![]() ![]() ![]() DIC is a coagulopathy in which clotting and anticlotting mechanisms occur at the same time. Disseminated Intravascular Coagulation (DIC) DIC is not caused by a full bladder. Shock Hypovolemic shock is a potential complication of postpartum hemorrhage and is not related to a full bladder.ī. >NCLEX Review Questions - Test Yourself! (Parts 2-4)<<Ī. In this situation, assessment for a full bladder is the priority. Induction of labor may be done when labor process is not progressing normally. Suggest to physician that oxytocin augmentation be started to stimulate labor. Breathing techniques can help ease discomforts during contractions but is not a priority this at time.ĭ. Encourage the woman to do deep breathing techniques. ![]() This is not a priority to use at this time.Ĭ. An intrauterine pressure catheter (IUPC) is a device placed into the amniotic space during labor in order to measure the strength of uterine contractions. Suggest placement of an internal uterine pressure catheter to determine adequacy of contractions. An empty bladder allows more space for the presenting part to pass through for delivery.ī. Inform the client that a full bladder can hinder efficient uterine contractions. Encourage the client in labor to void as necessary. The information gathered by clinical examination and ultrasound should be integrated into clinical decision making.Ĭardinal movements fetal attitude fetal descent fetal position mechanics of labor ultrasound.Ĭopyright © 2021 The Authors. Ultrasound offers a historically unique opportunity for noninvasive, dynamic studies of the mechanics of labor. We would argue that descent is the main purpose of the uterine powers and cardinal movements, a description of the rotational movements the fetal head and shoulders must perform to obtain descent. German and older English literature lists only 4 rotational movements as the cardinal movements and excludes engagement, descent, and expulsion. Anglo-American literature lists 7 cardinal movements, namely engagement, descent, flexion, internal rotation, extension, external rotation, and expulsion. The fetus negotiates the birth canal and rotational movements are necessary for descent. Electronic address: mechanics of labor describe the forces required for fetal descent, and the movements that the fetus must perform to overcome the resistance met by the maternal bony pelvis and soft tissue. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway (Drs Kahrs and Eggebø) Department of Clinical and Molecular Medicine, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway (Drs Kahrs and Eggebø) Department of Obstetrics and Gynecology, Stavanger University Hospital, Stavanger, Norway (Dr Eggebø). 3 National Center for Fetal Medicine, Department of Obstetrics and Gynecology, St. ![]() Olavs Hospital, Trondheim University Hospital, Trondheim, Norway (Drs Kahrs and Eggebø) Department of Clinical and Molecular Medicine, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway (Drs Kahrs and Eggebø). 2 National Center for Fetal Medicine, Department of Obstetrics and Gynecology, St.1 Department of Obstetrics and Gynaecology, Oslo University Hospital, Oslo, Norway (Dr Iversen) Institute of Clinical Medicine, University of Oslo, Oslo, Norway (Dr Iversen). ![]()
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