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)
