NURS 3334 Lecture Notes - Lecture 15: Leading Edge, Umbilical Cord Prolapse, Occipital Bone
Document Summary
Database admission assessment: prenatal record, age, height/weight, baseline vs, recent labs/ results of diagnostic screening tests, venereal disease testing (vdrl or rpr for syphilis, h/h, blood type/ rh, status r/t hep b, gbs, hiv, rubella. Interview: birth plans, infant feeding choice/pediatrician/circumcision, chronic diseases, past surgeries, and pregnancy history, recent illnesses and treatments (cid:523)including std"s(cid:524, medications (prescription & over the counter, tobacco/alcohol/illicit drugs, potential or history of domestic violence. Physical assessment: done to rule out imminent birth, vaginal exam usually done by md or cnm, leopold"s maneuver"s, tests for rupture of membranes, fetal assessment, gone to reassure of fetal well-being, contraction assessment, general maternal systems assessment. Common procedures before or during labor: amnioinfusion, warm ns or lr infused into uterus to decrease severe variables d/t cord compression or, external cephalic version dilute thick meconium. Strict fhr and cxt monitoring for uterine distension: after 37 weeks to turn breech presentation to vertex.
