MCN 273 EXAM: YOUR A+ GUIDE THROUGH QUESTIONS AND ANSWERS.

MCN 273 EXAM: YOUR A+ GUIDE THROUGH QUESTIONS
AND ANSWERS.
Nursing Interventions for Late decelerations
Intrauterine Resuscitation:
-reposition to lateral side
-IV bolus
-O2 therapy @10L mask
-DEC/DC pitocin
-Notify HCP
Cause of variable decelerations
umbilical cord compression
Interventions for variable decelrations
-Relieve cord compression
-Intrauterine resuscitation
-Amnioinfusion
- IV bolus ~500 mL
-SVE assessment for prolapsed cord
Amnioinfusion
introduction of a solution into the amniotic sac

Indications:
-severe variable decelerations
-oligohydraminos
-thick meconium stained fluid

Nursing Management:
-monitor baseline uterine tone
-monitor I & Os
Cause of prolonged decelerations
-cord prolapse
-uterine tachysystole
-severe maternal hypotension
-rapid cervical change (ex. 2--> 8cm in 15min)
Nursing Interventions for prolonged decelerations

, -Correct the cause
-Intrauterine Resuscitation
- reposition
-fluids, IV bolus
- D/C Pitocin (tocolytic meds)
- O2 at 10L
- C/S
VEAL CHOP
V: Variable ----> C: Cord compression
E: Early --------> H: Head compression
A: Acceleration->O: Okay
L: Late ---------->P: Placental Insufficiency
What are the 10 critical Factors in labor
Passageway
Passenger
Powers
Position
Psycho-social response
Philosophy
Partner
Patience
Patient
Pain Management
primary force
-Uterine muscular contractions (myometrial activity)
-causes cervical change (dilation/effacement/station)
-laboring down
secondary force
-pushing during the second stage of labor
- coordinate with primary force
extension
-under pubic symphysis pubis
- another cardinal movement
-last movement the baby does to free him/herself out of the rigid boney cage
- can only happen in a few positions