Question

Emily, a 26-year-old G3P2, has been in labor for 5 hours and is 7 cm, 90% effaced and +2 station. She has external fetal monitoring in place, which reveals a baseline fetal heart rate of 120 bpm, minimal variability, and occasional variable decelerations. Suddenly, as a contraction is beginning to subside, the fetal heart rate drops to a low of 80 bpm and has a slow return to the baseline 1 minute after the contraction has ended. (Learning Objectives 4 and 5)

A. What is happening to Emily’s baby at this point in time? What does this mean?

B. What role do you, as the nurse, play regarding fetal assessment and what interventions do you need to implement/recommend at this point in time?

Answer 1

A-Fetal distress alludes to signs previously and amid labor demonstrating that the baby isn't well. Fetal misery is a phenomenal difficulty of work. It ordinarily happens when the hatchling has not been getting enough oxygen. Fetal trouble is normally mistaken for the term birth asphyxia. Birth asphyxia happens when the kid does not have satisfactory measures of oxygen previously, amid, or after work. This may have different causes, some of which incorporate squat oxygen stages in the mother's blood or decreased blood stream because of pressure of the umbilical string.

B-Some methods for intrauterine revival include:

-Changing the mother's position

-Guaranteeing the mother is very much hydrated

-Guaranteeing the mother has satisfactory oxygen

-Amnioinfusion (the inclusion of liquid into the amniotic pit to reduce pressure of the umbilical line)

-Tocolysis (a treatment used to defer preterm work by briefly ceasing compressions)

-Intravenous hypertonic dextrose