NURS 3330 Lecture Notes - Lecture 8: Advanced Maternal Age, Uterine Rupture, Artificial Rupture Of Membranes
22 Mar 2017
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Dystocia: most common reason for ceasarean section, halt in the labor process. Risk factors; short stature, advanced maternal age, maternal fatigue, extreame maternal fear. Factors influencing: power, passenger, passage, postion, psychological. Dysfunctional labor: abnormal labor pattern, protraction disorder: slowing, arrest disorder, nursing care: Hypertonic uterine dysfunction: uncoordinated uterine activity, risk factors: 1st time delivery, management, hydrate (po or iv, pain management, promote relaxation, communicate with provider. The pressure of the uterine contraction is insufficient to promote cervical dialation and effacement: risk factors, multiple gravida, management: amniotomy, nursing care, change position. Labor that lasts less than 3 hours from onset of labor to birth: risk factors: previous precipitous labor, bleeding, neonatal resesitation, nurse management: Stay in room: monitor babies heart rate. Something is keeping mom from pushing: make sure baby can tolerate it, medical management, pitocen, vacuum/ forceps, nursing interventions, how is mom pushing, open glottis pushing, pain relief, change positions. The baby is stuck/ labor fails to progress: caused by:
