Dana's Study Guide maternal infant test 3

PROLAPSED UMBILICAL CORD INTERVENTIONS - - relieve cord compression immediately and increase fetal oxygenation 1) call for assistance immediately notifiy the primary care provider of the prolapsed cord 2) relieve pressure- position the clients hips higher than her head, reposition in the client in knee-chest postion . trendlenberg or a side-lying position with a rolled towel under the clients right or left hip to relieve pressure on the cord, use sterile gove insert two fingers into the vagina and apply finer pressure to elevate it off cord, apply sterile saline soaked towel to the cord to prevent drying and to maintain blood flow - closely monitor the FHR for variable decelerations indicative of fetal asphyxia and hypoxia from cord compression - amnioinfusion of NS or LR as prescribed if compression caused by oligohydramnios. ) increase oxyenation - administer 8-10L via face mas Common Types of Deviations That Can Cause Complications During Labor or Birth: The Three P's #1 - Power-Ineffective uterine force Dysfunctional labor and associated stages of labor passenger-Umbilical cord prolapse,Multiple gestation Problems with fetal position, presentation, or size Passageway-Inlet contraction,Outlet contraction,Trial labor,External cephalic version,Forceps birth,Vacuum extraction 2020 Healthy People Goals - Reduce the number of cesarean births among low-risk women to no more than 23.9 per 100 births from a baseline of 26.5 per 100 births. Reduce the number among women who have had a previous cesarean birth to no more than 61.7 per 100 births from a baseline of 90.8 per 100 births.