MATERNAL NEWBORN NURSING

Procedure used to change the fetal presentation by abdominal or intrauterine manipulation; turning of the fetus - answer Version The most common type of version - answer External Cephalic Version When fetus is changed from a breech, transverse, or oblique lie to a cephalic presentation by external manipulation of the maternal abdomen - answer External Cephalic Version Criteria for external cephalic version – answer Single fetus (singleton), fetal breech is not engaged, reactive NST, adequate amount of amniotic fluid must exist, fetus must be 36-37 weeks gestation This is a contraindication for the use of external cephalic version because it makes the fetus difficult to maneuver and increases the risk of umbilical cord compression - answer Oligohydramnios (amniotic fluid index less than 5cm) What is the nursing care management for a patient undergoing external cephalic version prior to the procedure? - answer Ensuring PT understands procedure and that it may cause discomfort and the woman can tell HCP to stop if it becomes too painful, completes initial fetal and maternal assessment, provides ongoing evaluation of FHR, performs the NST, completes blood work and alerts OR team if C-section is necessary What is the nursing care management for a patient undergoing external cephalic version during the procedure? - answer Monitor maternal BP and pulse q 2 minutes throughout the period of time that the beta-mimetic agent, provide reassuring care