L&B 2/Intraprocedure/Nursing Interventions

Question 1

Assess vital signs per agency protocol

If membranes are ruptured, how frequently?

Answer 1

q 1-2 hrs if membranes are ruptured

Question 2

Assess FHR via EFM or spiral electrode

Prior to electrode placement? (2)

Answer 2

1) Membranes must be ruptured

2) Cervix must be dilated

Question 3

Assess uterine contractions via palpation to assess (4)

Answer 3

1) Frequency
2) Duration
3) Intensity
4) Resting Tone

Question 4

Resting Tone?

Answer 4

Tone of the uterine muscle in-between contractions
A prolonged contraction duration( >90 seconds) or too frequent contractions (more than five in a 10 min period) without sufficient time for uterine relaxation (less than 30 seconds) in-between can reduce blood flow tot he placenta.

Question 5

Resting Tone: Dangers (4)

Answer 5

1) A prolonged contraction duration( >90 seconds) or
2) too frequent contractions (more than five in a 10 min period) without sufficient time for uterine relaxation (less than 30 seconds) in-between can reduce blood flow to the placenta.
3) Leading to fetal hypoxia and
4) Decrease FHR
(ATI 123)

Question 6

1) Insert, solid, sterile, water-filled intrauterine pressure catheter to measure? (2)

Answer 6

1) Intrauterine pressure/ Contractions patterns displayed on monitors
2) Requires membranes to be ruptured and cervix to be sufficiently dilated

Question 7

Vaginal Exam: To assess (5)

Answer 7

1) Performed digitally by qualified nurse
2) Cervical dilation
3) Effacement
4) Descent of the fetus/measured by fetal station in cm
5) Fetal position: Presenting part and lie
6) Membranes intact or ruptured
(ATI 123)