High Risk Labor And Birth (Ch. 10) Flashcards
Define dystocia
difficult labor characterized by abnormally slow labor progress
Hypertonic uterine dysfunction
has contractions that are painful but don’t effect dilation and effacement of cervix
Treatment for Hypertonic uterine dysfunction
Promote rest and quiet environments
- Nap
- Administer pain medications
- Warm shower
- Hydrate
Hypotonic uterine dysfunction
Progresses like normal then gets worse and weaker
Interventions for Hypertonic uterine dysfunction
- Oxytocin
- Amniotomy
- C section
How can you stimulate uterine activity?
- Ambulation & position changes
- Hydrate IV or PO due to dehydration
- Administer IV fluids to increase volume, correct maternal hypotension, and improve placental perfusion
What medication can cause problems during pushing?
Epidural because the women might not feel the urge to push
How do you treat issues that happen during pushing?
- Oxytocin
- Assist birth with vacuum or forceps
- Perform C section
What must the nurse do with a grand multiparty?
Stay with them at all time due to increase risk for precipitous labor and birth
What is induction of labor?
Deliberate stimulation of UC before the onset of spontaneous labor to facilitate a vaginal delivery
When should you not use oxytocin?
- Pervious classical uterine scar
- Placenta previa/ abruptions
- Abnormal fetal position
- Active herpes
- Pelvic abnormalities
What is the primary complication with giving oxytocin?
Tachysystole leading to category 2 or 3 FHR pattern
Can you restart oxytocin if tachysystole has occurred?
Yes once FHR is normal, UC are normal then resume at no more than half the rate the caused it to start
What does the bishop score assess?
Cervical status
What score do you want for Bishop test?
greater than 8 is great means a vaginal delivery with induction of labor
