How do you handle situations where the labor is not progressing as expected?

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Sample interview questions: How do you handle situations where the labor is not progressing as expected?

Sample answer:

Assessment and Identification:

  • Evaluate fetal heart rate patterns, uterine contractions, cervical dilation, and progress.
  • Monitor for signs of maternal exhaustion, stress, or impending complications.
  • Consult with the healthcare team to assess the situation and develop an appropriate plan.

Interventions:

  • Augmentation: Administer oxytocin or other medications to increase uterine contractions.
  • Amniotomy: Rupture the amniotic membranes to release pressure and promote cervical dilation.
  • Manual dilation: Gently stretch the cervix with a finger or device.
  • Foley catheter: Insert a Foley catheter into the cervix to apply pressure and induce cervical dilation.

Additional Considerations:

  • Position: Encourage the mother to change positions to optimize fetal engagement and cervical dilation.
  • Hydration: Ensure adequate hydration to prevent dehydration and maintain uterine blood flow.
  • Rest: Allow the mother to rest and regain energy between contractions.
  • Emotional Support: Provide emotional support and encouragement to the mother and her support person.
  • Collaboration: Communicate with the healthcare team,… Read full answer

    Source: https://hireabo.com/job/2_0_16/Labor%20and%20Delivery%20Nurse

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