signature assignment

Question 1

PROS and CONS of an elective induction of labor

Answer 1

pros -
control of when labor starts
can plan for support people to be there
will be in hospital so more safe
can avoid macrosomia

cons -
risk of low bishop score
risk of c/s
baby may have some difficulty adjusting to induction, requires UNCOIL

Question 2

example:
dilation 1 cm = 1
effacement 30% = 0
station -3 = 0
soft cervix = 2
midposition cervix = 1

bishop score = 4

what does it mean?

Answer 2

This is a low score. Ideal score is 8 +

This means a vaginal birth is unlikely.

Labor augmentation would be a good thing to do, such as foley bulb or prostaglandins.

Question 3

what can cause maternal fever during labor?

Answer 3

infection
side effects of medications such as epidural
dehydration

Question 4

is this strip reassuring?
baseline -
variability -
accelerations -
decelerations -
cause of decels -
contraction frequency -
contraction duration -
contraction intensity -
contraction resting tone -

any interventions necsessary at this time?

Answer 4

reassuring - yes
baseline - 150’s
variability - minimal
accelerations - none (nonreactive)
decelerations - early
cause - head compression
contraction frequency - 120 - 180 secs
contraction duration - 60- 90 secs
contraction intensity - must palpate
contraction resting tone - resting tone visible between contractions 30 - 90 secs

the baby’s head is expected to be depressed as it moves down the birth canal. we may want to do a SVE and we could still reposition or do other nursing interventions.

Question 5

put these is order r/t epidural placement

____Assess vital signs
_____Assess laboratory values
_____Administer LR IVF bolus
_____Monitor the fetal heart rate tracing
_____Assess for bladder distension
_____Assess pain rating
_____Position the client in High Fowler’s
_____Obtain informed consent
_____Explain the procedure to the client
_____Routinely assess the epidural site
_____Inform the client that she will not be able to ambulate

Answer 5

4____Assess vital signs
5_____Assess laboratory values (PLATELETS)
7_____Administer LR IVF bolus
3_____Monitor the fetal heart rate tracing
9_____Assess for bladder distension
6_____Assess pain rating
8_____Position the client in High Fowler’s
2_____Obtain informed consent
1____Explain the procedure to the client
11_____Routinely assess the epidural site
10_____Inform the client that she will not be able to ambulate

Question 6

is this strip reassuring?
baseline -
variability -
accelerations -
decelerations -
cause of decels -
contraction frequency -
contraction duration -
contraction intensity -
contraction resting tone -
category 1, 2, 3 -

any interventions necessary at this time?

Answer 6

reassuring - yes
baseline - 145’s
variability - moderate
accel - yes (reactive)
decels - no
contractions - none
category 1 - good

we could increase oxytocin since mom is not having any contractions and FHR is reassuring

Question 7

how does a full bladder impact labor

Answer 7

gets in the way of contractions and birth

Question 8