Complications in Labor: In a Nutshell (Nursing)

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.