Labor & Delivery Clinical Cheat Sheet PDF

Labor & Delivery clinical Clinical cheat sheet Mom's Vital Signs baby's Vital Signs Blood Pressure (bp)...

Labor & Delivery clinical Clinical cheat sheet Mom's Vital Signs baby's Vital Signs Blood Pressure (bp) Systolic 120 mmHg Blood Pressure (bp) Systolic 60 -80 mmHg Diastolic 80 mmHg (Not done routinely) Diastolic 40 - 50 mmHg Heart Rate (hr) 60 – 100 bpm Heart Rate (hr) 110 - 160 bpm Take can be 180 if crying apical p * Respiratory rate (rr) 12 – 20 breaths/min u for 1 full lse can be 100 if sleeping min temperature (t) 97.8 – 99°F (36.5 - 37.2°C) Respiratory rate (rr) 30 - 60 breaths/min oxygen (o!) 95 – 100% COPD pts are expected to have lower O2 levels temperature (t) (Axillary) 97.7 – 99.5°F (36.5 - 37.5°C) * PRO TIP: After you are done taking the patient's HR, keep your finger on their pulse while Map Equal to the # of weeks gestation or higher assessing respiratory rate. (When the patient knows you are taking their respiratory rate, they may breathe differently). Stages of Labor Breathing pattern is IRREGULAR. Newborns are Abdominal breathers. Signs of Respiratory 1st Stage Regular contractions ! Complete dilation (10 cm) To count breaths, place your Distress 2nd Stage Complete dilation (10 cm) ! Baby is delivered hand on their abdomen Retractions 3 Stagerd Baby is delivered ! Placenta is delivered Count for a Nasal flaring 4th Stage Placenta is delivered ! Recovery (4 hours postpartum) full minute! Grunting Fetal Monitoring normal non-reassuring A tool to help interpret fetal strips EARLY DECELERATIONS LATE DECELERATIONS VARIABLE DECELERATIONS V Variable ! C Cord Fetal heart rate Decelerations Compression E Early Decelerations! H Head Compression A Accelerations ! O OK (normal fetal oxygenation) contractions Mom's L ! P Late Placental Decelerations Insufficiency Obstetrical Emergencies apgar description treatment 0 points 1 point 2 points A Preeclampsia Eclampsia is when a woman BP control, MgSO4, Activity Flexed arms / Eclampsia with preeclampsia has seizures delivery of the baby Absent Active (Muscle tone) & legs P Postpartum Massive blood loss Surgical ligation, hysterectomy, Hemorrhage (vaginal birth: >500 mL in 24 hours) removal of leftover placenta, Pulse 0 < 100 > 100 (cesarean birth: >1000 mL in 24 hours) (PPH) adm. hemabate & misoprostol G Grimace Prompt Uterine When the uterus ruptures STAT delivery, Floppy Minimal response response to Rupture (wall of the uterus breaks open, blood transfusions, (Reflex irritability) to stimulation stimulation commonly caused by pressure) possible hysterectomy A Appearance Pink body medications Blue / pale Blue extremities Pink (Skin color) all over (acrocyanosis) OXYTOCIN (Pitocin) MISOPROSTOL (Cytotec) Stimulates uterine contractions Cervical ripening agent R Respiration (Effort) No breathing Breathing slow & irregular, weak cry Vigorous cry TERBUTALINE (Brethine) HALTS uterine contractions assessment Scoring & Interventions of apgar NIFEDIPINE (Procardia) HALTS uterine contractions 7-10 4-6 0-3 1 minute No interventions, Some resuscitation Needs full Preventing & controlling seizures in and MAGNESIUM SULFATE 5 minutes baby's doing well. assistance needed: oxygen, resuscitation mothers with preeclampsia/eclampsia Only routine post suction, stimulate the baby, after birth. delivery care needed rub baby's back Always follow your facility protocol. This guide is meant to inform. It's not meant to be used to diagnose or treat patients. © 2023 NurseInTheMaking LLC