Galen 280 Comp Review questions with
correct answers
Describe the first stage of labor - ** VERIFIED ANSWERS **✔✔Longest stage
onset of contractions to full dilation and effacement of the cervix
describe the second stage of labor - ** VERIFIED ANSWERS **✔✔Active pushing phase
full dilation of the cervix to the birth of the fetus
describe the third stage of labor - ** VERIFIED ANSWERS **✔✔the birth of the fetus until right
before the birth of the placenta
describe the fourth stage of labor - ** VERIFIED ANSWERS **✔✔delivery of the placenta until 2
hours after the birth
What is oxytocin used for ? - ** VERIFIED ANSWERS **✔✔stimulates uterine contractions
used to induce or change labor
what is the goal when using oxytocin? - ** VERIFIED ANSWERS **✔✔to produce contractions of
normal intensity, duration and frequency using the lowest dose possible
What are the complications of Oxytocin for the mother - ** VERIFIED ANSWERS **✔✔placental
abruption, uterine rupture, unnecessary cesarean birth r/t abnormal FHR and patterns, hemorrhage,
or infection
What is high dose protocol? - ** VERIFIED ANSWERS **✔✔the initial dose of Oxytocin is larger
and increase more rapidly
, what are the good outcomes of high dose protocol? - ** VERIFIED ANSWERS **✔✔shorter labors,
less forceps-assisted births, fewer cesarean births because of dystocia, less chorioamnionitis, and less
neonatal sepsis
What are the complications of high dose protocol? - ** VERIFIED ANSWERS **✔✔more uterine
tachysystole & cesarean births r/t fetal stress
what is uterine tachysystole? - ** VERIFIED ANSWERS **✔✔more than 5 contractions in 10
minutes averaged over 30 minutes
what is an epidural? - ** VERIFIED ANSWERS **✔✔Injection of medication into the epidural space
What should do you do for uterine tachysystole? - ** VERIFIED ANSWERS **✔✔STOP the oxytocin
infusion
what are the advantages of an Epidural - ** VERIFIED ANSWERS **✔✔relief of pain during labor
or birth caused by uterine contractions
less fetal hypoxia
muscle relaxation
noexcessive blood loss
what are the disadvantages of an Epidural - ** VERIFIED ANSWERS **✔✔Allergic reaction
Hypotension
Lightheadedness, Dizziness
Longer 2nd stage of labor
Limited movement
Urinary retention
Increased use of oxytocin
describe the nursing care for the patient with an epidural - ** VERIFIED ANSWERS **✔✔monitor
B/P for hypotension, electronic fetal monitoring, monitor for lightheadedness
correct answers
Describe the first stage of labor - ** VERIFIED ANSWERS **✔✔Longest stage
onset of contractions to full dilation and effacement of the cervix
describe the second stage of labor - ** VERIFIED ANSWERS **✔✔Active pushing phase
full dilation of the cervix to the birth of the fetus
describe the third stage of labor - ** VERIFIED ANSWERS **✔✔the birth of the fetus until right
before the birth of the placenta
describe the fourth stage of labor - ** VERIFIED ANSWERS **✔✔delivery of the placenta until 2
hours after the birth
What is oxytocin used for ? - ** VERIFIED ANSWERS **✔✔stimulates uterine contractions
used to induce or change labor
what is the goal when using oxytocin? - ** VERIFIED ANSWERS **✔✔to produce contractions of
normal intensity, duration and frequency using the lowest dose possible
What are the complications of Oxytocin for the mother - ** VERIFIED ANSWERS **✔✔placental
abruption, uterine rupture, unnecessary cesarean birth r/t abnormal FHR and patterns, hemorrhage,
or infection
What is high dose protocol? - ** VERIFIED ANSWERS **✔✔the initial dose of Oxytocin is larger
and increase more rapidly
, what are the good outcomes of high dose protocol? - ** VERIFIED ANSWERS **✔✔shorter labors,
less forceps-assisted births, fewer cesarean births because of dystocia, less chorioamnionitis, and less
neonatal sepsis
What are the complications of high dose protocol? - ** VERIFIED ANSWERS **✔✔more uterine
tachysystole & cesarean births r/t fetal stress
what is uterine tachysystole? - ** VERIFIED ANSWERS **✔✔more than 5 contractions in 10
minutes averaged over 30 minutes
what is an epidural? - ** VERIFIED ANSWERS **✔✔Injection of medication into the epidural space
What should do you do for uterine tachysystole? - ** VERIFIED ANSWERS **✔✔STOP the oxytocin
infusion
what are the advantages of an Epidural - ** VERIFIED ANSWERS **✔✔relief of pain during labor
or birth caused by uterine contractions
less fetal hypoxia
muscle relaxation
noexcessive blood loss
what are the disadvantages of an Epidural - ** VERIFIED ANSWERS **✔✔Allergic reaction
Hypotension
Lightheadedness, Dizziness
Longer 2nd stage of labor
Limited movement
Urinary retention
Increased use of oxytocin
describe the nursing care for the patient with an epidural - ** VERIFIED ANSWERS **✔✔monitor
B/P for hypotension, electronic fetal monitoring, monitor for lightheadedness
