NUR 404 Exam 4 Maternity 106
COMPLETE SOLUTIONS.
NUR 404 Exam 4 Maternity 106
COMPLETE SOLUTIONS.
hypotonic contractions - ANSWER infrequent & mild uterine contractions
hypertonic contractions - ANSWER frequent contractions with no resting tone
uncoordinated contractions - ANSWER contractions being initiated from more than one part of the
uterus
What is the complication with the power of labor? - ANSWER ineffective uterine force
dysfunctional first stage of labor - ANSWER prolonged latent phase, protracted active phase, secondary
arrest of dilation
dysfunctional second stage of labor - ANSWER prolonged descent, arrest of descent
treatment for complications with the power of labor - ANSWER artificial rupture of membranes,
oxytocin, c/s delivery
precipitous labor - ANSWER labor is that completed in less than 3 hours
precipitous birth - ANSWER second stage that last 15 minutes or less
precipitous risk factors - ANSWER hypertonic uterine contractions, oxytocin, multiparous client,
hypertensive disorders, prior precipitous labor or birth
precipitous nursing care - ANSWER don't leave the patient, reposition on their side, encourage panting,
monitor for complications, may need terbutaline
, NUR 404 Exam 4 Maternity 106
COMPLETE SOLUTIONS.
terbutaline contraindication - ANSWER tachycardia
augmentation - ANSWER progress labor that has started naturally (AROM + oxytocin)
induction - ANSWER artificially start labor (cervical ripening, oxytocin, stripping membranes)
cervical ripening - ANSWER prostaglandin gel, cervidil, cytotec, foley balloon
Bishop score of 6 or higher - ANSWER going to get oxytocin
Bishop score of 6 or less - ANSWER cervical ripening
uterine rupture - ANSWER uterus tears, EMERGENCY
uterine rupture risk factors - ANSWER prior c/s, overdistended uterus, uterine hyperstimulation, prior
uterine scar
uterine rupture physical assessment findings - ANSWER ripping or tearing sensation, abdominal pain &
tenderness, non-reassuring FHR, change in uterine shape, signs of shock
tachystystole - ANSWER more than five contractions in 10 minutes
uterine rupture care - ANSWER notify provider, prepare of emergency c/s, iv fluid, administer o2,
administer blood as ordered, educate client/support
amniotic fluid embolism risk factors - ANSWER advanced age, placenta previa, placental abruption,
preeclampsia, oxytocin, c/s delivery, uterine rupture
COMPLETE SOLUTIONS.
NUR 404 Exam 4 Maternity 106
COMPLETE SOLUTIONS.
hypotonic contractions - ANSWER infrequent & mild uterine contractions
hypertonic contractions - ANSWER frequent contractions with no resting tone
uncoordinated contractions - ANSWER contractions being initiated from more than one part of the
uterus
What is the complication with the power of labor? - ANSWER ineffective uterine force
dysfunctional first stage of labor - ANSWER prolonged latent phase, protracted active phase, secondary
arrest of dilation
dysfunctional second stage of labor - ANSWER prolonged descent, arrest of descent
treatment for complications with the power of labor - ANSWER artificial rupture of membranes,
oxytocin, c/s delivery
precipitous labor - ANSWER labor is that completed in less than 3 hours
precipitous birth - ANSWER second stage that last 15 minutes or less
precipitous risk factors - ANSWER hypertonic uterine contractions, oxytocin, multiparous client,
hypertensive disorders, prior precipitous labor or birth
precipitous nursing care - ANSWER don't leave the patient, reposition on their side, encourage panting,
monitor for complications, may need terbutaline
, NUR 404 Exam 4 Maternity 106
COMPLETE SOLUTIONS.
terbutaline contraindication - ANSWER tachycardia
augmentation - ANSWER progress labor that has started naturally (AROM + oxytocin)
induction - ANSWER artificially start labor (cervical ripening, oxytocin, stripping membranes)
cervical ripening - ANSWER prostaglandin gel, cervidil, cytotec, foley balloon
Bishop score of 6 or higher - ANSWER going to get oxytocin
Bishop score of 6 or less - ANSWER cervical ripening
uterine rupture - ANSWER uterus tears, EMERGENCY
uterine rupture risk factors - ANSWER prior c/s, overdistended uterus, uterine hyperstimulation, prior
uterine scar
uterine rupture physical assessment findings - ANSWER ripping or tearing sensation, abdominal pain &
tenderness, non-reassuring FHR, change in uterine shape, signs of shock
tachystystole - ANSWER more than five contractions in 10 minutes
uterine rupture care - ANSWER notify provider, prepare of emergency c/s, iv fluid, administer o2,
administer blood as ordered, educate client/support
amniotic fluid embolism risk factors - ANSWER advanced age, placenta previa, placental abruption,
preeclampsia, oxytocin, c/s delivery, uterine rupture
