NURSE-UN 1242 Chapter Notes - Chapter 21: Uterine Rupture, Vaginal Bleeding, Gestational Hypertension
5 Jan 2019
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After spontaneous rupture of membranes, the nurse notices a prolapsed cord. Pressure on the cord needs to be relieved. Therefore, the nurse would position the woman in a modified sims, Supine, side-lying, or sitting would not provide relief of cord compression. A primigravida whose labor was initially progressing normally is now experiencing a decrease in the frequency and intensity of her contractions. The woman is experiencing dystocia most likely due to hypotonic uterine dysfunction and fetopelvic disproportion associated with a large fetus. A low-lying placenta, contraction ring, or uterine bleeding would not be associated with a change in labor pattern. Risk factors for placental abruption include preeclampsia, gestational hypertension, seizure activity, uterine rupture, trauma, smoking, cocaine use, coagulation defects, previous history of. Macrosomia, gestational diabetes, and low parity are not considered risk factors. Assessment of a woman in labor who is experiencing hypertonic uterine dysfunction would reveal contractions that are:
