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    Fetal Distress

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    Kathleen
    Fetal distress refers to a stressful and potentially lethal condition for the fetus during labor. Normally the fetus' heart rate ranges from 120-160 beats per minute and increases with movement or activity. Early decelerations indicate fetal head compression during contractions while mild variable decelerations suggest cord compression relieved by position changes. Causes of fetal distress include prematurity, congenital malformations, blood type incompatibilities, maternal health issues, prolonged labor, oxytocin use, and vaginal bleeding. Nursing interventions involve close fetal monitoring, physician notification of any abnormalities, preparing for internal monitors and fetal scalp testing, providing oxygen, positioning the patient, discontinuing oxytocin if needed, and preparing for delivery.

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    Fetal Distress

    Uploaded by

    Kathleen
    14 views6 pages
    Fetal distress refers to a stressful and potentially lethal condition for the fetus during labor. Normally the fetus' heart rate ranges from 120-160 beats per minute and increases with movement or activity. Early decelerations indicate fetal head compression during contractions while mild variable decelerations suggest cord compression relieved by position changes. Causes of fetal distress include prematurity, congenital malformations, blood type incompatibilities, maternal health issues, prolonged labor, oxytocin use, and vaginal bleeding. Nursing interventions involve close fetal monitoring, physician notification of any abnormalities, preparing for internal monitors and fetal scalp testing, providing oxygen, positioning the patient, discontinuing oxytocin if needed, and preparing for delivery.

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    Fetal-Distress

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    Fetal distress refers to a stressful and potentially lethal condition for the fetus during labor. Normally the fetus' heart rate ranges from 120-160 beats per minute and increases with movement or activity. Early decelerations indicate fetal head compression during contractions while mild variable decelerations suggest cord compression relieved by position changes. Causes of fetal distress include prematurity, congenital malformations, blood type incompatibilities, maternal health issues, prolonged labor, oxytocin use, and vaginal bleeding. Nursing interventions involve close fetal monitoring, physician notification of any abnormalities, preparing for internal monitors and fetal scalp testing, providing oxygen, positioning the patient, discontinuing oxytocin if needed, and preparing for delivery.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    14 views6 pages

    Fetal Distress

    Uploaded by

    Kathleen
    Fetal distress refers to a stressful and potentially lethal condition for the fetus during labor. Normally the fetus' heart rate ranges from 120-160 beats per minute and increases with movement or activity. Early decelerations indicate fetal head compression during contractions while mild variable decelerations suggest cord compression relieved by position changes. Causes of fetal distress include prematurity, congenital malformations, blood type incompatibilities, maternal health issues, prolonged labor, oxytocin use, and vaginal bleeding. Nursing interventions involve close fetal monitoring, physician notification of any abnormalities, preparing for internal monitors and fetal scalp testing, providing oxygen, positioning the patient, discontinuing oxytocin if needed, and preparing for delivery.

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    Fetal Distress

    It also refers to fetal compromise that results in a stressful and potentially
    lethal condition.

    Normally during labor the fetus is able to respond appropriately as


    indicated by the following :

    FHR ranging between 120 to 160 beats /minute .

    Accelerations in FHR with movement or activity .

    Early deceleration –indicative of fetal head compression during contraction

    Mild variable deceleration –indicative of cord compression relieved with


    maternal position changes .
    Causes -
    Prematurity
    Congenital malformation
    ABO or Rh incompatibility
    Maternal complications such as GDM , heart
    disease ,gestational hypertension
    Prolonged labor post maturity
    Oxytocin infusion
    Vaginal bleeding
    Nursing interventions-
    Monitor FHR, fetal activity ,fetal heart variability.

    Immediate referral or notification to attending physician for any unusual findings .

    Prepare for possible placement of internal monitor and fetal scalp pH sampling
    .Fetal scalp blood reveals acidosis .

    Administer oxygen via face mask as ordered by the physician .(typically 6to 8l/min)
    Assist the client in left side lying position .

    Expect to discontinue oxytocin infusion if in use .

    Prepare the patient for delivery as indicated .

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