Page 683 - Saunders Comprehensive Review For NCLEX-RN

b. Avoid the use of internal scalp
electrodes for monitoring of the fetus.
c. Avoid episiotomy to decrease the
amount of maternal blood in and
around the birth canal.
d. Avoid the administration of oxytocin,
because contractions induced by
oxytocin can be strong, causing vaginal
tears or necessitating an episiotomy.
e. Place heavy absorbent pads under the
mother’s hips to absorb amniotic fluid
and maternal blood.
f. Minimize the neonate’s exposure to
maternal blood and body fluids;
promptly remove the neonate from the
mother’s blood after delivery.
g. Suction fluids from the neonate
promptly.
h. Prepare to administer zidovudine as
prescribed to the mother during labor
and delivery.
3. Postpartum period
a. Monitor for signs of infection.
b. Place the mother in protective isolation
if she is immunosuppressed.
c. Breast-feeding is likely to be restricted;
follow PHCPs recommendations
regarding breast-feeding.
d. Instruct the mother to monitor for signs
of infection and report any signs if
they occur.
e. The newborn can room with the
mother; however, depending on
agency procedures, the newborn may
be placed in NICU for the first 24
hours of life to complete baseline
laboratory studies and receive the
initial treatment.
G. The newborn and HIV (refer to Chapter 27 for this information)
XII. Hydatidiform Mole
A. Description
1. Hydatidiform mole is a form of gestational
trophoblastic disease that occurs when the
trophoblasts, which are the peripheral cells that attach
the fertilized ovum to the uterine wall, develop
abnormally.
2. The mole manifests as an edematous grape-like cluster
that may be nonmalignant or may develop into

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