Med/ surg interventions in L&D Flashcards
1
Q
External fetal HR monitor
A
- Record HR through abdomen
- Ultrasound
- Ave rate 110-160 BPM
- Assessment of fetal distress
- Non-stress test, biphysical profile
2
Q
Internal fetal HR monitor
A
- Transducer attached to fetal scalp
- More accurate & consistent
- effect of medications on uterus
- Cant get out of bed
3
Q
Episiotomy
A
- Incision in perineum during childbirth
- Enlargement of vaginal opening
- Cut away from perineum
- Large baby,
4
Q
Vacuum extractor
A
- Soft suction cup & vacuum to excise baby
- Prolonged 2nd stage labor, fetal compromise
- Contraindicated in premature, failed attempts with forceps
5
Q
Forceps
A
- Tool to aid in excising baby from vaginal canal
- Must have full dilation, head engagement, membranes ruptures
- Not commonly used
6
Q
Induction & augmentation of labor with medications
A
- Oxytocin (most effective), laminaria to dilate and efface cervix
- Prostaglandins to trigger contractions
- Amniotomy- to rupture sac and trigger induction of labor
7
Q
Medical abortion
A
Mifepristone & Misoprostol (Cytotec):- 1st trimester abortion, can use up to 63 days
- Mifeprestone causes contractions
- 24-72 hrs later misoprostol to dilate cervix and additional contractions
8
Q
Surgical abortion
A
- Dilation, aspiration & evacuation
- 1st & 2nd trimester
- Dilate cervix, digoxin to ensure fetal demise, suction to remove.
