What are other common reasons given for labor induction that are NOT supported by
research as resulting in improved outcomes for mother or baby?
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- Macrosomia
- Postdates
- Elective (maternal or clinician convenience)
,What are the 5 P's that affect the speed, ease or difficulty, and ultimate success (or
not) of any labor?
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1. Passenger (fetus)
2. Passageway (birth canal)
3. Powers (contractions)
4. Position (maternal)
5. Psychological response
Briefly describe the antihypertensive hydralazine used for preeclampsia.
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- 1st choice for managing acute HTN in pregnancy
- usually requires addition of 2nd antihypertensive, such as methyldopa.
- SE: maternal hypotension, palpitations, tachycardia, HA, N/V/D, FHR
decels, SE's that mimic impending eclampsia/HELLP, including hemolysis,
elevated LFTs, low platelets
Name the complications that women with chronic hypertension are at elevated risk of
developing in pregnancy.
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, · Superimposed preeclampsia
· Placental abruption
· IUGR
· Preterm birth
· Cesarean
Which antihypertensive shouldn't be given INITIALLY (acutely) to control BP in
preeclamptic patients?
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it isn't fully effective until 18-24 hrs
Both Pitocin and cytotec can cause uterine hyperstimulation. What is this, what are the
risks, and what nursing intervention is required?
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- Tachysystole : >5 contractions in 10 min.
- Contractions >90-120 seconds duration
- Uterine resting tone >20 mmHg
- Risk: fetal distress, uterine rupture
- Turn off pitocin. After recovery, may restart at half ending dose.
- Reposition client, IV bolus LR, oxygen, consider terbutaline, notify
clinician.
What is the 4th stage of labor?
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, - 1-4 hrs post delivery, physical recovery and bonding with newborn
What is the nursing for the first stage of labor?
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- positioning, ambulation
- shower/warm bath
- family support
- nutrition/hydration
- emptying bladder regularly
- mouth care = chapstick and ice chips
- environmental = lighting, music
What is HELLP syndrome?
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- derived from preeclampsia
- get hemolysis, elevated liver enzymes, low platelets
- will feel malaise, epigastric pain, headache, n/v
- may lead to DIC, death stroke, pulmonary edema, liver hem/rupture
What can you expect to see in the active phase of stage 1 labor?
Give this one a try later!
- 4-7cm dilated
- UC moderate to strong (50-60 secs), every 2-5 mins
research as resulting in improved outcomes for mother or baby?
Give this one a try later!
- Macrosomia
- Postdates
- Elective (maternal or clinician convenience)
,What are the 5 P's that affect the speed, ease or difficulty, and ultimate success (or
not) of any labor?
Give this one a try later!
1. Passenger (fetus)
2. Passageway (birth canal)
3. Powers (contractions)
4. Position (maternal)
5. Psychological response
Briefly describe the antihypertensive hydralazine used for preeclampsia.
Give this one a try later!
- 1st choice for managing acute HTN in pregnancy
- usually requires addition of 2nd antihypertensive, such as methyldopa.
- SE: maternal hypotension, palpitations, tachycardia, HA, N/V/D, FHR
decels, SE's that mimic impending eclampsia/HELLP, including hemolysis,
elevated LFTs, low platelets
Name the complications that women with chronic hypertension are at elevated risk of
developing in pregnancy.
Give this one a try later!
, · Superimposed preeclampsia
· Placental abruption
· IUGR
· Preterm birth
· Cesarean
Which antihypertensive shouldn't be given INITIALLY (acutely) to control BP in
preeclamptic patients?
Give this one a try later!
it isn't fully effective until 18-24 hrs
Both Pitocin and cytotec can cause uterine hyperstimulation. What is this, what are the
risks, and what nursing intervention is required?
Give this one a try later!
- Tachysystole : >5 contractions in 10 min.
- Contractions >90-120 seconds duration
- Uterine resting tone >20 mmHg
- Risk: fetal distress, uterine rupture
- Turn off pitocin. After recovery, may restart at half ending dose.
- Reposition client, IV bolus LR, oxygen, consider terbutaline, notify
clinician.
What is the 4th stage of labor?
Give this one a try later!
, - 1-4 hrs post delivery, physical recovery and bonding with newborn
What is the nursing for the first stage of labor?
Give this one a try later!
- positioning, ambulation
- shower/warm bath
- family support
- nutrition/hydration
- emptying bladder regularly
- mouth care = chapstick and ice chips
- environmental = lighting, music
What is HELLP syndrome?
Give this one a try later!
- derived from preeclampsia
- get hemolysis, elevated liver enzymes, low platelets
- will feel malaise, epigastric pain, headache, n/v
- may lead to DIC, death stroke, pulmonary edema, liver hem/rupture
What can you expect to see in the active phase of stage 1 labor?
Give this one a try later!
- 4-7cm dilated
- UC moderate to strong (50-60 secs), every 2-5 mins
