Page 229 - ترم ثاني كتاب تمريض صحة الام الكتروني

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* tell the women that she will feel worm water in vagina
* the nurse will insert the fetus electrodes on fetal scalp. The nurse should

avoid apply the electrodes on fontanelle or gentile area.
*the nurse will insert the other catheter "intra uterine pressure catheter. * Fix
the electrodes around the thigh with a bond.

* Observe fetal heart rate and Record.

Nursing responses to non-reassuring fetal heart rate patterns

• Stop oxytocin or other uterine stimulants. Tocolytic such as terbutaline may
be ordered.

• Reposition the woman, avoiding the supine position for patterns/ cord
compression - Repositioning of ten improves other non-reassuring patterns as

well.
• Increase the rate of perfusion of a non-additive iv fluid. - To expand the
mother's blood volume and improve placental perfusion.

• Administer oxygen by facemask at 8 to 10 L/min to increase maternal blood
oxygen saturation, making more oxygen available to the fetus. 44 Fetal
monitoring - Maternal pulse oximetry, available on many fetal monitors, allows

ongoing assessment of maternal oxygen saturation and documentation on the
strip if the information is crucial.
• Consider starting continuous internal devices. - If no contraindication exists.

• Notify the physician or ask another nurse to notify Report and document the
following. - The pattern that as ID'd

• Nursing interventions taken in response to the pattern - The fetal response
after nursing intervention Response of doctor or other response.
• If non reassuring pattern is severed, other staff members should be alerted to

the possibility of immediate delivery usually cesarean, unless operative vaginal
birth is possible and quicker. - Birth prep should include staff prepared for
neonatal resuscitation. 45 Fetal monitoring

2) Immediate Care of the Newborn

ABCW Principles of Delivery

• Remember the following ABCW principles of delivery to ensure

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