Chapter 19: Nursing Care During Obstetric Procedures Flashcards
Urinary tract trauma (1 risk)
Cesarean section
Infection or chorioamnionitis (3 risks)
amniotomy, induction and augmentation, Cesarean section
Bishop score of >7-8 in first birth or >4 in second and later births (1 indication)
induction and augmentation
Induction or augmentation of labor (1 indication)
amniotomy
Hemorrhage (2 risks)
induction and augmentation, Cesarean section
nuchal cord (1 contraindication)
version
Worsening maternal medical conditions (1 indication)
induction and augmentation
Ending pregnancy benefits mother/fetus (1 indication)
induction and augmentation
placenta previa (2 contraindications)
induction and augmentation, version
Pregnancy or chronic hypertension (preeclampsia) (2 indications)
induction and augmentation, Cesarean section
small pelvic size (1 contraindication)
version
Prolapsed umbilical cord (1 indication, 1 contraindication, 2 risks)
Indication: Cesarean section
Contraindication: induction and augmentation
Risks: amniotomy, induction and augmentation
maternal cardiac or pulmonary disease (1 indication)
operative vaginal birth
maternal seizures (1 indication)
Cesarean section
fetal immaturity (1 contraindication)
Cesarean section
Fetal death (1 indication, 1 contraindication)
Indication: induction and augmentation
Contraindication: Cesarean section
coagulation defects (1 contraindication)
Cesarean section
thrombophlebitis (1 risk)
Cesarean section
uterine tachysystole (1 risk)
induction and augmentation
vaginal birth can be accomplished quickly without trauma (1 indication)
operative vaginal birth
Operative vaginal birth (1 indication)
episiotomy
Uterine malformation (1 contraindication)
version
Uterine rupture (1 risk)
induction and augmentation
fetal entanglement in cord (1 risk)
version
Postterm (42+ weeks) (1 indication)
induction and augmentation
shortened stage necessary for maternal/fetal wellbeing (1 indication)
operative vaginal birth
cord compression (1 indication, 1 risk)
Indication: operative vaginal birth
Risk: version
paralytic ileus (1 risk)
Cesarean section
Abnormal presentation (1 indication, 1 contraindication)
Indication: Cesarean section
Contraindication: induction and augmentation
Cesarean section birth (1 risk)
induction and augmentation
Nonreassuring FHR (1 indication)
operative vaginal birth
Classic uterine incision (1 indication, 1 contraindication)
Indication: Cesarean section
Contraindication: induction and augmentation
Abruptio placentae (3 indications, 2 risks)
Indications: induction and augmentation, operative vaginal birth, Cesarean section
Risks: amniotomy, version
fetal size greater than 4000 g (1 contraindication)
version
Cesarean section would be quicker (1 contraindication)
operative vaginal birth
Previous Cesarean section birth (1 indication, 1 contraindication)
Indication: Cesarean section
Contraindication: version
uterine placental insufficiency (late decelerations) (1 contraindication)
version
oligohydramnios (1 contraindication)
version
maternal water intoxication (1 risk)
induction and augmentation
posterior birth (1 indication)
episiotomy
multifetal gestation (1 contraindication)
version
Genital herpes (1 indication)
Cesarean section
dystocia (presenting part is crammed) (2 indications)
episiotomy, Cesarean section
Labor/vaginal birth considered safe (1 indication)
induction and augmentation
Fetus doesn’t fit birth canal (1 indication)
Cesarean section
Spontaneous rupture of amniotic sac (1 indication)
induction and augmentation
maternal exhaustion (1 indication)
operative vaginal birth
atelectasis (1 risk)
Cesarean section
Two or more low transverse C sections (1 contraindication)
induction and augmentation
Prompt delivery is necessary (1 indication)
Cesarean section