Safety Checklist for Shoulder Dystocia Form
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People also ask
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What are 3 crucial nursing interventions during a shoulder dystocia?
Desired Outcomes Nursing InterventionsRationaleKeep accurate intake/output, test urine for ketones, and assess breath for fruity odor.Decreased urine output and increased urine specific gravity reflect dehydration. Inadequate glucose intake results in a breakdown of fats and presence of ketones.6 more rows -
What are the safety precautions for shoulder dystocia?
Avoid strong downward traction until the shoulder is disimpacted. Excessive traction is associated with neonatal trauma including permanent brachial plexus injury. Avoid jerking or tugging on the fetal head during traction as this may be more damaging to the brachial plexus. Avoid fundal pressure. -
What is the most important risk factor for shoulder dystocia?
Risk factors Most prominent are a history of prior shoulder dystocia or brachial plexus injury, current fetal macrosomia, maternal obesity, diabetes mellitus, excessive weight gain and dysfunctional labor patterns, especially a long deceleration phase followed by a long second stage. -
What is the first line management for shoulder dystocia?
First-Line Maneuvers Suprapubic pressure: the goal of suprapubic pressure is to decrease the fetal bisacromial diameter by adducting the anterior fetal shoulder. Pressure is applied to the suprapubic area in a downward fashion or a rocking motion from the fetal back toward the front. -
What are 5 risk factors for shoulder dystocia?
Risk factors Most prominent are a history of prior shoulder dystocia or brachial plexus injury, current fetal macrosomia, maternal obesity, diabetes mellitus, excessive weight gain and dysfunctional labor patterns, especially a long deceleration phase followed by a long second stage. -
What interventions may be taken during a shoulder dystocia?
Calm and effective management of this emergency is possible with recognition of the impaction and institution of specified maneuvers, such as the McRoberts maneuver, suprapubic pressure, internal rotation, or removal of the posterior arm, to relieve the impacted shoulder and allow for spontaneous delivery of the infant ... -
What should a nurse do for shoulder dystocia?
Nurses play a vital role in obtaining assistance during a shoulder dystocia, keeping time, assisting with maneuvers such as suprapubic pressure, and documenting the dystocia management.
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