IV THERAPY
1
2
3
INTERVENTION
DURING DELIVERY
1
2
3
Start IV lines
Spontaneous vaginal delivery
Mix IV Infusing using additives
Forceps vaginal delivery
Use IV Infusion pumps
Cesarean section
Use IV Heparin Locks
Local infiltration
Institute & Monitor Blood
Regional anestesic
Blood products
Epidural
Draw blood for lab studies
Spinal
Magnesium sulfate therapy
General anesthesia
Labor suppressants
Obstetric anesthesia
Oxytocin induction
Labor Room delivery
PROVIDE
INTRAPARTUM CARE WOMEN WITH:
CESAREAN SECTION
Rh Incompatibilities
Set up a cesarean table
Cystitis
Circulate, scrub for cesarean section
Induce Hypertension
IMMEDIATE CARE OF INFANT
Preeclampsia
POST BIRTH
Pyelonephritis
Assign Apgar scores
Hemorrhage
Physical exam of newborn
Infectious disease
Eye Prophylaxis
Eclampsia (Seizures)
Collect cord blood samples
Placenta Previa
Identify infant with bracelet
Asthma
Footprints
& Mother's bands
Cardiac disease
Transfer to Newborn nursery
Multiple Gestation
POSTPARTUM ASSESSMENT
Abruption
Placenta
Fundus consistency
Malpresentation
Lochia
Diabetes Mellitus
Bladder distention
Premature Labor
Episiotomy
INTERVENTIONS
DURING LABOR
Incision (for cesarean delivery)
Provide:
Vital signs
Physical/emotional comfort support
POSTPARTUM INTERVENTION
Coach breathing techniques
Initiate fundal massage
Coach relaxation techniques
Initiate Post-Anesthesia
Support & guide labor coach P.R.N.
Recovery precautions
Care/Monitor after rupture of membrane
Provide Perineal Care
Perineal Prep
Apply ice to perineal
ASSESSMENT
DURING LABOR
1
2
3
Assess & document progression of labor/contraction characteristics
Changes in woman's behavior, appearance
Assess/document fetal status
Determine fetal position
Auscultate fetal heart rate using Doppler ultrasound
Monitor uterine activity & fetal heart rate patterns using a
fetal monitor
External monitor (ultrasound or abdominal ECG transducer)
Internal monitor (including connecting the leads & calibrating
machine)
Identify FHR Patterns:
Variability/Reactivity
Decelerations & Early, Late variable
Tachycardia/Bradycardia
Assess/document maternal status
Vital signs (BP, pulse) according to stage of labor and patient
stability
Deviation from the norm (Edema, deep reflexes, clonus)
Intake
& output including testing urine for glucose, protein, specific
gravity & keytones
Ultrasound scan
OBSTETRICS TECHNIQUES & PROCEDURES
Conduct a stress test (Oxytocin Challenge Test)
Conduct fetal activity determinants
Perform Cardiopulmonary Resuscitation & adult / infant
Artery catheter insertion
ASEPTIC TECHNIQUE RELATIVE TO LABOR AND DELIVERY
Set up a delivery table
Circulate, scrub for a postpartum tubal ligation
Perform a vaginal exam and assess effacement, dilatation, station
presentation
Insert a Straight or Foley catheter
Assist with fetal scalp blood sampling procedure
Assist with placement of an intrauterine pressure catheter
Assist with placement of fetal scalp electrodes for internal monitoring
Assist with an artificial rupture of membranes procedure
MEDICATION ADMINISTATION
Administer IM, SC Medications (narcotics, analgesics, anticonvulsant,
insulin)
I attest the information provided
Name:
Date:
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