Ch 11- c section Flashcards
1
Q
Maternal Indications for C/S
5
A
- previous c/s
- placental abnmormalities
- arrest of labor
- passage disproportions
- preexisting related health factors
2
Q
Fetal Risk Factors for c/s
3
A
- Malposition (breech, transverse, persistent)
- category 2 or 3 FHR
- multiple gestation
3
Q
Interventions to prevent first c/s
7
A
- train HCP & enhance vaginal birth culture
- educate pt about healthy labor
- develop standardized admission and triage management
- offer adequate pain management
- in house labor provider
- provide public reporting on c/s
- reserve labor induction for medical reasons
4
Q
Risks r/t c/s birth
7
A
- infection (bladder, endometrium, incision)
- hemorrhage
- anemia
- thromboembolitic disease/PE
- Maternal death
- obesity
- repeat c/s risks
5
Q
Pre-op nursing care/actions
5
A
- baseline VS/PA and FHR
- place IV and foley cath
- Abx & GI meds
- VTE prophylaxis
- Individualized care
6
Q
Intraoperative Nursing care/actions
right before, and during procedure
A
Before
* Time out
* positioning
* foley
* abd prep
* final checks
During
* monitor and document
7
Q
What is REEDA and where is it assessed?
A
Assessed on the surgical incision
* Redness
* Edema
* Eccymosis (bruising color)
* Discharge
* Approximation of edges
