NURS 456: Intrapartum Questions with Correct
Verified Solutions
premature ROM
•Rupture of membranes at least 1 hour before labor
•rupture before 37 0/7 weeks gestation
expectant management: biophysical, NST, fetal movements, antenatal steroids, antibiotics,
mag sulfate
what do you need to do if membranes rupture before 32 weeks?
Infection of the urogential tract, cigarette smoking, low socioeconomic status
name 3 major risk factors for premature ROM
chorioamnionitis
most common maternal complication of preterm PROM
•Infection in which organisms ascend into the amniotic cavity
•maternal fever, maternal and fetal tachycardia, uterine tenderness, foul smelling amniotic
fluid.
what are the diagnostic features of chorioamnionitis?
screen 36 w
treated with antibiotics during labor
when is group B strep screened and treated?
, •Increased risk of cord prolapse
•Less efficient labor
•Trauma with delivery
what are the issues with breech position?
shoulder dystonia
Head is born but anterior shoulder cannot pass under the pubic arch
r/t often to maternal pelvis and fetal size
uncommon emergency
fetal and maternal morbidity and mortality, clavicular fracture, asphyxia, brachial plexus
damage
shoulder dystonia increases what risks during vaginal delivery?
CPD
fetopelvic disproportion: disproportion between the size of fetus and size of mom's pelvis
(usually excessive fetal size or malposition
maternal position changes, suprapubic pressure
how is shoulder dystonia during birth managed?
directly after ROM
when is it most common to see a cord prolapse?
Verified Solutions
premature ROM
•Rupture of membranes at least 1 hour before labor
•rupture before 37 0/7 weeks gestation
expectant management: biophysical, NST, fetal movements, antenatal steroids, antibiotics,
mag sulfate
what do you need to do if membranes rupture before 32 weeks?
Infection of the urogential tract, cigarette smoking, low socioeconomic status
name 3 major risk factors for premature ROM
chorioamnionitis
most common maternal complication of preterm PROM
•Infection in which organisms ascend into the amniotic cavity
•maternal fever, maternal and fetal tachycardia, uterine tenderness, foul smelling amniotic
fluid.
what are the diagnostic features of chorioamnionitis?
screen 36 w
treated with antibiotics during labor
when is group B strep screened and treated?
, •Increased risk of cord prolapse
•Less efficient labor
•Trauma with delivery
what are the issues with breech position?
shoulder dystonia
Head is born but anterior shoulder cannot pass under the pubic arch
r/t often to maternal pelvis and fetal size
uncommon emergency
fetal and maternal morbidity and mortality, clavicular fracture, asphyxia, brachial plexus
damage
shoulder dystonia increases what risks during vaginal delivery?
CPD
fetopelvic disproportion: disproportion between the size of fetus and size of mom's pelvis
(usually excessive fetal size or malposition
maternal position changes, suprapubic pressure
how is shoulder dystonia during birth managed?
directly after ROM
when is it most common to see a cord prolapse?
