Childbirth notes 3.txt

decrease seizures with eclampsia; tocolytic

HTN, vaginal bleeding, cardiac disease

keep calcium gluconate around; hypocalcemia; low RR, SOA; headache

contraction of the uterus, decreases bleeding, used in induction of labor

None

infrequent water intoxication, nausea, vomiting, placental abruption, uterine rupture, PPH, infection

relaxes smooth muscle inhibiting uterine activity and causing bronchodilation

women with cardiac disease, DM, HTN, eclampsia, migraines, hyperthyroidism, significant hemorrhage

tachycardia, dizziness, nervousness, headache, nasal congestion, nausea and vomiting, hypokalemia, hyperglycemia, hypotension; bad if HR>130, BP<90/60

contraction of uterus (decreases bleeding)

HTN, cardiac disease

HTN, nausea, vomiting, headache

stimulate fetal lung maturity

2 accelerations in a 20 minute period each lasting at least 15 seconds and peaking at least 15 BPM above the baseline (before 32 weeks of gestation, alleleration is an increase of at least 10 BPM and leasting at least 10 seconds)

does not produce two or more qualifying accelerations in a 20 minute period

negative (no late decelerations-desired result)

IUFD, late FHR decels in labor, IUGR and meconium stained amniotic fluid

late decels occur with 50% or more of contractions

120-160 BPM

reposition, administer O2 by nonrebreather face mask, assess for prolapsed cord, notify physician

reposition/elevate legs, increase rate of IV/bolus, DC oxytocin, administer O2, notify dr, amnioinfusion, tocolytic therapy

hemorrhage, shock, pain in absence of a palpable fundus abdominally; complete-large rounded mass outside uterus; incomplete-a smooth mass palpated through the dilated cervix