May 6, 2021

Nursing Tip of the Day! - Maternal Neonatal Nursing

Category: Maternal Neonatal Nursing 
Postpartum hemorrhage is the most common complication of labor and delivery. Defined as hemorrhage of more than 500 mL after vaginal delivery, it affects 5% to 10% of all deliveries and accounts for up to 25% of obstetric deaths.

May 5, 2021

Nursing Tip of the Day! - Maternal Neonatal Nursing

Category: Maternal Neonatal Nursing 
Loose umbilical cord knots pulled tight at delivery may cause fetal distress. As with cord prolapse, this situation must be resolved quickly to prevent fetal asphyxia. Rapid delivery with avoidance of further cord traction optimizes fetal outcome.

May 4, 2021

Nursing Tip of the Day! - Maternal Neonatal Nursing

Category: Maternal Neonatal Nursing 
Umbilical cord prolapse may be overt or occult, requiring a pelvic examination to reveal the umbilical cord lying beside the presenting part. The diagnosis may also be made with Doppler ultrasonography.

May 3, 2021

Nursing Tip of the Day! - Maternal Neonatal Nursing

Category: Maternal Neonatal Nursing 
Umbilical cord prolapse occurs when the umbilical cord precedes the fetal presenting part or when the presenting part doesn't fill the birth canal. Most cases of cord prolapse are unexpected and develop during the second stage of labor.

May 2, 2021

Nursing Tip of the Day! - Maternal Neonatal Nursing

Category: Maternal Neonatal Nursing 
Umbilical cord-related complications can occur in normal and abnormal deliveries. The spectrum of cord-related emergencies includes prolapsed cord, nuchal loops of the umbilical cord, body coils, cord knots and entangled cords.

May 1, 2021

Nursing Tip of the Day! - Maternal Neonatal Nursing

Category: Maternal Neonatal Nursing 
The presentation of twins is an important determinant for the safety of vaginal delivery. Twins who are vertex-vertex can be delivered vaginally, barring any other obstetric complications.

April 30, 2021

Nursing Tip of the Day! - Maternal Neonatal Nursing

Category: Maternal Neonatal Nursing 
Face and brow presentations yield a larger engaging aspect of the fetal head and are predisposed to labor arrest. Although these presentations can be diagnosed with ultrasonography, most are discovered during labor by vaginal examination.

April 29, 2021

Nursing Tip of the Day! - Maternal Neonatal Nursing

Category: Maternal Neonatal Nursing 
The consequences of shoulder dystocia can be devastating, with infant complications being common and severe. Traumatic brachial plexus injuries, clavicular fractures and hypoxic brain injury are all well-documented complications.

April 28, 2021

Nursing Tip of the Day! - Maternal Neonatal Nursing

Category: Maternal Neonatal Nursing 
Shoulder dystocia is a common malpresentation, occurring in 1.4% of all deliveries. In contrast to a breech presentation, which may be diagnosed in the antepartum period, shoulder dystocia develops in the intrapartum period.

April 27, 2021

Nursing Tip of the Day! - Maternal Neonatal Nursing

Category: Maternal Neonatal Nursing 
Three types of breech presentation exist - frank, incomplete and complete. The problem with breech presentations is that the buttocks and legs don't provide a sufficient wedge, hindering cervical accommodation of the relatively larger head.

April 26, 2021

Nursing Tip of the Day! - Maternal Neonatal Nursing

Category: Maternal Neonatal Nursing 
Chorioamnionitis may result in prolonged first- and second-stage labor and decreased responsiveness to oxytocin. Early aggressive treatment, decreases neonatal morbidity and delays delivery, allowing more time for fetal maturation.

April 25, 2021

Nursing Tip of the Day! - Maternal Neonatal Nursing

Category: Maternal Neonatal Nursing 
Chorioamnionitis occurs when vaginal or cervical bacteria ascend into the uterus, instigating an inflammation of the chorion and amnion layers of the amniotic sac. It occurs in 1% to 10% of all pregnancies.

April 24, 2021

Nursing Tip of the Day! - Maternal Neonatal Nursing

Category: Maternal Neonatal Nursing 
Patients with premature rupture of membranes between 31 and 33 weeks gestation are usually managed expectantly and those at or > 34 weeks of gestation are generally delivered. All patients should be assessed for intraamniotic infection.

April 23, 2021

Nursing Tip of the Day! - Maternal Neonatal Nursing

Category: Maternal Neonatal Nursing 
Examination of women with potential premature rupture of membranes is performed under sterile conditions to prevent ascending infection. Direct digital examination of the cervix is avoided. Culture specimens should be obtained.

April 22, 2021

Nursing Tip of the Day! - Maternal Neonatal Nursing

Category: Maternal Neonatal Nursing 
Premature rupture of membranes is defined as rupture of the amniotic and chorionic membranes before the onset of labor. During pregnancy, the chorionic and amniotic membranes protect the fetus from infection and allow fetal growth and movement.