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Prolapse cord

Signs and Symptoms:

  • Premature ROM
  • Presenting part not engaged
  • Fetal distress
  • Protruding cord

Intervention:

  • Push against present part to relieve pressure on cord
  • Place in Trendelenburg/knee-chest pos
  • Norm FHR 120-160
  • Tachycardia (>160bpm >10m)
  • Early sign of fetal hypoxia!!!
  • Drugs (atropine, vistaril)
  • Maternal hyperthyroidism
  • Fetal <3F
  • w/ late decal/variable decal/no variability= DEATH!!!!
  • Bradycardia (<110-120bpm >10m)

Late sign of fetal hypoxia!!!

R/T

Variability

-irreg fluctuations in baseline FHR of 2 cycles per min/greater

Dec/no

>30m = fetal distress

Minimal (0-5bpm)

Mild fetal hypoxia, fetal stim

Accelerations

15bpm rise aboce baseline followed by a return in response to fetal mvmt or contractions -> fetal well-being

Decelerations

Fall below baseline lasting 15+, followed by return

Early

Head compressions

2nd stage w/ pushing

Late

Fetal hypoxia R/T dec placental perfusion

R/T

PIH (preg induced HTN)

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