Preoperative Complications In Nurses: A Case Study

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Nurses play a vital role in detecting potential complications in the maternal and neonate during and after a vacuum assisted delivery. Nurses have many interventions that can be put in place to reduce the use of VAVD such as, an upright lateral position to facilitate fetal decent, use of analgesia, and the administration of endogenous hormone and uterine stimulant oxytocin (Lacker, 2012). Nurses can also help to prevent the unnecessary use of vacuum devices during delivery by, encouraging the patient to delay pushing for two to three hours during the second stage of labor or until the urge to push is strong (Lacker, 2012). Maternal comfort should be assessed
Preoperative assessments
Nurses have the responsibility of performing thorough preoperative and postoperative assessments, which can significantly lower the risk of maternal and neonate complications (Lacker, 2012). Nurses are responsible for getting informed consent from the patient. This will allow the nurse to educate the mother and family of the potential risks and benefits of the procedure (Chapman & Durham, 2014). Next, the nurse needs to perform a physical assessment. During the preoperative assessment, the nurse will document that the patient is fully dilated, the membranes are ruptured, the bladder is empty, and adequate analgesia are administered prior to the procedure (Lacker, 2012). The nurse is also responsible for monitoring the fetal heart rate to ensure the neonates condition. The fetal position, station,
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Postoperative assessments enable the nurse to located potential problems that occurred during the procedure. Nurse should assess the mother for cervical, sulcal, or anal sphincter tears after a vacuum assisted delivery (Hook & Damos, 2008). Neonates should be assessed for signs of trauma. All assessments finding should be well

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