Complications in Labor: In a Nutshell (Nursing)

by Jacquelyn McMillian-Bohler, PhD, CNM

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      Slides Labor Complications Nursing.pdf
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      Slides Labor Complications In a Nutshell Nursing.pdf
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      Reference List Maternity Nursing Care of the Childbearing Family.pdf
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    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.

    About the Lecture

    The lecture Complications in Labor: In a Nutshell (Nursing) by Jacquelyn McMillian-Bohler, PhD, CNM is from the course Complications in Labor (Nursing).

    Included Quiz Questions

    1. For a prolapsed cord, alleviate pressure off of the cord.
    2. Call a code if there is an indication of amnionic fluid embolus.
    3. When the client reports sharp-tearing pain, suspect uterine rupture.
    4. Turtle sign is an indication of uterine rupture.
    5. In precipitous labor, prepare for administration of oxytocin.

    Author of lecture Complications in Labor: In a Nutshell (Nursing)

     Jacquelyn McMillian-Bohler, PhD, CNM

    Jacquelyn McMillian-Bohler, PhD, CNM

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