Operative Obstetrics (100% correct answers)

Operative Obstetrics correct answers Any special procedure used to assist labor and delivery Episiotomy correct answers Incision in the perineum that enlarges the vaginal opening 1) Midline 2) Mediolateral Lacerations correct answers Occur when speed of delivery prevents stretching of tissues 1st Degree Lacerations correct answers Superficial, involves perineal skin, vaginal mucosa 2nd Degree Lacerations correct answers Deeps, involves all of #1, plus muscles of perineal body 3rd Degree Lacerations correct answers Complete, involves all of the above, plus the anal sphincter 4th Degree Lacerations correct answers All of the above, plus rectal mucosa Forceps and Vacuum Extraction correct answers Used for assisting decent and/ or rotation of the fetal head. Use of forceps is decreasing while the use of vacuum extraction is increasing Forceps and Vacuum Extraction indications correct answers Shortens the 2nd stage of labr --> nonreassuring FHT's, fetal malpresentation (OP), prolonged pushing, epidural Forceps and Vacuum Extraction contraindications correct answers -Preterm babies -Severe fetal distress -high station -Severe preexisting maternal conditions (respiratory or cardiac decompensation Forceps and Vacuum Extraction prerequisites correct answers -Cx must be completely dilated -Bladder empty -Membranes ruptured -No CPD -Vertex presentation Forceps and Vacuum Extraction Risks correct answers R/T assessment under Nursing considerations Forceps correct answers 1) 2 curved blades used to assist in the birth of the fetal head. Has a similar curve as the fetal head. The blades are joined by a groove arrangement that locks to prevent compression of the fetal head. Like 2 tablespoons around an egg -The Dr. Applies traction during a contraction Types of Forceps Delivers (Outlet) correct answers Fetal scalp viewed on the perineum