Causes and risk factors
Causes and risk factors ( 9 Questions)
A nurse is reviewing the partograph of a client who is in labor.
The nurse notes that the fetal head descent is below the alert line but above the action line.
What does this indicate?
Fetal head descent is below the alert line but above the action line on the partograph. The alert line indicates the average rate of cervical dilation of 1 cm per hour, and the action line is 4 hours to the right of the alert line. If the labor curve crosses to the right of the alert line, it means that the labor is slow and needs closer monitoring or referral. If the labor curve crosses to the right of the action line, it means that the labor is obstructed or prolonged and needs intervention such as oxytocin augmentation or cesarean delivery.
Oxytocin augmentation is not needed when the labor is progressing normally. Oxytocin is a hormone that stimulates uterine contractions and can be used to augment labor when it is slow or prolonged.
cesarean delivery is not needed when the labor is progressing normally.
Cesarean delivery is a surgical procedure that involves delivering the baby through an incision in the abdomen and uterus.
It can be used to save the life of the mother or baby when there are complications such as obstructed labor, fetal distress, placenta previa, etc.
Tocolytic therapy is not needed when the labor is term.
Tocolytic therapy is a treatment that inhibits uterine contractions and can be used to delay preterm labor for a short period of time to allow for fetal lung maturation or transfer to a higher level of care.
This is because the fetal head descent is below the alert line but above the action line on the partograph. The alert line indicates the average rate of cervical dilation of 1 cm per hour, and the action line is 4 hours to the right of the alert line. If the labor curve crosses to the right of the alert line, it means that the labor is slow and needs closer monitoring or referral. If the labor curve crosses to the right of the action line, it means that the labor is obstructed or prolonged and needs intervention such as oxytocin augmentation or cesarean delivery.