OB: Labor and Birth Complications
NCLEX
A maternal indication for the usage of vacuum extraction is:
a. A huge pelvic outlet. C. A history of fast deliveries.
B. Maternal exhaustion. D. Failure to progress beyond zero station. - ANS-B
A mother who's exhausted may be not able to help with the expulsion of the fetus.
The patient with a huge pelvic outlet will likely not require vacuum extraction. With a rapid
transport, vacuum extraction isn't always vital. A station of zero is too high for a vacuum
extraction.
A pregnant girl at 29 weeks of gestation has been recognized with preterm exertions. Her labor
is being controlled with tocolytic medicines. She asks while she could be capable of move
domestic. Which response by means of the nurse is maximum accurate?
A. "After the toddler is born."
b. "When we will stabilize your preterm labor and arrange home fitness visits."
c. "Whenever the medical doctor says that it's far ok."
d. "It relies upon on what kind of insurance coverage you have got." - ANS-B
The purchaser's preterm labor is being controlled with tocolytics. Once she is strong, domestic
care can be a possible alternative for this form of patron. Care of a lady with preterm exertions is
multifactorial; the purpose is to prevent shipping. In many cases this can be completed at home.
Care of the preterm consumer is multidisciplinary and multifactorial. Managed care may
additionally dictate earlier hospital discharges or a shift from medical institution to home care.
Insurance insurance can be one aspect inside the care of customers, however ultimately
purchaser safety stays the most important factor.
A pregnant female's amniotic membranes rupture. Prolapsed umbilical wire is suspected. What
intervention would be the top priority?
A. Placing the woman in the knee-chest position
b. Covering the twine in sterile gauze soaked in saline
c. Preparing the female for a cesarean beginning
d. Starting oxygen by means of face mask - ANS-A
The girl is assisted into a role (e.G., modified Sims role, Trendelenburg position, or the
knee-chest role) wherein gravity maintains the strain of the offering element off the wire.
Although masking the wire in sterile gauze soaked saline, preparing the lady for a cesarean,
and beginning oxygen through face mark are suitable nursing interventions in the event of a
prolapsed twine, the intervention of pinnacle precedence might be positioning the mother to
alleviate twine compression.
A primigravida at forty weeks of gestation is having uterine contractions every 1.5 to two
minutes and says that they're very painful. Her cervix is dilated 2 cm and has now not modified
, in three hours. The girl is crying and wants an epidural. What is the probably reputation of this
girl's labor?
A. She is exhibiting hypotonic uterine dysfunction.
B. She is experiencing a regular latent degree.
C. She is displaying hypertonic uterine dysfunction.
D. She is experiencing pelvic dystocia. - ANS-C
Women who experience hypertonic uterine dysfunction, or primary dysfunctional hard work,
regularly are annoying first-time mothers who are having painful and frequent contractions
which might be ineffective at causing cervical dilation or effacement to development. With
hypotonic uterine disorder, the female initially makes everyday development into the energetic
stage of hard work; then the contractions turn out to be susceptible and inefficient or stop
altogether. The contraction pattern visible in this lady signifies hypertonic uterine interest.
Typically uterine interest on this section happens at four- to five-minute periods lasting 30 to 45
seconds. Pelvic dystocia can arise every time contractures of the pelvic diameters lessen the
capacity of the bony pelvis, such as the inlet, midpelvis, outlet, or any mixture of these planes.
A girl at 26 weeks of gestation is being assessed to determine whether or not she is
experiencing preterm hard work. What finding shows that preterm hard work is going on?
A. Estriol is not observed in maternal saliva.
B. Irregular, moderate uterine contractions are happening every 12 to fifteen minutes.
C. Fetal fibronectin is present in vaginal secretions.
D. The cervix is effacing and dilated to two cm. - ANS-D
Cervical changes along with shortened endocervical period, effacement, and dilation are
predictors of approaching preterm labor. Changes within the cervix accompanied by way of
everyday contractions indicate hard work at any gestation. Estriol is a form of estrogen
produced by using the fetus that is found in plasma at 9 weeks of gestation. Levels of salivary
estriol were shown to increase before preterm start. Irregular, moderate contractions that don't
motive cervical exchange aren't considered a danger. The presence of fetal fibronectin in
vaginal secretions among 24 and 36 weeks of gestation may want to predict preterm exertions,
however it has best a 20% to 40% fantastic predictive price. Of extra importance are different
physiologic clues of preterm hard work such as cervical modifications.
A woman in preterm labor at 30 weeks of gestation receives 12-mg doses of betamethasone
intramuscularly. The cause of this pharmacologic remedy is to:
a. Stimulate fetal surfactant production.
B. Reduce maternal and fetal tachycardia related to ritodrine administration.
C. Suppress uterine contractions.
D. Maintain ok maternal respiratory attempt and air flow during magnesium sulfate remedy. -
ANS-A
Antenatal glucocorticoids given as intramuscular injections to the mother accelerate fetal lung
adulthood. Inderal might receive to reduce the outcomes of ritodrine management.
Betamethasone has no impact on uterine contractions. Calcium gluconate would take delivery
of to opposite the breathing depressive effects of magnesium sulfate therapy.
A girl is having her first toddler. She has been in hard work for 15 hours. Two hours ago her
vaginal examination found out the cervix to be dilated to five cm and 100% effaced, and the
presenting component changed into at station zero. Five minutes ago her vaginal exam
NCLEX
A maternal indication for the usage of vacuum extraction is:
a. A huge pelvic outlet. C. A history of fast deliveries.
