NCM 109 Complications during Labor and Birth
questions with complete solutions
Common Types of Deviations: Power Correct Answer-- Ineffective uterine force - Dysfunctional labor and associated stages of labor
Passenger Correct Answer-- Umbilical cord prolapse - Multiple gestation - Problems with fetal position, presentation, or size
Passage Correct Answer-- Inlet contraction - Outlet contraction - Trial labor - External cephalic version - Forceps birth - Vacuum extraction
Assessment of a Family Experiencing a Complication Correct Answer-based on careful uterine and fetal monitoring. - Recognition of hypertonic and hypotonic contractions - Mapping of lengths of phases and stages of normal labor - Recognition of abnormal fetal response to uterine contractions - Recognition of abnormal position of fetus or fetal heart sounds - Accurate assessment of pelvic inlet, outlet, and midpelvis Common Causes of Dysfunctional Labor Correct Answer-- Prmigravida status - Pelvic bone contraction that has narrowed the pelvic diameter so a fetus cannot pass (cephalopelvic disproportion [CPD]) such as could occur in a woman with rickets -Posterior rather than anterior fetal position or extension rather than flexion of the fetal head - Failure of the uterine muscle to contract properly or overdistention of the uterus, as with a multiple preg-nancy, polyhydramnios, or an excessively oversized fetus - A nonripe cervix
- Presence of a full rectum or urinary bladder that impedes fetal descent - A woman becoming exhausted from labor - Inappropriate use of analgesia (excessive or too early administration)
Hypertonic contractions
Phase of occurrence:
Symptoms:
MEDICATION USED
-oxytocin:
-sedation: Correct Answer-- Latent
- Painful
- Unfavorable reaction
- Helpful
Hypotoniccontractions
Phase of occurrence:
questions with complete solutions
Common Types of Deviations: Power Correct Answer-- Ineffective uterine force - Dysfunctional labor and associated stages of labor
Passenger Correct Answer-- Umbilical cord prolapse - Multiple gestation - Problems with fetal position, presentation, or size
Passage Correct Answer-- Inlet contraction - Outlet contraction - Trial labor - External cephalic version - Forceps birth - Vacuum extraction
Assessment of a Family Experiencing a Complication Correct Answer-based on careful uterine and fetal monitoring. - Recognition of hypertonic and hypotonic contractions - Mapping of lengths of phases and stages of normal labor - Recognition of abnormal fetal response to uterine contractions - Recognition of abnormal position of fetus or fetal heart sounds - Accurate assessment of pelvic inlet, outlet, and midpelvis Common Causes of Dysfunctional Labor Correct Answer-- Prmigravida status - Pelvic bone contraction that has narrowed the pelvic diameter so a fetus cannot pass (cephalopelvic disproportion [CPD]) such as could occur in a woman with rickets -Posterior rather than anterior fetal position or extension rather than flexion of the fetal head - Failure of the uterine muscle to contract properly or overdistention of the uterus, as with a multiple preg-nancy, polyhydramnios, or an excessively oversized fetus - A nonripe cervix
- Presence of a full rectum or urinary bladder that impedes fetal descent - A woman becoming exhausted from labor - Inappropriate use of analgesia (excessive or too early administration)
Hypertonic contractions
Phase of occurrence:
Symptoms:
MEDICATION USED
-oxytocin:
-sedation: Correct Answer-- Latent
- Painful
- Unfavorable reaction
- Helpful
Hypotoniccontractions
Phase of occurrence:
