MCN 273 - EXAM 3 QUESTIONS AND
ANSWERS 100% ACCURATE
external cephalic version - ANSWER-fetal malpresentation to cephalic
(breech/transverse lie--> vertex); done after 37 weeks (dangerous)
criteria for external cephalic version - ANSWER-singleton; adequate fluid; reactive NST;
& not engaged in pelvis
contraindications for external cephalic version - ANSWER-suspected IUGR, fetal
anomalies; abnormal FHR tracing - late decels (fetus not getting enough oxygen);
rupture of membranes, fluid abnormalities; prior classical CS; nuchal cord; bleeding;
uterine malformation
nursing care for external cephalic version - ANSWER-in birthing unit; fasting for 8 hours
prior; ultrasound because baby can switch positions; informed consent; IV line (tocolytic
- terbutaline--relaxes uterus to stop contractions); epidural or spinal analgesia;
supine/trendelenburg;
surgical methods of inducing/augmenting labor - ANSWER-stripping amniotic
membranes; amniotomy (AROM); release prostaglandins: causes contractions of uterus
pharmacology methods of inducing or augmenting labor - ANSWER-IV oxytocin
(Pitocin): produce adequate uterine contraction pattern without tachysystole
oxytocin (Pitocin) infusion - ANSWER-induction/augmentation of uterine contractions;
dose-related risks: tachysystole, uterine rupture, postpartum hemorrhage (prolong IOL)
late induction (IOL) - ANSWER-stimulate uterine contractions before spontaneous onset
of labor; with or without ruptured fetal membranes - BOW
labor augmentation - ANSWER-artificial stimulation of uterine contractions; when
spontaneous contractions failed to result in progressive cervical dilation or descent of
fetus
indications for induction or augmentation - ANSWER-maternal conditions (DM, HTN,
cholestasis); fetal conditions (IUGR, oligohydramnios, fetal demise); chorioamnionitis;
post-term gestation; elective
contraindications for induction or augmentation - ANSWER-complete placenta previa;
abnormal fetal lie; previous classical CS; previous myomectomy entering endometrial
cavity; active genital herpes infection; cephalopelvic disproportion - CPD
ANSWERS 100% ACCURATE
external cephalic version - ANSWER-fetal malpresentation to cephalic
(breech/transverse lie--> vertex); done after 37 weeks (dangerous)
criteria for external cephalic version - ANSWER-singleton; adequate fluid; reactive NST;
& not engaged in pelvis
contraindications for external cephalic version - ANSWER-suspected IUGR, fetal
anomalies; abnormal FHR tracing - late decels (fetus not getting enough oxygen);
rupture of membranes, fluid abnormalities; prior classical CS; nuchal cord; bleeding;
uterine malformation
nursing care for external cephalic version - ANSWER-in birthing unit; fasting for 8 hours
prior; ultrasound because baby can switch positions; informed consent; IV line (tocolytic
- terbutaline--relaxes uterus to stop contractions); epidural or spinal analgesia;
supine/trendelenburg;
surgical methods of inducing/augmenting labor - ANSWER-stripping amniotic
membranes; amniotomy (AROM); release prostaglandins: causes contractions of uterus
pharmacology methods of inducing or augmenting labor - ANSWER-IV oxytocin
(Pitocin): produce adequate uterine contraction pattern without tachysystole
oxytocin (Pitocin) infusion - ANSWER-induction/augmentation of uterine contractions;
dose-related risks: tachysystole, uterine rupture, postpartum hemorrhage (prolong IOL)
late induction (IOL) - ANSWER-stimulate uterine contractions before spontaneous onset
of labor; with or without ruptured fetal membranes - BOW
labor augmentation - ANSWER-artificial stimulation of uterine contractions; when
spontaneous contractions failed to result in progressive cervical dilation or descent of
fetus
indications for induction or augmentation - ANSWER-maternal conditions (DM, HTN,
cholestasis); fetal conditions (IUGR, oligohydramnios, fetal demise); chorioamnionitis;
post-term gestation; elective
contraindications for induction or augmentation - ANSWER-complete placenta previa;
abnormal fetal lie; previous classical CS; previous myomectomy entering endometrial
cavity; active genital herpes infection; cephalopelvic disproportion - CPD
