Strip club
Your patient is 7cm dilated and her risk factors include oxytocin infusion and an epidural.This is the frequency in which you should assess and document the FHR tracing
What is assess Q15 min and document Q30 min.
This med is given as a first line defense for preventing PPH
What is Oxytocin
When PPV is attempting to be initiated and there is no chest rise after the corrective action steps, this is the next intervention
What is place an LMA
This is the first sign of magnesium toxicity
What is decreased reflexes
A STAT C/S is called, these are the tasks the WACHU Team should begin while waiting for the OR Team
What is transport the patient to the OR, place monitors (3 ECG leads, pulse ox, BP cuff), bovie, tilt with wedge, turn suction on, open STAT C/S pack, pull bottles of betadine to prep for splash and go section.
Abrupt in onset, baseline to nadir < or = to 30 seconds, decrease of > or = to 15 bpm bpm x > or = to 15 sec, but less than 2 minutes.
What is a variable
A patient with over distention of the uterus( macrosomia, multiple gestation, polyhydramnios), precipitous labor, full bladder after birth, or oxytocin IOL put her at risk for this
What is PPH
Mask reposition, suction, and open airway are all corrective actions steps referred to as what?
What is MR. SOPA
A patient who has a BP of 166/112 on arrival should have a repeat when?
What is in 15 minutes
This labor position can help a baby descend from a -3 station
What is Flying Cowgirl
Maternal fever, anemia, dehydration, medications such as turbutaline, and maternal hyperthyroidism can potentially be associated with what?
What is tachycardia
This med is avoided in a person with asthma
What’s hemabate
These should be placed on an infant when a resuscitation is initiated.
What is a pulse ox and ECG leads.
A decel occurred during an eclamptic seizure. This is the delivery plan.
What is stabilize the Mom and if no improvement in 10 to 15 minutes then delivery
As soon as possible after a C/S is done, WACHU staff need to do this
What is set the warmer back up
This FHR pattern becomes concerning if it continues >20 min. We are thinking about fetal anemia, or possibly fetal thumb sucking. This needs to be investigated immediately.
What is a sinusoidal pattern
This is the average amount of fluid to fill the Jada balloon up with and this is what the suction should be placed at
What is 120cc and 80mmhg
You anticipate a resuscitation prior to birth, after alerting the pediatrician, Respiratory therapy, and the Nursing Supervisor for recording, this next step could have another resource at your fingertips prior to birth
What is initiate TeleICN by calling the transfer center and then logging into the room on the iPad.
This is the correct procedure for measuring a blood pressure
What is have the pt rest for 5-10 min prior to taking, arm at level of the heart (use a pillow if necessary), legs should be uncrossed and arm circumference should be measured to ensure correct BP cuff size.
This flow sheet should be used by the RN when documenting a feeding session so all the details can be accounted for
What is NB PCS, Nutrition, breastfeeding assistance
This category tracing includes absent variability and any of the following:recurrent late decels, recurrent variable decels, or bradycardia or a sinusoidal pattern. This warrants delivery STAT
What is Category III
These are the four Ts to think about during a PPH
What is tone, tissue, trauma, and thrombin
A segment of cord for cord gases needs to be drawn immediately or the segment needs to be placed on ice if not drawn in what period of time?
What is 20 minutes
Postpartum preeclampsia is associated with a high risk for what?
What is a stroke
Consider this in the case of AFE, prolonged IUFD, sepsis, placental abruption, or HELLP
What is coagulopathy