Question

Reinforce relaxation techniques Encourage partner to participate in coaching . Emily, a 25-year-old G3P2, has been in labor for 5 hours and is 7 cm, 90% effaced and +2 station. She has external fetal monitoring in place, which reveals a baseline fetal heart rate of 120 bpm, minimal variability, and occasional variable decelerations. Suddenly, as a contraction is beginning to subside, the fetal heart rate drops to low 80 bpm and has a slow return to the baseline 1 minute after contraction has ended. 2, A. What is happening to Emily's baby at this point in time? .Respiratory distress possible placental insufficiency of cord compression. What does this mean? The baby needs to be delivered soon possible by cesarean section. . B. What role do you, as the nurse, play regarding fetal assessment and what intervention do ะเ up f6

Answer 1

A.The 90% effacement indicates that the cervix is fully effaced or thinned and the baby has entered there.At this time the vaginal should be dilated and the station should be +4 or +5 for delivery but still it is in +2 station it means the baby has not descended .This may be a sign of fetal disposition and takes time to decent besides contraction .The decreased heart rate less than 100beats/minute and a deceleration indicates the baby is experiencing  a cord compression.

B.The immediate action to be done by the nurse are

• Monitor vital signs of mother as well as fetal heart rate
• Inform the concerned obstetricians or on duty doctors immediately
• Change of position
• Stopping oxytocin drip as per order to stop contraction and slower the baby's distress
• Administer oxygen to prevent complications
• prepare the mother for an emergency LSCS
• Get an informed consent ready