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complications in labor

dystocia probl w/ powers: expulsion forces. passenger: presentation, position, & fetal development,. passageway: maternal bony pelvis or birth canal (gynecoid most favorable, anthropoid OK, android male, platypelloid not favorable. prob w/psyche: maternal stress
meds to stimulate uterine contractions dinoprostone, misoprostol - cause cervical ripening IV oxytocin titrated in milliunits/min
vaginal delivery after caesarean the choice is only offered if the client had a low, transverse, abdominal incision and they are being delivered in large tertiary care center. risk of uterine rupture & hemorrhage
amnioinfusion isotonic fluid is instilled into the amniotic cavity in order to thin thick meconium that has passed in the amniotic fluid. reduces meconium aspiration syndrome, prevents or relieve cord compression, oligohydromnios, severe variable decelerations.
anaphylactoid syndrome of pregnancy (amniotic fluid embolus) rupture in amntic sac/matl uterine veins w/high uterine pressure causes mixing of amntc fluid into maternal circulation. S/S & mgmt. to any pulmonary embolism Risk for DIC: blood clots, decrd. BP, easy bruising, rectal or vaginal bleeding, petechia
DIC small blood clots throughout the bloodstream, blocking small blood vessels, the increased clotting depletes the platelets & clotting factors needed to control bleeding, causing excessive bleeding.
RN role in dealing w/prenatal loss 1) helping families regain a sense of control 2) helping families make memories & create mementos 3) continued support after discharge
theory of caring knowing: understand the meaning for the parent being with: emotionally present doing for the mother what she cannot do for herself enabling: facilitating passage through transitions. maintaining belief: in her capacity to make it through this event.
In what order does grief usually proceed? A- accepting the reality of the loss B- getting over suffering from the loss C- adapting to the new environment w/out deceased D- emotionally relocating the deceased and getting on with life.
Created by: gdimanche