00:01
Now let's review.
00:02
So, in a nutshell,
if a prolapsed cord is suspected,
it is vital that we alleviate
pressure on the cord.
00:11
If the cord is external,
we want to keep it moist
and always call for help.
00:16
A turtle sign, might signal that
there's a shoulder dystocia.
00:20
A McRoberts maneuver,
or super pubic pressure
might be done to dislodge
that anterior shoulder.
00:27
If there's a precipitous labor,
remember three hours or less,
the largest risk is
fetal or vaginal track injury.
00:35
It is absolutely vital that
we slow the delivery of the fetus
to protect both
baby and the patient.
00:42
Clients who have had
a previous cesarean birth
or any type of uterine surgery,
or at risk for a uterine rupture.
00:49
The nurse should be on the lookout
for any contraction pattern
that's showing the contractions
are coming too close together,
or a situation where the
client reports that they feel
a sharp tearing pain
right over a previous incision.
01:03
If the client reports a sudden onset
of shortness of air,
or the nurse notes,
a drop in oxygen saturation,
these may really be
the only indicators
of an amniotic fluid embolus.
01:15
And finally, postdates pregnancies
and fetal distress
are common risk factors
for meconium
in the amniotic fluid.
01:23
Guess what?
You made it.