Page 224 - ترم ثاني كتاب تمريض صحة الام الكتروني

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- Fetal anemia.
- Maternal anemia.

- Prematurity.
- Maternal fever.
- Maternal or fetal hyperthyroidism.

- Drugs as atropine and beta-sympathomimetic agents.
Management ;

According to causative factor.
- Antipyretic: to slow metabolism and decreased fever.
- Increasing oxygen to treat fetal hypoxia.

- Assess maternal temperature.
- Monitor for change of fetal heart rate pattern.
- Hydrate to improve circulating volume.

- Turn patient to left side.
- Reduce stressors (turn off oxytocin, treat maternal fever).
2-Bradycardia (less than 120 beat/minute):
base line fetal heart rate between 100:120 beat/minute.

Causes:
- Fetal distress.
- Congenital fetal heart block.

- Beta – blockers given to the mother.
- Fetal head compression.
- Fetal hypoxia.

- Fetal acidosis.
- Fetal heart block.
- Umbilical cord compression.

Management:
- Monitor for change of fetal heart pattern.
- Change maternal position and administer o2.
- Correct maternal hypotension.

- Look for causes such as prolapsed cord.
- Put mother in knee – chest position.

3. Early decelerations (type I dips):

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