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23 Cards in this Set
- Front
- Back
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procedure used to facilitate birth of the fetus by applying suction to the fetal head
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vacuum-assisted birth
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used to create negative pressure within the cup
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pump
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where is the suction cup placed for the vacuum
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fetal occiput
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when is traction/pulling applied by the doctor
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during uterine contraction
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commone after use of vacuum
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enlarged caput
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how soon does the enlarged caput disappear after the use of the caput
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2-3 days
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risk with use of vacuum if applied too long (>6min) (2)
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cephalhematoma
jaundice |
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cause of jaundice
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hem and bilirubin
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surgical instrument designed to assist in birth of the fetus
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forceps
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3 types of forceps application
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outlet
low midforceps |
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where is the low forceps application
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skull at +2station
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midforceps application
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after fetus head is engaged, zero station
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outlet application for forceps
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fetal skull on the perineum with scalp visible
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what is the safest forcep application
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outlet
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above -4
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floating
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progress towards delivery
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positive #
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Indications for use of forceps or vacuum (4)
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heart disease
maternal exhaustion decreased ability to push placental separation nonreassuring fetal status |
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Prerequisites for use of vacuum or forceps (7)
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maternal consent
maternal comfort (anesthesia) Complete dilation and effaced ROM empty bladder NO CPD known station/position/presentation of fetus |
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NSG role during procedure (3)
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provide support
explain procedure FHR with EFM |
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fetal responses that should be assessed for with use of vacuum or forceps (2)
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bradycardia
variable decels |
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Neonatal risks from forceps
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facial edema/eccymosis
facial laceration (rare) caput succedaneum cephalhematoma facial paralysis cerebral hemorrhage (rare) |
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caput succedaneum
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fluid of the scalp
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maternal risks from forceps (6)
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birth canal lacerations
increased blood loss hematoma BC bruising perineal edema infection |
