Procedures During Labor and Delivery: In a Nutshell (Nursing)

00:01 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.

00:08 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.

00:17 So minus one station or less, then they are increased risk for a cord prolapse.

00:24 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.

00:34 The fluid that's used for an amnioinfusion must be warmed so that we avoid shocking the fetus.

00:41 And finally, nurses should monitor the uterus whenever an amnioinfusion is performed so that we can make sure that it's not overdistended.

00:49 After a vacuum or forceps assisted birth, the mother and fetus should be assessed for any sort of trauma.

00:56 So the lacerations are going to be important for the nurse to chart.

00:59 And episiotomy may be cut to speed up second stage.

01:03 And a slight risk for that episiotomy is extension of the incision.

01:07 So it may go from a second degree to a fourth, and that's through the rectum.

01:11 There are many indications for cesarean birth, including infection and poor, or worsening maternal or fetal status.

01:19 And when the labor stops.

01:22 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 these procedures.

01:35 And a VBAC is appropriate for a client who has previously had a cesarean birth, especially when a low transverse uterine incision is used.

01:45 You did it.