RELATED TOPIC:
Nursing Knowledge
Membrane stripping involves the healthcare provider inserting a gloved finger into the cervix to separate the amniotic sac from the uterine wall.
It is important to provide emotional support to the client and to monitor for and educate about signs of infection of rupture of membranes.
Membrane stripping can come with
In this method, the healthcare provider uses a sterile instrument to puncture the amniotic sac, releasing the amniotic fluid. Amniotic fluid and fetal heart rate need to be monitored. Assess for signs of infection, and educate the client on the procedure, its purpose, and signs of infection/unusual vaginal discharge.
Risks:
Cervical ripening aids cervix softening for labor dilation. Uterine contractions and fetal heart rate need to be monitored. Assess for uterine hyperstimulation and monitor signs of infection.
This can be done pharmacologically or mechanically:
Mechanical dilation can involve discomfort and cramping. Educate your client on the procedure and purpose, the potential discomfort, side effects, and signs of infection.
Pharmaceutical ripening is not painful, but involves risks of uterine hyperstimulation leading to fetal distress, uterine rupture, and nausea.
Lookup sheet for applying the Bishop score and mechanical and pharmaceutical ripening methods
An aqueous solution with oxytocin can be administered intravenously to induce or augment contractions.
Titrate oxytocin according to uterine response. Monitor fetal heart rate and uterine contractions. Explain purpose of oxytocin infusion, potential risks such as uterine hyperstimulation, and how to communicate concerns.
RELATED TOPIC:
Free Download
Master the topic with a unique study combination of a concise summary paired with video lectures.
USMLE™ is a joint program of the Federation of State Medical Boards (FSMB®) and National Board of Medical Examiners (NBME®). MCAT is a registered trademark of the Association of American Medical Colleges (AAMC). NCLEX®, NCLEX-RN®, and NCLEX-PN® are registered trademarks of the National Council of State Boards of Nursing, Inc (NCSBN®). None of the trademark holders are endorsed by nor affiliated with Lecturio.
Your free account gives you access to:
or
