NSPN 7100 Module 5B
what do we generally give for an unripe cervix - CORRECT ANSWER-Prostaglandin E2
intravaginally
what is a women with a ripe cervix offered to induce labour - CORRECT ANSWER-
oxytocin
what is the Bishop score for - CORRECT ANSWER-ripeness of cervix
what occurs with the longer the membranes remain ruptured before birth - CORRECT
ANSWER-greater risk of infection for fetus and mother
who are at particular risk when the membranes rupture pre labour - CORRECT
ANSWER-women who have been colonized with group B streptococcus
what is the approach with term PROM , who are not GBS positive, have no signs of
infection, are health and the fetus is engaged - CORRECT ANSWER-expectant
management, wait for labour
women are elect expectant management and are discharged home are given what
health care advice - CORRECT ANSWER-take showers rather than baths
refrain for intercourse
use proper techniques for perineal cleansing
when to return to hops- signs of infection, vaginal draining with meconium, fresh blood
or is foul smelling, concerns about fetus or selves
when are PROM women reassessed and offered labour induction - CORRECT
ANSWER-if labour has not commenced for 12-18 hours
the method of induction of labour depends on what - CORRECT ANSWER-ripeness of
cervix, overall health, health of fetus
one outcome of PROM is olygohydramnios what is this - CORRECT ANSWER-
decreased amniotic fluid
infection on the uterus during pregnancy is medically known as? - CORRECT
ANSWER-chorioamnionitis
signs of chorioamnionitis - CORRECT ANSWER-maternal fever, uterine irritability,
maternal and fetal tachycardias, uterine tenderness, foul smelling vaginal discharge
labor dystocia - CORRECT ANSWER-long, difficult and abnormal labor
, what is labor dystocia the leading cause of - CORRECT ANSWER-cesarean birth
what are some of the causes of dysfunctional labor - CORRECT ANSWER--ineffective
uterine contractions or maternal bearing down (powers)
-alterations in pelvic structure (passage)
-fetal causes, including abnormal presentation or position, anomalies, excessive size,
and number of fetuses (passenger)
-maternal position during labor and birth
-psychologic responses of the mother to labor related to past experiences, preparation,
culture and heritage, and support system
how do we describe abnormal uterine activity - CORRECT ANSWER-hypertonic or
hypotonic
hypertonic uterine dysfunction - CORRECT ANSWER-often is an anxious first time
mother who is having painful and frequent contractions that are ineffective in causing
cervical dilation or effacement to progress.
uterine contractions may be in midsection rather than funds, therefore is unable to apply
downward pressure to push the presenting part against the cervix
how do we manage hypertonic uterine dysfunction - CORRECT ANSWER-therapeutic
rest
hypotonic uterine contractions - CORRECT ANSWER-contractions become weak and
inefficient or stop altogether
what are the six abnormal labor patterns identified by freedman - CORRECT ANSWER-
prolonged latent phase
protracted active phase dilation
secondary arrest
protracted descent
arrest of descent
failure of descent
what are women experiencing dysfunctional labor at higher risk for - CORRECT
ANSWER-maternal morbidity and mortality from uterine rupture, infection, severe
dehydration, and postpartum hemmorage.
what is the fetus at risk for when women experience dysfunctional labor - CORRECT
ANSWER-hypoxia
precipitous labour - CORRECT ANSWER-labor that lasts less than 3 hours from the
onset of contractions to the time of birth
what do we generally give for an unripe cervix - CORRECT ANSWER-Prostaglandin E2
intravaginally
what is a women with a ripe cervix offered to induce labour - CORRECT ANSWER-
oxytocin
what is the Bishop score for - CORRECT ANSWER-ripeness of cervix
what occurs with the longer the membranes remain ruptured before birth - CORRECT
ANSWER-greater risk of infection for fetus and mother
who are at particular risk when the membranes rupture pre labour - CORRECT
ANSWER-women who have been colonized with group B streptococcus
what is the approach with term PROM , who are not GBS positive, have no signs of
infection, are health and the fetus is engaged - CORRECT ANSWER-expectant
management, wait for labour
women are elect expectant management and are discharged home are given what
health care advice - CORRECT ANSWER-take showers rather than baths
refrain for intercourse
use proper techniques for perineal cleansing
when to return to hops- signs of infection, vaginal draining with meconium, fresh blood
or is foul smelling, concerns about fetus or selves
when are PROM women reassessed and offered labour induction - CORRECT
ANSWER-if labour has not commenced for 12-18 hours
the method of induction of labour depends on what - CORRECT ANSWER-ripeness of
cervix, overall health, health of fetus
one outcome of PROM is olygohydramnios what is this - CORRECT ANSWER-
decreased amniotic fluid
infection on the uterus during pregnancy is medically known as? - CORRECT
ANSWER-chorioamnionitis
signs of chorioamnionitis - CORRECT ANSWER-maternal fever, uterine irritability,
maternal and fetal tachycardias, uterine tenderness, foul smelling vaginal discharge
labor dystocia - CORRECT ANSWER-long, difficult and abnormal labor
, what is labor dystocia the leading cause of - CORRECT ANSWER-cesarean birth
what are some of the causes of dysfunctional labor - CORRECT ANSWER--ineffective
uterine contractions or maternal bearing down (powers)
-alterations in pelvic structure (passage)
-fetal causes, including abnormal presentation or position, anomalies, excessive size,
and number of fetuses (passenger)
-maternal position during labor and birth
-psychologic responses of the mother to labor related to past experiences, preparation,
culture and heritage, and support system
how do we describe abnormal uterine activity - CORRECT ANSWER-hypertonic or
hypotonic
hypertonic uterine dysfunction - CORRECT ANSWER-often is an anxious first time
mother who is having painful and frequent contractions that are ineffective in causing
cervical dilation or effacement to progress.
uterine contractions may be in midsection rather than funds, therefore is unable to apply
downward pressure to push the presenting part against the cervix
how do we manage hypertonic uterine dysfunction - CORRECT ANSWER-therapeutic
rest
hypotonic uterine contractions - CORRECT ANSWER-contractions become weak and
inefficient or stop altogether
what are the six abnormal labor patterns identified by freedman - CORRECT ANSWER-
prolonged latent phase
protracted active phase dilation
secondary arrest
protracted descent
arrest of descent
failure of descent
what are women experiencing dysfunctional labor at higher risk for - CORRECT
ANSWER-maternal morbidity and mortality from uterine rupture, infection, severe
dehydration, and postpartum hemmorage.
what is the fetus at risk for when women experience dysfunctional labor - CORRECT
ANSWER-hypoxia
precipitous labour - CORRECT ANSWER-labor that lasts less than 3 hours from the
onset of contractions to the time of birth
