module 5
How is the APGAR scored?
HR
Respiratory effort
Muscle tone
reflex
color
What is Tachysystole?
5 or more contractions in a 10 minute strip
What is the nursing intervention for early decelerations
Get ready for delivery
What consist of category 1 findings?
baseline is 110-160
moderate variability 6-25
no variables or late decelerations
can have early decelerations
What pain medication is usually given during labor? What should you give to an opioid dependent mom?
Nalbuphine
Fentanyl
What is a normal apgar score?
8-10
What is a minimal, moderate and marked FHR variability?
0-5 bpm
6-25
Greater than 25
When can variable decelerations happen?
Cord compression
positioning
What are category 3 findings?
Absence variability
Recurrent late decelerations
Recurrent variable decelerations
sinusoidal pattern
What is the fetal height measurement?
Start at symphysis pubis to top of fundus in CM
Should correlate to week of gestation
What do you need to do if a baby scores less than 7 on the APGAR?
Repeat the apgar every 5 minutes until you get a score above 7 twice
What can cause a late deceleration?
Tachysystole
Placental insufficiency
What are nursing interventions for variable/late decelerations?
reposition mom
IV lactated rings
oxytocin
oxygen 8-10 liters
Give tocolytic
what do you want to do prior to an epidural?
have patient void
give 500-1000 bolus of LR to prevent hypotension
Catheter is put in
What weeks of gestations would the fetal height measurement correlate too?
16-36
What is acrocyanosis?
Blue hands/Feet
Pink body and face
What are nursing interventions for late decelerations?
Move mom on side
Medication
What is tocolytic?
relax the uterus
if hypotension occurs after epidural what are the next nursing interventions?
IV ephedrine
IV bolus
O2
Wedge under mom so she isn't laying flat
What could be a reason that the fetal height doesn't make the gestation?
twins
inaccurate counting
polyhydramnios
if too low- placenta problem, diabetes
What needs to happen in order to have internal fetal monitoring?
Membranes have to be ruptured
Have to be 2 cm dilated
What can cause early decelerations?
Head compression
What is the nursing intervention if you see a sinusoidal pattern?
c-section immediately
What should you know prior to administering IV pain medication?
Is the mom transition phase of labor
No pain during transistion phase
What do you need to see prior to a contraction stress test?
If they have had a previous c-section or preterm
If they have a good strip to begin with