logging in or signing up Nursing Care During Labor and Delivery bhingkayz Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 3478 Category: Education License: All Rights Reserved Like it (2) Dislike it (0) Added: July 17, 2009 This Presentation is Public Favorites: 4 Presentation Description No description available. Comments Posting comment... Premium member Presentation Transcript INTRAPARTAL NURSING ASSESSMENT : INTRAPARTAL NURSING ASSESSMENT Maternal Assessment : Maternal Assessment 1. History General health Medications Allergies Obstetrical Labor Birth plan Risk Assessment : Risk Assessment Bleeding Rom Hospitalizations Preterm labor PIH Diabetes Abnormal presentation Physical Assessment : Physical Assessment Admission Assessment Labor status Contraction pattern Cervical dilation and effacement Fetal descent Membranes Fetal status laboratory Fetal Assessment : Fetal Assessment Assess fetal position Inspection Palpation: Leopold’s maneuvers Vaginal exam and ultrasound Fetal Heart Rate : Fetal Heart Rate Tools Fetoscope Doppler EFM External or internal Baseline rate: 120 to 160 Abnormal Fetal Heart Rates Tachycardia: sustained rate of 161 or above Marked: 180 or above Causes Early Hypoxia Maternal Fever Dehydration Drugs Amniotitis Hyperthyroidism Fetal anemia Fetal Bradycardia : Fetal Bradycardia Rate Less than 120 during a 10 minute period or longer Causes: Late or severe fetal hypoxia Maternal Hypotension Prolonged umbilical cord compression Fetal arrhythmia Variability: : Variability: Short Term Long – Term Absent decreased Average Increased Marked Decelerations : Decelerations Early Late Variable Non-Reassuring Patterns : Non-Reassuring Patterns Severe variable decelerations or FHR drops below 70 for longer than 30 to 45 seconds Late decelerations of any magnitude Absence of variability Prolonged decels that lasts 60-90 seconds or more Severe marked bradycardia of 70 or less Nursing management of Decelerations : Nursing management of Decelerations Turn mom to left side Administer O2 by face mask at 7-10 L Discontinue oxytocin Increase IV fluids Assess labor progress by SVE Notify physician Monitor VS and stay with pt. Slide 12: Scalp Stimulation Fetal scalp blood sampling You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.
Nursing Care During Labor and Delivery bhingkayz Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 3478 Category: Education License: All Rights Reserved Like it (2) Dislike it (0) Added: July 17, 2009 This Presentation is Public Favorites: 4 Presentation Description No description available. Comments Posting comment... Premium member Presentation Transcript INTRAPARTAL NURSING ASSESSMENT : INTRAPARTAL NURSING ASSESSMENT Maternal Assessment : Maternal Assessment 1. History General health Medications Allergies Obstetrical Labor Birth plan Risk Assessment : Risk Assessment Bleeding Rom Hospitalizations Preterm labor PIH Diabetes Abnormal presentation Physical Assessment : Physical Assessment Admission Assessment Labor status Contraction pattern Cervical dilation and effacement Fetal descent Membranes Fetal status laboratory Fetal Assessment : Fetal Assessment Assess fetal position Inspection Palpation: Leopold’s maneuvers Vaginal exam and ultrasound Fetal Heart Rate : Fetal Heart Rate Tools Fetoscope Doppler EFM External or internal Baseline rate: 120 to 160 Abnormal Fetal Heart Rates Tachycardia: sustained rate of 161 or above Marked: 180 or above Causes Early Hypoxia Maternal Fever Dehydration Drugs Amniotitis Hyperthyroidism Fetal anemia Fetal Bradycardia : Fetal Bradycardia Rate Less than 120 during a 10 minute period or longer Causes: Late or severe fetal hypoxia Maternal Hypotension Prolonged umbilical cord compression Fetal arrhythmia Variability: : Variability: Short Term Long – Term Absent decreased Average Increased Marked Decelerations : Decelerations Early Late Variable Non-Reassuring Patterns : Non-Reassuring Patterns Severe variable decelerations or FHR drops below 70 for longer than 30 to 45 seconds Late decelerations of any magnitude Absence of variability Prolonged decels that lasts 60-90 seconds or more Severe marked bradycardia of 70 or less Nursing management of Decelerations : Nursing management of Decelerations Turn mom to left side Administer O2 by face mask at 7-10 L Discontinue oxytocin Increase IV fluids Assess labor progress by SVE Notify physician Monitor VS and stay with pt. Slide 12: Scalp Stimulation Fetal scalp blood sampling