Ch 8 OB -Introduction to Maternity and Pediatric Nursing Exam
6 views 0 purchase
Course
Introduction to Maternity and Pediatric
Institution
Introduction To Maternity And Pediatric
Oligohydramnios - ANSWER-Lower than normal amount of amniotic fluid
Aminoinfusion - ANSWER--Oligohydramnios
-Umbilical cord compression resulting from lack of amniotic fluid
-Goal of reducing recurrent variable decelerations in the fetal heart rate.
-Goal of diluting meconium-stained amniotic...
Ch 8 OB -Introduction to Maternity and Pediatric Nursing Exam
Oligohydramnios - ANSWER-Lower than normal amount of amniotic fluid
Aminoinfusion - ANSWER--Oligohydramnios
-Umbilical cord compression resulting from lack of amniotic fluid
-Goal of reducing recurrent variable decelerations in the fetal heart rate.
-Goal of diluting meconium-stained amniotic fluid to prevent meconium aspiration syndrome
Why do you do an amnioinfusion? - ANSWER-It replaceds the "cushion" for the umbilical cord and relieves the variable decelerations of the fetal heart rate that may occur during contractions when decreased amniotic fluid is present.
How often should the pads under the mom be changed after the membranes rupture? - ANSWER-Change them as often as needed to keep the mom relatively dry and to reduce the risk of infection of skin breakdown. (like Q20 mins)
What should be documented about the drainage on the underpads after a amnioinfusion? - ANSWER-Should document the color, amount, and any odor of the fluid expelled from the vagina.
What is Induction? - ANSWER-The initiation of labor BEFORE it begins naturally.
What is Augmentation? - ANSWER-The stimulation of contractions AFTER they have begun naturally.
What is the Bishop Scoring System? - ANSWER-- Evaluates the cervical response to induction procedures.
-A higher score (above 6) is predictive of successful labor induction because the cervix has ripened or softened in preparation for labor.
What are indications for labor induction? - ANSWER--Gestational Hypertension
-Ruptured membranes without spontaneous onset of labor
-Infection within the uterus
-Medical problems in the woman that worsen during pregnancy
-Fetal problems such as slowed growth, prolonged pregnancy, or incompatibility between fetal and maternal blood types
-Placental Insufficiency
-Fetal death
What are contraindications to labor induction? - ANSWER--Placenta previa
-Umbilical cord prolapse -Abnormal fetal presentation
-High station of the fetus
-Active herpes infection in the birth canal
-Abnormal size or structure of the mother's pelvis
-Previous classic cesarean incision
Pharmacological Methods to Stimulate Contractions- Cervical Ripening- - ANSWER--
Porstaglandin in a gel or vaginal insert is applied before labor induction to soften the cervix. -Laminaria is an alternative to cervical ripening by swelling inside the cervix
Pharmacological Methods to Stimulate Contractions- Oxytocin induction and the augmentation of labor- - ANSWER--Used to initiate or stimulate contractions
-Most commonly used method
Pharmacological Methods to Stimulate Contractions- Prostaglandin E1: Cytotec (Misoprostol) - ANSWER--Administer PO (buccal/sublingual) or intravaginally
- More effective in achieving vaginal delivery within 24 hours
-Adverse effect: uterine tachysystole (hyperstimulation)
Pharmacological Methods to Stimulate Contractions- Prostaglandin E2: Prepidil or Cervidil - ANSWER--Administer intravaginally, sustained release
Preparing the woman for labor augmentation. - ANSWER-- Explain procedure to woman
-Obtain baseline vital signs and fetal heart rate.
-Ensure IV line is placed (in case emergency)
-Remains in bed for up to 2 hours.
-Oxctocin induction can start 6-12 hours after vaginal insert has been removed.
-Assess for signs of uterine tachysystole (hyperstimulate)
List some way for dilating the cervix. - ANSWER--RU486 (Mifepristone): steroid receptor agonist use for early pregnancy termination (use if fetal demise)
-Stripping amniotic membranes
-Hydroscopic dilators
-Transcervical balloon dilators (16F, 30ml)
-Extra-amniotic saline infusion (puts presure on the cervix like the head would).
What is an Amniotomy? - ANSWER-artificial rupture of membranes (AROM)
Why is a Amniotomy done? - ANSWER--Done to stimulate or enhance contractions.
-Commits the woman to delivery
-Stimulates prostaglandin secretion
What are complications of Amniotomy? - ANSWER--Prolapse of the umbilical cord (RISK)
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller LUCKYSTAR2022. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.49. You're not tied to anything after your purchase.
