord?
This medication is used to induce or augment labor.
What is oxytocin (Pitocin)?
Nursing interventions in this stage include frequent assessment of vital signs, uterine involution and bleeding.
What is the fourth stage of labor?
This includes the period from the delivery of the neonate to the delivery of the placenta.
What is the third stage of labor?
The preferred method of assessing the strength of contractions.
What is palpation?
Blades are positioned on the fetal head by the obstetrician and traction is applied during the contraction. The risks include perineal injury or hematoma for the mother; facial palsy, subdural hematoma for the neonate.
What is forceps delivery?
This medication is used to stop contractions and delay preterm labor.
What is magnesium sulfate (or nifedipine)?
McRobert's manuever and suprapubic pressure are nursing interventions in this complication of birth.
What is shoulder dystocia?