What are the key points of emergency care for acute fetal distress

Expand blood flow. A large amount of infusion, as for what liquid, I also forgot.

The following nursing measures for acute fetal distress are wrong () aPrepare for neonatal resuscitation and resuscitation.

b.The mother takes the flat eggplant and buries the jujube in the lying position.

c.Intermittent oxygen.

d.Closely monitor fetal heart rate changes.

e.Terminate the pregnancy as soon as possible.

Correct answer: B

Treatment principles: guide the pregnant and maternal rolling women to lie on the left side and inhale oxygen; If the fetus is found to be in distress and cannot give birth in a short period of time, the delivery should be ended as soon as possible; Closely monitor fetal heart rate changes. For chronic erection and hypoxia diseases, choose a safe delivery method as soon as possible to reduce the occurrence of neonatal asphyxia.

Multiple-choice] Important clinical signs of acute fetal distress include:

a.Abnormal fetal heart rate.

b.Decreased fetal movements.

c.Fetal scalp blood pH <

d.Placental hail can be reduced.

Answer] ABCD

Analysis] Acute fetal distress mainly occurs during childbirth, and is mostly caused by umbilical cord factors, placental abruption, uterine contractions that are too strong and long-lasting, maternal hypotension, shock, caves, etc. The clinical manifestations are abnormal intrapartum fetal heart rate, meconium contamination of amniotic fluid, abnormal fetal movement, loss of fetal movement, and acidosis. (1) Intrapartum fetal heart rate changes are an important sign of acute fetal distress.

2) Meconium contamination of amniotic fluid can occur in 10% to 20% of deliveries, so meconium contamination of amniotic fluid is not a sign of fetal distress. (3) Abnormal fetal movements: frequent fetal movements in the early stage of hypoxia, then weakened and the number of jujube stimulation decreased, and then disappeared.

4) Acidosis: Fetal scalp blood was collected for blood gas analysis, pH <, PO2<10mmHg, PCO2>60mmHg. (5) Placental hypofunction will affect the placenta's material exchange ability, which can easily lead to fetal distress.

Answer]: C test center] Nursing measures for fetal intrauterine distress [sperm analysis] Taking the left decubitus position can improve the placental oxygen supply, and 2-receptor stimulants such as albuterol (salbutamol) are given as appropriate to reduce uterine muscle tone, increase uterine blood flow, and prolong the gestational age as much as possible. Hypoxia can cause acidosis, so alkaline drugs can be given to correct acidosis.

Contractions should be suppressed, so the C statement is wrong. 【Error avoidance】Some candidates in this question are prone to mistakenly choose E, thinking that alkaline drugs have nothing to do with fetal hypoxia. This is not good because hypoxia can cause acidosis, and alkaline drugs are given to correct acidosis.

It is wrong to continue intravenous oxytocin (oxytocin) in this question, because oxytocin can strengthen uterine contractions, promote lead into labor, and aggravate hypoxia.