Which Assessment Following an Amniotomy Should Be Conducted First

An amniotomy is the artificial rupturing of the membranes of the amniotic sac or water bag. People Also Asked What are indications for amniotomy.


Flashcards Maternity Intrapartum

The procedure is typically done at the.

. The first action the nurse should take is. Fetal heart rate pattern. Gestational age of at least 39 weeks should be confirmed by early positive pregnancy test early ultrasound or early fetal heart tone auscultation.

Fetal heart rate pattern - Fetal heart rate is assessed immediately after amniotomy to detect any changes that may indicate cord compression or prolapse. Discharge teaching should emphasize that. Cervical dilatation Maternal blood pressure Fetal Heart Rate pattern Bladder distention.

Use special radioactive precautions when handling the clients urine for the first 24. What is the clients primary physiological need at this time. Amniotomy or the artificial rupture of membranes AROM is a procedure in which the bag of water around the fetus amniotic sac is ruptured by a healthcare professional to start the labor pains.

Fetal heart rate pattern 4. -Document the time of rupture. The normal fetal heart rate is 120160 bpm100110 bpm is bradycardiaThe first action would be to turn the client to the left side and apply oxygen.

It is typically doneat the bedside in the labor and delivery suite. The membranes are broken using an instrument similar to a crochet hook. The nurse is caring for a client in labor.

Amniotomy is usually performed for the purpose of inducing or expediting labor or in anticipation of the placement of internal monitors uterine pressure cathe. Amniotomyis usually performedfor the purpose of inducing or expediting labor or in anticipation of the placement of internal monitors uterine pressure catheters or fetal scalp electrodes. Fetal heart rate is assessed immediately after amniotomy to detect any changes that may indicate cord compression or prolapse.

Following an amniotomy the nursing assessment that should be reported immediately is. Fetal heart rate pattern then nurse has been working with a laboring client and notes that she has been pushing effectively for 1 hour. Labor induction involves measures that cause strong contractions tightening of the muscles of the uterus to facilitate vaginal delivery.

Amniotomy involves rupturing of the amniotic sac a sac inside the uterus that contains amniotic fluid and protects the baby to induce contractions for the delivery of a baby. If birth doesnt occur within 24 hours after amniotomy the physician may decide to perform a cesarean delivery to reduce the risk of infection. -Assess and document the charecteristics of the amniotic fluid color odor and consistency of amniotic fluid.

The reasons for the intentional rupture of the amniotic sac during labor are multifold and include but are not limited to influencing the speed of labor allowing for more direct monitoring of fetal status and qualitative assessment of the amniotic fluid. Which assessment finding indicates to the nurse that the client is beginning the second stage of labor. Bladder distention or maternal blood pressure would not be the first things to check after an amniotomy.

Turn the client to her left side. Which assessment finding following an amniotomy should be conducted first. This procedure will not hurt you or the baby.

It is done during a vaginal examination. Fetal heart rate pattern 4. In some cases fetal lung maturity studies from amniotic fluid may be required.

Fetal heart rate of 180 beatsmin 3. Monitoring the mother and the foetus monitoring the color of the draining amniotic fluid and. Prepare the client for delivery.

Hemoglobin of 11gdL 2. Indications for amniotomy include active management of latent phase of laborconcern with fetal heart rateslow progress of labor reduced fetal movements among others. Which assessment finding following an amniotomy should be conducted first.

White blood count of 12000mm3. -Monitor FHR prior to and immediatley follwing an AROM to assess for cord prolapse as evidence by late or variable decelerations. Amniotomy also referred to as artificial rupture of membranes AROM is the procedure by which the amniotic sac is deliberately ruptured so as to cause the release of amniotic fluid.

Exam elaborations NURSING 222 MATERNITY INTRAPARTUM NURSING CARE Labor and Delivery Processes Pain Management Fetal Assessment Duru0002ing Labor Nursing Care During Stages of Labor Therapeutic Procedures to Assist with Labor and Delivery Complications Related to the Labor Process NURSING 222 MATERNITY INTRAPARTUM. Maternal pulse rate of 85 beatsmin 4. The FHR is assessed before and immediately after the amniotomy to detect any changes that might indicate cord compression or prolapse.

This is done to start or speed up labour. Answer B is correct. Which assessment following an amniotomy should be conducted first.

Oxytocin infusion may precede amniotomy or follow it by 6 to 8 hours if labor fails to progress. Which assessment finding following an amniotomy should be conducted first. Fetal heart rate is regular at 154 beatsmin.

Ask the client to ambulate. A nurse is reviewing the record of a client in the labor room and notes that the health care provider has documented that the fetal presenting part is at -1 station. When should Amniotomy be done.

When the membranes are ruptured minimal vaginal examinations would be done because of the risk of infection. Which assessment finding following an amniotomy should be conducted first. Amniotomy also known as artificial rupture of membranes AROM and by the lay description breaking the.

After amniotomy a nurse can perform the following interventions which include. Success of induction is mainly a factor of parity and cervical readiness at the time of induction. Which assessment following an amniotomy should be conducted first.

Which assessment finding after an amniotomy should be conducted first. The procedure is done in case of conditions such as an overdue pregnancy health issues like high blood pressure in the mother birth of more than one baby during the delivery.


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