Chapter 16
Maternity Questions
2 Notify the health care provider.
3 Encourage the mother to ambulate.
4 Observe for increased vaginal bleeding or clots.
References
Murray, McKinney (2010), pp. 724-725, 727.
1. Pull on the umbilical cord.
2. Instruct the mother to push during a uterine contraction.
3. Place traction on the umbilical cord and pull on the placenta as it enters the vaginal canal.
4. Separate the placenta from the uterine wall using the forceps, and then allow the placenta to deliver spontaneously.
References
Murray, McKinney (2010), p. 516; Christensen, Kockrow (2011), p. 860.
1. Contractions weaken during the active stage of labor.
2. Contractions become inefficient or stop during the active stage of labor.
3. The client initially makes normal progress into the active stage of labor, and then contractions weaken.
4. The client is having painful and frequent contractions that are ineffective in causing cervical dilation or effacement to progress.
References
Christensen, Kockrow: Foundations (2011), pp. 834-835; Lowdermilk et al (2012), p. 794.
1. Avoid talking about the dead fetus.
2. Assess how the client perceived the event.
3. Ask the client and husband about plans for future pregnancies.
4. Suggest that family members see and hold the dead infant if they wish.
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