4-10. NURSING CARE GIVEN TO THE OBSTETRIC PATIENT RECEIVING
a. Continue monitoring the labor patterns, fetal heart rate, blood pressure, and
b. Observe closely for side effects, most frequently maternal hypotension and
c. Provide emotional support for the patient and her partner.
d. Maintain appropriate emergency equipment for maternal hypotension or fetal
bradycardia. The equipment includes oxygen with facemask, suction, airways, and I.V.
e. Monitor bladder status at least every 2 hours. The sensation to urinate is lost
with some anesthetics. If the bladder is distended, a physician's order may be required
for in and out catherization.
4-11. NURSING CARE FOR MATERNAL HYPOTENSION IN THE OBSTETRIC
a. Position the patient on her left side. This relieves uterine pressure on the
inferior vena cava and iliac veins and it increases oxygen supply to the fetus.
b. Administer oxygen per facemask, usually at 5 to 8 liters/minutes, as ordered.
c. Elevate the patient's legs.
d. Stay with the patient, do not leave her unattended.
e. Notify the Charge Nurse or physician immediately.