(3) Outlet (low) forceps. Outlet or low forceps is used when the fetal head is
on the perineal floor (visible or almost so) and internal rotation may have already
occurred, so that the fetal head lies in a direct anteroposterior position.
e. Nursing Interventions.
Obtains forceps designated by the physician.
Checks, reports, and records the fetal heart rate before forceps are
(3) Informs the patient that the forceps blades fit like two tablespoons
around an egg. The blades come over the fetus ears.
(4) Rechecks, reports, and records the fetal heart rate again before traction
is applied after application of the forceps. Compression of the cord between the fetal
head and the forceps would cause a drop in fetal heart rate. The physician would then
remove and reapply the forceps.
Give support to the patient.
Observe for signs and symptoms of complications.
Assess the newborn for indications of injury.