NCLEX Review & Nursing School

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)