S.NO.

NAME OF INDICATIONS CONTRAINDICATIONS ARTICLES REQUIRED SPECIAL

PROCEDURE CONSIDERATIONS AND
PRECAUTIONS

1. NON-STRESS MATERNAL: NOT SIGNIFICANT  Electronic fetal heart  Nurses should know
TEST  Post dated pregnancy monitor about the procedure
 Rh sensitization  Ultrasound transducer duration that is atleast
 Maternal age 35 or  Tocotransducer 20 minutes. And
more  Monitor strip explain the procedure
 Chronic renal disease  Ultrasound gel to the mother.
 Hypertension  Belts to hold the  They should be able to
 Collagen diseases transducers in place interpret the findings
i.e. reactive and non-
 Sickle cell disease
reactive
 Diabetes
 Premature rupture of REACTIVE-
membranes Two or more accelerations of
 History of stillbirth FHR with 15 beats per min.
 Trauma and duration is 15 seconds
 Vaginal bleeding in during a 20 min period for ter
second and third baby.
trimester
FETAL: NON REACTIVE:
 Decreased fetal No accelerations or less than
movement 15 beats per min.
 IUGR
 Fetal evaluation after
amniocentesis

2. ASSISTING WITH  For diagnosis of MATERNAL:  TPR Tray Colour of amniotic fluid
AN chromosomal and  Infection  Stethoscope indicates condition of fetus:
AMNIOCENTESIS genetic disorders  Antepartum  Sterile gloves  Opaque with greenish

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  Sex-linked disorders haemorrhage  Dressing tray brown discoloration-
 Fetal maturity  Abortion  Sterile towels-4 meconium in amnioti
 Neural tube defects  1% lignocaine fluid
 Amniography FETAL:  Disposable syringe-  Yellow with slight
 Decompression of the  Haemorrhage 5ml, 20ml turbidity- hemolytic
uterus in acute  Trauma to umblical  Cotton swabs disease of new-born
hydramnios cord and vessels  Antiseptic solution  Opaque with dark red-
 blood in the amniotic
To give intrauterine  Sterile bottle- to
fetal transfusion in fluid
collect the specimen
severe haemolysis  Opaque with yellow
 20-22 gauze spinal
following Rh- brown (Tobacco juice
needle of 4 inch length
isoimmunisation Intrauterine death
with stylette
 Amnioinfusion  Adhesive plaster

3. OXYTOCIN  IUGR  Third trimester  All the articles Discontinue infusion when:
STRESS TEST  Post maturity bleeding required for NST  Criteria are met
 Hypertensive disorders  Incompetent cervix  An IV line to  Hyperstimulation occu
of pregnancy  Multiple gestation administer a dilute  Prolonged
 Diabetes mellitus  Previous classical dose of oxytocin deceleration/bradycard
 Women with non- uterine incision  (1 mu/min.) a occurs
reactive NST  Hydramnios  An IV infusion pump
 History of preterm to monitor the flow
labour rate
 Premature rupture  Injection oxytocin and
of membranes IV fluids

4. PERFORMING  Inelastic rigid perineum  Hematoma  A sterile tray  Repair of the skin edg
AND SUTURING  Primigravida  Infection containing- should begin at th
AN EPISIOTOMY  Anticipated perineal  Perineal laceration  Sterile syringe with fourchette so th
tear  Scar endometriosis needle vaginal opening
 Operative delivery  Needle holder-1 properly aligned

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  Previous perineal  Episiotomy scissors-1  A rectal examination
surgery  Suture cutting made when suturing
scissors-1 completed in order
 Cutting needle-1 for ensure that no sutur
skin have penetrated th
 Round body needle-1 rectal mucosa
for muscles prevent fistu
 Thumb forceps formation.
 Suture material 2-0  The thread should n
chromic catgut-1 be pulled too tightly
prevent oedem
 Kidney tray
formation.
 Plain lignocaine 2%
 Antiseptic solution
 Sterile gloves
 4*4 gauze piece
 Tampons

5. ASSISTING WITH DIAGNOSTIC:  Vaginal and  Dilators ( Different  Check for pelvic
DILATATION  Infertility cervical infection size of HEGAR’S inflammation
AND  Dysfunctional uterine  Pelvic infection DILATORS)  Proper assessment of
CURETTAGE bleeding  Suspected uterine  Vulsellum cervix is necessary
 Pathologic amenorrhoea pregnancy  Uterine sound because there is
 Endometrial  Curette chances to injury of th
tuberculosis cervix.
 Postmenopausal
bleeding  Uterine synechiae due
 Chorion epithelioma to injury to the uterine
muscle resulting in
secondary
THERAPEUTIC: amenorrhoea.
 Dysfunctional uterine

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 bleeding
 Endometrial polyp
 Removal of IUD
 Incomplete abortion
 Evacuation of
hydatidiform mole
 Prior to insertion of
intrauterine radium
implants
 To prevent cervical
stenosis in Manchester
operation for uterine
prolapse
 To drain pyometra