Podcast
Questions and Answers
Why is it important to monitor the maternal temperature every hour during labor?
Why is it important to monitor the maternal temperature every hour during labor?
- To prevent pulmonary edema in the mother
- To monitor the effectiveness of magnesium sulfate administration
- To detect any infection that may be developing (correct)
- To assess for signs of tachycardia in the mother
What is the purpose of placing the bag of fluid in a radiant warmer during labor?
What is the purpose of placing the bag of fluid in a radiant warmer during labor?
- To prevent fetal tachycardia
- To prevent hypothermia in the mother (correct)
- To promote fetal lung maturation
- To increase uterine contractions
Why is it advised not to replace the cord back into the vagina if it protrudes during labor?
Why is it advised not to replace the cord back into the vagina if it protrudes during labor?
- To avoid constriction of blood vessels in the cord (correct)
- To promote betamethasone administration
- To prevent pulmonary edema in the mother
- To reduce CNS depression in the fetus
What is the rationale behind administering O2 at 10 LPM during labor?
What is the rationale behind administering O2 at 10 LPM during labor?
What is the recommended management for occiput transverse position during labor?
What is the recommended management for occiput transverse position during labor?
In occiputotransverse position, what is a suggested position that can help with rotation?
In occiputotransverse position, what is a suggested position that can help with rotation?
What is a common intervention for relieving back pain in occiput transverse position?
What is a common intervention for relieving back pain in occiput transverse position?
In prolonged labor with occiput transverse position, what should be provided to replenish glucose stores?
In prolonged labor with occiput transverse position, what should be provided to replenish glucose stores?
What is Bandl’s Ring, as described in the text?
What is Bandl’s Ring, as described in the text?
What is the suggested management for Bandl’s Ring according to the text?
What is the suggested management for Bandl’s Ring according to the text?
Which complication is NOT associated with Bandl's Ring?
Which complication is NOT associated with Bandl's Ring?
What is the purpose of betamethasone and dexamethasone in prenatal care?
What is the purpose of betamethasone and dexamethasone in prenatal care?
What is a major side effect of magnesium sulfate as mentioned in the text?
What is a major side effect of magnesium sulfate as mentioned in the text?
What is a nursing concern when administering ritrodrine (Yutopar)?
What is a nursing concern when administering ritrodrine (Yutopar)?
Why should a patient be placed on complete bed rest in PTL management?
Why should a patient be placed on complete bed rest in PTL management?
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Study Notes
Monitoring During Labor
- Maternal temperature should be monitored every hour to detect any potential infections or complications.
Fetal Care During Labor
- A bag of fluid is placed in a radiant warmer during labor to maintain the fetal temperature and prevent hypothermia.
- If the umbilical cord protrudes during labor, it should not be replaced back into the vagina to prevent further complications.
Oxygen Administration
- Oxygen is administered at 10 LPM during labor to help improve fetal oxygenation and prevent fetal distress.
Occiput Transverse Position
- The recommended management for occiput transverse position during labor is to encourage position changes, such as kneeling or standing, to help with rotation.
- A suggested position to help with rotation is the lateral or side-lying position.
- A common intervention for relieving back pain in occiput transverse position is to use heat or massage therapy.
- In prolonged labor with occiput transverse position, glucose-rich fluids or foods should be provided to replenish glucose stores.
Bandl's Ring
- Bandl's Ring is a physiological retraction ring that occurs in the upper uterus during labor.
- The suggested management for Bandl's Ring is to monitor uterine activity and fetal heart rate, and to provide IV fluids to help with hydration.
- Uterine rupture is NOT a complication associated with Bandl's Ring.
Medications in Prenatal Care
- Betamethasone and dexamethasone are administered in prenatal care to promote fetal lung maturity.
- A major side effect of magnesium sulfate is Respiratory depression.
Medications in Labor
- A nursing concern when administering ritrodrine (Yutopar) is to monitor the patient's blood pressure and heart rate.
- A patient should be placed on complete bed rest in PTL (Preterm Labor) management to prevent further complications and promote fetal well-being.
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