remember Flashcards
what are the contraindications for forceps assisted birth
non ruptured membrane
cervix that isnt fully dilated
unengaged fetal head
what are the contraindications for vacuum assisted birth
cervix that isnt fully dilated
before 34 weeks gestation
unengaged fetal head
non-vertex presentation (bc you can squish the face and even pull out an eye)
what is a caput
swelling of the head after vacuum assisted birth
what are the symptoms of chorioamnionitis
high temp
high HR
foul smelling amniotic fluid
pain in stomach
what is lochia
normal vaginal discharge after birth
should not smell bad
should not have large clots
what are the signs and symptoms of preterm labour
uterine activity
discomfort
vaginal discharge
menstral like cramps
increased urinary frequency
what should you do if you experience preterm labour
empty bladder
hydrate
lie on side for one hour
palpate for contractions
notify health care provider
what is the diagnostic criteria for preterm labour
80% effaced
over 2cm dilated (its less here bc babies head is smaller so you can give brith without being fully dilated)
why do we give tololytic therapy in preterm labour
to gain time to do the following
- administer glucocorticoids
- administer MgSO4
-transport to a facility with an NICU
what is nursing care for tocolytic therapy
encourage relaxation
position on side
EFM
fluid balance
what are the main off label tocolytic meds
nitro
nifedipine
indomethacin
which BMI would we recommend EFM
active labour with a BMI of >35
what are the two main interventions for shoulder dystocia
- subprapubic pressure (keep a step stool in the room)
-mcroberts manœuvre
what are the symptoms of uterine rupture
abdominal pain that does not go away between contractions
why dont we do classic incisions
because they increase risk of uterine rupture
