Contents
- 1 What are the nursing interventions for late decelerations?
- 2 What clinical interventions may be beneficial in reducing the frequency and or severity of decelerations?
- 3 Which of the following nursing interventions is an indirect care intervention?
- 4 How do you correct variable decelerations?
- 5 What to do when you have a late deceleration in labor?
What are the nursing interventions for late decelerations?
Interventions for late decelerations are:
- Lower the head of the bed and turn the mom on her left side to take the pressure off the vena cava and allow blood flow to the heart and to the lungs.
- Re-oxygenation or the reintroduction of oxygen to the baby by giving oxygen to the mother.
What are the nursing interventions you need to implement when placing the patient in external fetal monitor?
Generally, nursing interventions are attempted first to restore normal oxygenation to the baby. These include the administration of supplemental oxygen, changes in maternal position, increasing intravenous fluids, and the administration of medications that subdue contractions and maximize placental blood flow.
What do variable decelerations indicate?
Variable decelerations happen when the baby’s umbilical cord is temporarily compressed. This happens during most labors. The baby depends on steady blood flow through the umbilical cord to receive oxygen and other important nutrients.
What clinical interventions may be beneficial in reducing the frequency and or severity of decelerations?
A. Correct: Amnioinfusion is used during labor either to dilute meconium-stained amniotic fluid or to supplement the amount of amniotic fluid to reduce the severity of variable decelerations caused by cord compression.
Can Oxytocin cause late decelerations?
When uterine hypertonus developed during oxytocin infusion 50 per cent of fetuses, including 5 of 7 fetuses subjected to tetanic contrac- tions, developed late decelerations. Most fetuses who developed late decelerations had normal heart rate patterns before treatment.
How can you tell the difference between an early deceleration and a late deceleration?
The nadir of the early deceleration occurs with the peak of a contraction. A late deceleration also has a waveform with a gradual decrease and return to baseline with time from onset of the deceleration to nadir >30 seconds. However, the late deceleration is “shifted to the right” of the contraction.
Which of the following nursing interventions is an indirect care intervention?
Indirect-care interventions include consulting with other healthcare team members, making referrals, advocacy, and managing the environment. Direct-care interventions include emotional support, patient teaching, and physical care.
How do you fix variable decelerations?
Variable decelerations are marked by a sharp decrease (“V” shape) in FHR that does not correlate to contractions. Umbilical cord compression is usually the cause of variable decelerations. Repositioning of the mother can relieve this compression if it is minor.
How do you manage variable decelerations?
Some nursing interventions include: turn mom onto her side, stop Picotin if infusing, administer 10 L of O2, maintain IV access, determine the Fetal Heart Rate variability, and contact doctor.
How do you correct variable decelerations?
What are the interventions for Late decelerations in NCLEX?
1. Turn off the infusion of oxytocin (Pitocin). 2. Turn the client to her left side. 3. Apply O2 by mask at 10 L of oxygen. 4. Increase the infusion of lactated Ringer’s solution.
How to discontinue IV medication for Late decelerations?
Discontinue IV medication A nurse who is caring for a client in labor. The client is receiving a oxytocin (pitocin) by continuous IV infusion, piggybacked into a maintenance IV solution. The external FHR monitor indicates late deccerations.
What to do when you have a late deceleration in labor?
When late decelerations are observed, the nurse should attempt to increase the oxygen delivery to fetus by turning the mother on her left side and/or administering oxygen. If Oxytocin (Pitocin) is being administered, it should be stopped. Another deceleration pattern that may be concerning is that of variable decelerations.
What causes a variable deceleration in early labor?
Umbilical cord compression is usually the cause of variable decelerations. Repositioning of the mother can relieve this compression if it is minor.