Stimulate the labor process
Avoid the necessity of a cesarean delivery
Prevent dehydration and hypoxemia
Eliminate the need for analgesics
Placing the mother in a supine position.
Documenting the findings and continuing to monitor the fetal patterns.
Administering oxygen via face mask.
Increasing the rate of the intravenous (IV) oxytocin infusion
Fetal heart rate of 180 beats per minute
White blood cell count of 12,000 /mm3
Maternal pulse rate of 85 beats per minute
Hemoglobin of 11 g/dL
Encourage the client's coach to continue breathing techniques.
Encourage the client to continue pushing with each contraction.
Continue monitoring the fetal heart rate.
Notify the registered nurse (RN).
1 cm above the ischial spines.
1 fingerbreadth below the symphysis pubis.
1 inch below the coccyx
1 inch below the iliac crest
Take the client's blood pressure.
Provide peripads to the client.
Note the amount, color, and odor of the amniotic fluid.
Determine the fetal heart rate.
Monitor the oxytocin (Pitocin) infusion closely.
Provide pain relief measures.
Prepare the client for amniotomy.
Promote ambulation every 30 minutes
Keeping the significant other informed of the progress of labor.
Providing comfort measures.
Monitoring fetal status
Changing the client's position frequently
Encourage the client to talk about the dead fetus.
Allow the client and spouse to hold the baby.
Allow the family members to name the baby.
Gather data from the client and spouse about the perception of the event.
Swelling of the calf of one leg.
Prolonged clotting times.
Decreased platelet count
Petechiae, oozing from injection sites, and hematuria
That the bladder must be full during the exam
That the bladder must be empty during the exam.
She will be given RhoGAM because she is Rh positive
Not to eat or drink anything 4 to 6 hours before the exam
A full bladder
Insufficient iron intake
Compression of the vena cava
"Uterine contractions are stimulated by Leopold's maneuvers."
"An internal fetal monitor is attached and you will walk on a treadmill until contractions begin."
"The uterus is stimulated to contract by either small amounts of oxytocin (Pitocin) or by nipple stimulation."
"Small amounts of oxytocin (Pitocin) are administered during internal fetal monitoring to stimulate uterine contractions.
"Iron supplements will give me diarrhea."
"The iron is needed for the red blood cells."
"Meat does not provide iron and should be avoided."
"My body has all the iron it needs, and I don't need to take supplements."
"I can eat more sweets now, because I need more calories."
"I need more fat in my diet so that the baby can gain enough weight."
"I need to eat a high-protein, low carbohydrate diet now to control my blood glucose."
"I need to increase the fiber in my diet to control my blood glucose and prevent constipation."
Increased respiratory rate
Around the eyes
Aound the abdomen
"Breast-feeding is contraindicated."
"Breast-feeding is allowed as long as the mother is taking zidovudine (AZT)"
"Breast-feeding is allowed as long as the infant is not showing signs of human immunodeficiency virus (HIV) infection."
"Breast-feeding is allowed as long as the infant receives an immunization for HIV."
An oral hypoglycemic agent
NPH insulin on a daily basis
A 3-hour glucose tolerance test
A sliding scale Regular insulin dose
"The test is an invasive procedure and requires that you sign an informed consent."
"The test will take about 2 hours and will require close monitoring for 2 hours after the procedure is completed."
"An ultrasound transducer that records fetal heart activity is secured over the abdomen where the fetal heart is heard most clearly."
"The fetus is challenged by uterine contractions to obtain the necessary information."
"You will not have any problems if you follow all the advice the doctor has given you."
"Your baby will need to spend a few days in the neonatal intensive care unit following delivery."
"Don't worry about your baby, complications are rare."
"The effects of anemia on your baby are difficult to predict, but let's review your plan of care to ensure that you are providing the best nutrition and growth potential."
Rapid weight gain
Generalized or facial edema
Irregular, painless contractions
Baseline fetal heart rate
Intensity of contractions
Maternal blood pressure
Frequency of contractions
Determine the fetal heart rate
Prepare for immediate delivery
Monitor the contraction pattern
Note the amount, color, and odor of the amniotic fluid
Prepare for an oxytocin infusion.
Keep the client in a side-lying position.
Prepare the client for epidural anesthesia.
Encourage the client to start pushing with the contractions
Soft abdomen on palpation
Uterine tenderness on palpation
No complaints of abdominal pain
Lack of uterine irritability or tetanic contractions
Fundal height may be greater than expected for gestational age
Severe abdominal pain
Bright red vaginal bleeding
Soft, relaxed, nontender uterus