Ob - newborn mark k 2025

lOMoARcPSD|26582732




Ob - newborn mark k 2025




• fetal monitoring patterns o low fetal hr <110 bmp
 Bad
 When you see it  lion pit
• Turn on left-side
• Increase iv
• Oxygenate
• Notify hcp
• Stop pitocin
O high fetal hr >160 bpm
 Good finding
 Document & take mom’s temp
 mom probably has a fever
O low baseline variability
 Bad
• When you see it  lion pit
 Fhr should always have variability and be changing o late decelerations
 Bad
 Hr slows end the end/after contraction
 When you see it  lion pit o early decelerations
 Good finding
 Hr slows down before contraction or at the beginning of one o variable
decelerations
 Very bad
 Prolapsed cord
• When you see it  push baby’s head then position to knee chest
o if one of these begins with an l  bad  lion
o If one of these does not start with a l, it is
okay o variable decels very bad
• Veal chop
Pattern cause
Variable decel cord compression
Early decel head compression
Accelerations okay! 
Late decels placental insufficiency
• Second stage of l&d – delivery of baby o order
 Deliver the head
 Suction the mouth, then suction the nose

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 Check for nuccal cord
 Nuccal around the neck
 Deliver the baby
 Baby must have id band on before it leaves delivery area
• third stage of l&d – delivery of placenta o order
 Make sure the placenta is all there
 Check that the cord has 3 vessels
 How many of each? Ava  two arteries, one vein
• fourth stage of l&d – recovery o 4 things you do, 4 times an hour (q15min )
 Vital signs for shock
• Pressures go down
• Rates go up
 Fundus check
• Boggy uterus  massage until firm
• Displaced uterus  cathartine
 Pads: how much she’s bleeding
• Excessively  saturated pad 100% in 15 min or less
• Put a new pad q15min
 Roll her over
• Check for bleeding
underneath her
• postpartum
assessment o
assess every 4-8 hr,
bubble head
 B for breast
 u for uterine fundus
• If it is boggy  massage
• If not midline  catharize o how to assess??
 fundal height = day postpartum 
you want it midline!!
• Ex. In the 4 day postpartum, 4 below (from belly button)  b for bowel
th


 b for bowel
 l for lochia
• Occur in this order o rubra (if you rub and rub  turns red) o
serosa (rosa  if your cheeks are rosy, they are pink)
o Alba (albinos are white)
• Amount
o 4-6 in on a pad an h ria normal o excessive
bleeding is statured pad in 15 min or less
 E for episiotomy



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