yap/last minute t2 Flashcards
how would a baby present in umbilical cord prolapse?
Bradycardia & variable decels
interventions for umbilical cord prolapse?
remove pressure off cord
- hold baby help upward to remove compression
- mom in trendelenburg/knees to chest
- 10L oxygen w/ nonrebreather
- admin tocolytic
what is placenta previa?
placenta covers cerix/cervical opening
bright red blood & painless
effect of p previa on fetus?
decreased variability & bradycardia
what is placental abruption?
Premature detatchment of placenta
p abruption effect on baby?
bradycardia / decreased variability
uterine dystocia does what?
stall labor
result of hypertonic uterine dystoica?
fetal hypoxia
what is hypertonic uterine dystocia?
too many contractions, too strong & painful
dont change cervix
what is hypotonic uterine dystocia
ineffective contraction pattern
(less than 2-3 contractions/10min)
what is chorioamniontitis?
infection of membranes surrounding fetus
risks for chorioamnionitis?
prolonged membrane rupture (24hr)
multiple vag exams
rupture of uterus presentation? maternal V/S
rigid abdomen, tachycardia, low BP & increases RR
dark red blood
immediate intervention for uterine rupture?
C/S
strip presentation for uterine rupture?
pain w/ tachysystole, abrupt start & fetal bradycardia
interventions for shoulder dystocia?
mcRoberts
suprapubic pressure
birthing ball to help prevent (change position)
oblique transverse lie baby presentation?
fetus lies sideways/diagonally
complications of breeches
umbilical cord prolapse
placental abruption
cord compression = fetal hypoxia (variables)
4 indications for induction
Gestational diabetes
Pre-eclampsia (!!)
Gestational hypertension
Chorioamniontits
what is a patient with oligohydramnios @ risk for?
Deep variables –> cord compression
Nuchal cord –> fetal hypoxia
advice for a pt below 10 cm who during a contraction feels the need to push?
Breathe/ blowing breaths
some things that can cause tachysystole?
too much pitosin
dehydration
cervical ripener (cervadil)
fetal hypoxia
U rupture
how to tell when mom is in 2nd stage/ready for delivery?
crowning