This is a pretty long slide deck, so we
thought it might be helpful to summarize what
we've talked about so far before we move on.
So in a nutshell, clients who are ruptured
and in this case we're talking about
artificially ruptured prior to the fetus
being low in the pelvis.
So minus one station or less, then they are
increased risk for a
After the artificial rupture of membranes or
a ROM client should be monitored for signs of
infection, and that would include taking a
temperature every two hours.
The fluid that's used for an amnioinfusion
must be warmed so that we avoid
shocking the fetus.
And finally, nurses should monitor the
uterus whenever an amnioinfusion is
performed so that we can make sure that it's
After a vacuum or forceps assisted
birth, the mother and
fetus should be assessed for any sort of
So the lacerations are going to be important
for the nurse to chart.
And episiotomy may be cut to speed up second
And a slight risk for that episiotomy is
extension of the incision.
So it may go from a second degree to a
fourth, and that's through the rectum.
There are many indications for cesarean
birth, including infection and
poor, or worsening maternal or fetal status.
And when the labor stops.
After a cesarean, the client should be
encouraged to be as mobile as possible and
wear SCDs when they're in the bed, the
nurse should monitor vitals and assess for
adequate pain control, really for any of
And a VBAC is appropriate for a client who
has previously had a cesarean birth,
especially when a low transverse uterine
incision is used.
You did it.