B. Maternal exhaustion. D. Failure to progress beyond zero station. - ANS-B
A mother who's exhausted may be not able to help with the expulsion of the fetus.
The patient with a huge pelvic outlet will likely not require vacuum extraction. With a rapid
transport, vacuum extraction isn't always vital. A station of zero is too high for a vacuum
extraction.
A pregnant girl at 29 weeks of gestation has been recognized with preterm exertions. Her labor
is being controlled with tocolytic medicines. She asks while she could be capable of move
domestic. Which response by means of the nurse is maximum accurate?
A. "After the toddler is born."
b. "When we will stabilize your preterm labor and arrange home fitness visits."
c. "Whenever the medical doctor says that it's far ok."
d. "It relies upon on what kind of insurance coverage you have got." - ANS-B
The purchaser's preterm labor is being controlled with tocolytics. Once she is strong, domestic
care can be a possible alternative for this form of patron. Care of a lady with preterm exertions is
multifactorial; the purpose is to prevent shipping. In many cases this can be completed at home.
Care of the preterm consumer is multidisciplinary and multifactorial. Managed care may
additionally dictate earlier hospital discharges or a shift from medical institution to home care.
Insurance insurance can be one aspect inside the care of customers, however ultimately
purchaser safety stays the most important factor.
A pregnant female's amniotic membranes rupture. Prolapsed umbilical wire is suspected. What
intervention would be the top priority?
A. Placing the woman in the knee-chest position
b. Covering the twine in sterile gauze soaked in saline
c. Preparing the female for a cesarean beginning
d. Starting oxygen by means of face mask - ANS-A
The girl is assisted into a role (e.G., modified Sims role, Trendelenburg position, or the
knee-chest role) wherein gravity maintains the strain of the offering element off the wire.
Although masking the wire in sterile gauze soaked saline, preparing the lady for a cesarean,
and beginning oxygen through face mark are suitable nursing interventions in the event of a
prolapsed twine, the intervention of pinnacle precedence might be positioning the mother to
alleviate twine compression.
A primigravida at forty weeks of gestation is having uterine contractions every 1.5 to two
minutes and says that they're very painful. Her cervix is dilated 2 cm and has now not modified
, in three hours. The girl is crying and wants an epidural. What is the probably reputation of this
girl's labor?
A. She is exhibiting hypotonic uterine dysfunction.
B. She is experiencing a regular latent degree.
C. She is displaying hypertonic uterine dysfunction.
D. She is experiencing pelvic dystocia. - ANS-C
Women who experience hypertonic uterine dysfunction, or primary dysfunctional hard work,
regularly are annoying first-time mothers who are having painful and frequent contractions
which might be ineffective at causing cervical dilation or effacement to development. With
hypotonic uterine disorder, the female initially makes everyday development into the energetic
stage of hard work; then the contractions turn out to be susceptible and inefficient or stop
altogether. The contraction pattern visible in this lady signifies hypertonic uterine interest.
Typically uterine interest on this section happens at four- to five-minute periods lasting 30 to 45
seconds. Pelvic dystocia can arise every time contractures of the pelvic diameters lessen the
capacity of the bony pelvis, such as the inlet, midpelvis, outlet, or any mixture of these planes.
A girl at 26 weeks of gestation is being assessed to determine whether or not she is
experiencing preterm hard work. What finding shows that preterm hard work is going on?
A. Estriol is not observed in maternal saliva.
B. Irregular, moderate uterine contractions are happening every 12 to fifteen minutes.
C. Fetal fibronectin is present in vaginal secretions.
D. The cervix is effacing and dilated to two cm. - ANS-D
Cervical changes along with shortened endocervical period, effacement, and dilation are
predictors of approaching preterm labor. Changes within the cervix accompanied by way of
everyday contractions indicate hard work at any gestation. Estriol is a form of estrogen
produced by using the fetus that is found in plasma at 9 weeks of gestation. Levels of salivary
estriol were shown to increase before preterm start. Irregular, moderate contractions that don't
motive cervical exchange aren't considered a danger. The presence of fetal fibronectin in
vaginal secretions among 24 and 36 weeks of gestation may want to predict preterm exertions,
however it has best a 20% to 40% fantastic predictive price. Of extra importance are different
physiologic clues of preterm hard work such as cervical modifications.
A woman in preterm labor at 30 weeks of gestation receives 12-mg doses of betamethasone
intramuscularly. The cause of this pharmacologic remedy is to:
a. Stimulate fetal surfactant production.
B. Reduce maternal and fetal tachycardia related to ritodrine administration.
C. Suppress uterine contractions.
D. Maintain ok maternal respiratory attempt and air flow during magnesium sulfate remedy. -
ANS-A
Antenatal glucocorticoids given as intramuscular injections to the mother accelerate fetal lung
adulthood. Inderal might receive to reduce the outcomes of ritodrine management.
Betamethasone has no impact on uterine contractions. Calcium gluconate would take delivery
of to opposite the breathing depressive effects of magnesium sulfate therapy.
A girl is having her first toddler. She has been in hard work for 15 hours. Two hours ago her
vaginal examination found out the cervix to be dilated to five cm and 100% effaced, and the
presenting component changed into at station zero. Five minutes ago her vaginal exam
