Emergency delivery

Question 1

how will this patient be positioned?

Answer 1

with their head elevated (elevate H.OB).. patient has to be sat up

Question 2

next, we gotta wash our____

Answer 2

hands

Question 3

what do we put under their buttocks?

Answer 3

something clean.

Question 4

we have to ___ touching of the vaginal area

Answer 4

decrease

Question 5

as the head starts to crown, what do we do to the amniotic sac?

Answer 5

pinch it to tear it if not already ruptured

Question 6

tell patient to __ or__ to decrease the urge to push.

Answer 6

pant or blow (because we’re not suppose to push until we’re completely dilated)

Question 7

place on____ and apply gentle pressure

Answer 7

fetal head

Question 8

what do we do when the head is out?

Answer 8

feel for cord around the neck

if you do feel the cord, try to slip it over the baby’s head. DO NOT CUT THE CORD

Question 9

we want to ease each___ out. and DO NOT PULL BABY OUT!!

Answer 9

shoulder

Question 10

will the rest of the baby deliver fast?

Answer 10

yes

Question 11

how do we keep the baby’ s head when she/he is coming out?

Answer 11

down (aspiration precaution)

Question 12

as soon as the baby is out, what do we do?

Answer 12

dry the baby (baby cant regular temp. at risk for hypothermia)

Question 13

while drying the baby, where do we keep her?

what happens if you lower baby?

what happens if you raise baby?

Answer 13

at the level of the uterus (because when you lower the baby, it’s gonna get a bolus of blood and will increase biliirubin levels)

and when you raise baby, and the placenta is still delivering, the baby can bleed out.

Question 14

after the baby is dried, where do we place the baby?

Answer 14

on mommy’s abdomen and cover her (for skin to skin contact)

Question 15

with a retained placenta, what am I worried about?

Answer 15

infection, but we are more worried about bleeding.

Question 16

we want the placenta to deliver within___ mins

Answer 16

30 mins

Question 17

How is the cord cut?

Answer 17

double clamp it and then cut it (in the hospital), but not in the hospital (tie it off with the cleanest thing you can find)

Question 18

what’s the distance we are suppose to tie the cord?

Answer 18

4 inches AND 8 inches from the umbilicus… we want to cut off circulation.

if you are far from the hospital, just cut and put something clean under it,

Question 19

what do you do with the placenta? why?

Answer 19

wrap it in a bag and take it to the hospital; they will inspect it for intactness

Question 20

what do some cultures do with the placenta?

what about the meconium?

Answer 20

• eat it
• burry in front of their favorite tree for good luck
• put it on their face

Question 21

what do we do if the fundus becomes boggy?

Answer 21

massage it