Pharm
Side Effects to Nitrous Oxide
N, V, dizziness, drowsiness
Fetal tachycardia is above what rate and what are some signs and symptoms we would see?
HR above 160
maternal fever, infection, dehydration, drugs, anxiety, fear
What are some Labor Dystocia risk factors?
CPD disproportion, fetal malpresentation, analgesia/anesthesia in early labor, fear, anxiety
Amniotic fluid Embolism (Anaphylactic syndrome)
What should we do?
CALL CODE
ambulation, staying upright, breathing techniques, music, effleurage
What type of intervention would we do for early decelerations ?
Continue to monitor
What is the biggest complication of shoulder dystocia?
Neonatal asphyxia (baby not getting enough oxygen)
Amniotic Fluid Embolism ( Anaphylactic Syndrome) signs and symptoms
SOB, tightness in chest, sudden loss LOC
This medication is used for cervical ripening and can cause tachysystole and we stop this medication
Dinoprostone ( Cervidil)
What are late decelerations associated with and what are the interventions?
Placental Insufficiency
LIONS
Lay mom left side
I.V/ stop oxytocin
Notify Provider
Surgery
Shoulder Dystocia nursing interventions
call for help and do a Mcroberts
Nursing actions prior to Epidural
FHT, B/P, fluid bolus, empty bladder
A variable decel and cord compression will need what?
Amnioinfusion
Sign and symptom of shoulder dystocia
Turtle sign
Uterine signs of Uterine Rupture and who is at risk?
Tearing sensation & mom with a previous C-section scar
Absent Variability will lead to the fetus becoming what?
Acidotic
Meconium stain fluid who does we notify and what is the fetus at risk for?
Neonatal Team & airway obstruction