Question

NIT THREE Birth and the Family 3. A patient has been admitted to the labor and delivery department for labor induction. She is 42 weeks gestation. She states that she is unsure of whether she wants to have her labor induced. hie how would you explain the risks of postmaturity for the fetus? 4. A patient is in active labor. She is dilated 4 cm and complain s of severe low back pain during eac contraction. The nurse suspects that the fetus is in interventions the posterior position and suggests the following A patient has just been admitted to labor and delivery. She is having contractions every 3 minutes with duration of 60 seconds. She is bleeding vaginally and complaining of severe abdominal pain. The nurse suspects that the patient may have a placental abruption and appropriate nursing interven- tions would be: 5.

Answer 1

3. Postmaturity is a risk for both mother and the fetus. The risks for postmaturity of fetus are

- Meconium aspiration

- Ageing and maturity of placenta which causes malfunctioning of placenta

- Fetal malnutrition due to decrease volume in amniotic fluid

- Lack of oxygenation due to meconium aspiration during labor

- Hypoglycemia if there is a depletion in the stored glucose and it aggrevates if mother is diabetic.

4. Ultrasonography and digital examination can be done to confirm the diagnosis.

The nursing interventions are

- provide sims posture on the same side of the fetal spine increase the chance of rotation from posterior to anterior.

-in the later second stage of labor, manual rotation of head can be done to facilitate the lobor

5. The nursing intervention for abruptio placenta during active labor are

- Place the patient in left side lying position.

- obtain an emergency fetal ultrasound

-Prepare patient for emergency cesearean section.

- Provide supplemental oxygen, keep NPO, catheterize the patient, start large IV bore, all the preoperative blood and urine studies to be done.

- Nurse be sure to complete the preoperative actions by using a checklist

-Attach patient to an external fetal monitor to check the fetal condition