Labor and Delivery Comfort Measures

Question 1

3 nonpharmacological methods for comfort during delivery

Answer 1

breathing techniques
positioning
gait theory

Question 2

monitor maternal _____ ______ after epidural

Answer 2

blood pressure

hypotension!

Question 3

measure to prevent hypotension with epidural

Answer 3

fluid bolus prior

Question 4

what do we want to check on fetus before admin epidural?

Answer 4

electronic fetal monitoring strip (HR)

Question 5

besides hypotension, what other organ system is greatly effected by epidural? what is nursing intervention?

Answer 5

urinary –> in/out cath

Question 6

2 drugs that can ripen cervix

Answer 6

◦ Dinoprostone gel (cervidil)

◦ Misoprostol (Cytotec)

Question 7

what does a precipitous delivery mean?

Answer 7

rapidly progressing labor that lasts <3 hours

hypertonic uterus

Question 8

what happens to fetal HR with prolapsed cord?

Answer 8

variable or prolonged deceleration

Question 9

nursing intervention for prolapsed cord

Answer 9

• insert fingers into vagina to lift pressure off of cord until delivery
• 02 (8-10L)
• warm sterile saline towl to prevent cord drying

Question 10

priority with meconium delivery?

Answer 10

fetal airway –> suction

Question 11

fancy word for dysfunctional labor that has some difficulty related to the 5p’s

Answer 11

dystocia

Question 12

re: dystocia: a uterus that is easily indent-able even at peak contractions =

Answer 12

hypotonic uterus

Question 13

re: dystocia: a uterus that cannot be indented even b/w contractions

Answer 13

hypertonic uterus

Question 14

if the fetal occiput is anterior or posterior will labor last longer?

Answer 14

posterior

Question 15

what happens in an amniotic fluid embolism?

Answer 15

amniotic sac ruptures, amniotic fluid infiltrates maternal circulation
–> resp distress, cardio collapse

Question 16

3 general findings for amniotic fluid embolism

Answer 16

• resp distress
• coagulation failure
• circulatory collapse