NURS 3334 Lecture Notes - Lecture 14: Tocolytic, Amniotic Fluid, Stim
Document Summary
Increased heart rate shows baby is moving and nerves are intact: homeostatic, compensatory mechanism, po2 and pco2. If prolonged hypoxemia, decompensation occurs resulting in cardiac. Increase blood flow to heart, brain, and adrenal glands/ decrease blood flow to gut, spleen, kidneys, limbs output and fhr resulting in brain damage or even death. Indications: multiple gestation, augmentation or induction with pitocin. Iugr: placenta previa, fetal bradycardia, gdm, gestational hypertension, kidney disease, postdate, active labor, meconium stained fluid, abruption placenta suspected or actual, abnormal uterine contractions, fetal distress. Interventions: rn responsibility: assess fhr patterns, characteristics of contractions, implement nursing interventions and report nonreassuring patterns or abnormal ctx patterns, maternal-fetal risk factors determine method and frequency of survillence. Internal monitoring devices: advantages: continuous tracing of fhr, maternal position does not affect tracing of fhr. Acceleration = 15 beats above baseline for 15 seconds 32 -40 weeks: 10 beats above baseline for 10 seconds for under 32, nonreactive (abnormal) non stress test.
