Editing Maternal and Newborn Nursing (section)

== High-Yield Priority Rules ==

# '''Supine pregnant patient with hypotension or a fetal heart rate change: turn her onto her side first.'''
# '''Boggy fundus: massage it. Firm fundus that is high and displaced to the right: have her empty the bladder.'''
# '''Firm fundus with heavy bright red bleeding: think laceration, not atony, and notify the provider.'''
# '''Nonreassuring fetal heart rate with oxytocin running: stop the oxytocin.'''
# '''Cord prolapse: relieve pressure on the cord with a gloved hand and reposition, do not replace the cord.'''
# '''Shoulder dystocia: McRoberts and suprapubic pressure, never fundal pressure.'''
# '''Magnesium sulfate: absent deep tendon reflexes is the first sign of toxicity; calcium gluconate is the antidote.'''
# '''Methylergonovine is withheld in hypertension; carboprost is withheld in asthma.'''
# '''Newborn jitteriness: check the glucose.'''
# '''Jaundice in the first 24 hours is pathologic until proven otherwise.'''
# '''Postpartum tachycardia is a warning sign; bradycardia is expected.'''
# '''A patient reporting headache, visual changes, or epigastric pain after 20 weeks or postpartum is evaluated for preeclampsia immediately.'''