3 Membranes-ruptured or intact.
4 Amount and character of show or vaginal bleeding.
5 Vital signs.
6 Rate, location of fetal heart tones.
7 Plans to bottle or breast feed.
8 Any problems with this pregnancy.
(6)
Evaluate the patient's current emotional status.
(7)
Evaluate the patient's preparation for labor through classes.
(8)
Evaluate for possible danger signs.
(a)
Increased pulse or temperature.
(b) Excessive vaginal bleeding.
(c) Presence of meconium (fetal feces) in the amniotic fluid of a mother
with a vertex position.
(d)
Alteration in fetal heart tones (FHT's) above 160 or below 120.
(e)
Obvious change in the character of uterine contractions.
(9)
Perform the admission physician's orders to include but not limited to the
following:
(a) Administer and maintain intravenous fluids--per physician's order
and SOP. This is usually done on all patients.
(b) Draw lab work--CBC, serologic testing, type and screen, or per
SOP.
(c)
Send uterine activity (UA) which was obtained prior to admission to
the lab.
b. Perineal Preparation. Shaving of pubic hair to prevent infection of perineal
episiotomy/lacerations is rarely done anymore. There must be a physician's order to
perform this task.
MD0922
2-8
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