What is the #1 nursing priority if an AROM or sweeping/stripping of the membranes is
done?
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FHR monitoring
dystocia
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difficult labor that is characterized by abnormally slow labor
Persistent occiput posterior position
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prolongs labor and causes the mother greater back pain
symptoms of tachysystole
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-contractions occur more frequently than every 2 minutes
-contractions last longer than 90 seconds
-contraction strength is greater than 90 mmHg
-uterine resting tone is greater than 20 mmHg between contractions
-no uterine relaxation between contractions
Indications of fetal distress
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-the FHR is below 110 bpm or above 160 bpm
-FHR shows decreased or no variability
-there is fetal hyperactivity or no fetal activity
Instructions for cervidil (Dinoprostone insert)
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-have the mom remain in supine or lateral position for 2 hours after
insertion
-Continuous FHR monitoring and UC monitoring while in place and for 15
mins after removal
, -do not give oxytocin for 30-60 mins after removal
-not for use in women who have had a c-section
-removed after 12 hours
A bishop score of less than _____ for a primipara is an indication for cervical ripening
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10
What kind of c-section incision is a contraindication for induction of labor? (cervical
ripening and induction with oxytocin)
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classical/vertical incision
Symptoms of uterine rupture
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#1 sign is ascending fetal station, client has extreme sharp pain, uterine
tenderness, change in uterine shape and fetal parts palpable, cessation of
contractions
nursing care for amniotic fluid embolism
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Mask 8-10L/min
Intubation and mechanical ventilation
CPR
IV fluids
On side w/ pelvis tilted 30 degrees
Blood products
Indwelling urinary catheter ,measure hourly urine output
Emergency CS
Who is at risk for an amniotic fluid embolism?
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All pregnant women
complete breech
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Complete flexion of the thighs and the legs extending over the anterior
surfaces of the body
external cephalic version
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done?
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FHR monitoring
dystocia
Give this one a try later!
difficult labor that is characterized by abnormally slow labor
Persistent occiput posterior position
,Give this one a try later!
prolongs labor and causes the mother greater back pain
symptoms of tachysystole
Give this one a try later!
-contractions occur more frequently than every 2 minutes
-contractions last longer than 90 seconds
-contraction strength is greater than 90 mmHg
-uterine resting tone is greater than 20 mmHg between contractions
-no uterine relaxation between contractions
Indications of fetal distress
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-the FHR is below 110 bpm or above 160 bpm
-FHR shows decreased or no variability
-there is fetal hyperactivity or no fetal activity
Instructions for cervidil (Dinoprostone insert)
Give this one a try later!
-have the mom remain in supine or lateral position for 2 hours after
insertion
-Continuous FHR monitoring and UC monitoring while in place and for 15
mins after removal
, -do not give oxytocin for 30-60 mins after removal
-not for use in women who have had a c-section
-removed after 12 hours
A bishop score of less than _____ for a primipara is an indication for cervical ripening
Give this one a try later!
10
What kind of c-section incision is a contraindication for induction of labor? (cervical
ripening and induction with oxytocin)
Give this one a try later!
classical/vertical incision
Symptoms of uterine rupture
Give this one a try later!
#1 sign is ascending fetal station, client has extreme sharp pain, uterine
tenderness, change in uterine shape and fetal parts palpable, cessation of
contractions
nursing care for amniotic fluid embolism
, Give this one a try later!
Mask 8-10L/min
Intubation and mechanical ventilation
CPR
IV fluids
On side w/ pelvis tilted 30 degrees
Blood products
Indwelling urinary catheter ,measure hourly urine output
Emergency CS
Who is at risk for an amniotic fluid embolism?
Give this one a try later!
All pregnant women
complete breech
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Complete flexion of the thighs and the legs extending over the anterior
surfaces of the body
external cephalic version
Give this one a try later!
