Chapter 19: Nursing Care During Obstetric Procedures Flashcards

1
Q

Urinary tract trauma (1 risk)

A

Cesarean section

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2
Q

Infection or chorioamnionitis (3 risks)

A

amniotomy, induction and augmentation, Cesarean section

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3
Q

Bishop score of >7-8 in first birth or >4 in second and later births (1 indication)

A

induction and augmentation

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4
Q

Induction or augmentation of labor (1 indication)

A

amniotomy

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5
Q

Hemorrhage (2 risks)

A

induction and augmentation, Cesarean section

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6
Q

nuchal cord (1 contraindication)

A

version

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7
Q

Worsening maternal medical conditions (1 indication)

A

induction and augmentation

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8
Q

Ending pregnancy benefits mother/fetus (1 indication)

A

induction and augmentation

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9
Q

placenta previa (2 contraindications)

A

induction and augmentation, version

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10
Q

Pregnancy or chronic hypertension (preeclampsia) (2 indications)

A

induction and augmentation, Cesarean section

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11
Q

small pelvic size (1 contraindication)

A

version

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12
Q

Prolapsed umbilical cord (1 indication, 1 contraindication, 2 risks)

A

Indication: Cesarean section
Contraindication: induction and augmentation
Risks: amniotomy, induction and augmentation

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13
Q

maternal cardiac or pulmonary disease (1 indication)

A

operative vaginal birth

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14
Q

maternal seizures (1 indication)

A

Cesarean section

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15
Q

fetal immaturity (1 contraindication)

A

Cesarean section

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16
Q

Fetal death (1 indication, 1 contraindication)

A

Indication: induction and augmentation
Contraindication: Cesarean section

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17
Q

coagulation defects (1 contraindication)

A

Cesarean section

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18
Q

thrombophlebitis (1 risk)

A

Cesarean section

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19
Q

uterine tachysystole (1 risk)

A

induction and augmentation

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20
Q

vaginal birth can be accomplished quickly without trauma (1 indication)

A

operative vaginal birth

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21
Q

Operative vaginal birth (1 indication)

A

episiotomy

22
Q

Uterine malformation (1 contraindication)

A

version

23
Q

Uterine rupture (1 risk)

A

induction and augmentation

24
Q

fetal entanglement in cord (1 risk)

A

version

25
Q

Postterm (42+ weeks) (1 indication)

A

induction and augmentation

26
Q

shortened stage necessary for maternal/fetal wellbeing (1 indication)

A

operative vaginal birth

27
Q

cord compression (1 indication, 1 risk)

A

Indication: operative vaginal birth
Risk: version

28
Q

paralytic ileus (1 risk)

A

Cesarean section

29
Q

Abnormal presentation (1 indication, 1 contraindication)

A

Indication: Cesarean section
Contraindication: induction and augmentation

30
Q

Cesarean section birth (1 risk)

A

induction and augmentation

31
Q

Nonreassuring FHR (1 indication)

A

operative vaginal birth

32
Q

Classic uterine incision (1 indication, 1 contraindication)

A

Indication: Cesarean section
Contraindication: induction and augmentation

33
Q

Abruptio placentae (3 indications, 2 risks)

A

Indications: induction and augmentation, operative vaginal birth, Cesarean section
Risks: amniotomy, version

34
Q

fetal size greater than 4000 g (1 contraindication)

A

version

35
Q

Cesarean section would be quicker (1 contraindication)

A

operative vaginal birth

36
Q

Previous Cesarean section birth (1 indication, 1 contraindication)

A

Indication: Cesarean section
Contraindication: version

37
Q

uterine placental insufficiency (late decelerations) (1 contraindication)

A

version

38
Q

oligohydramnios (1 contraindication)

A

version

39
Q

maternal water intoxication (1 risk)

A

induction and augmentation

40
Q

posterior birth (1 indication)

A

episiotomy

41
Q

multifetal gestation (1 contraindication)

A

version

42
Q

Genital herpes (1 indication)

A

Cesarean section

43
Q

dystocia (presenting part is crammed) (2 indications)

A

episiotomy, Cesarean section

44
Q

Labor/vaginal birth considered safe (1 indication)

A

induction and augmentation

45
Q

Fetus doesn’t fit birth canal (1 indication)

A

Cesarean section

46
Q

Spontaneous rupture of amniotic sac (1 indication)

A

induction and augmentation

47
Q

maternal exhaustion (1 indication)

A

operative vaginal birth

48
Q

atelectasis (1 risk)

A

Cesarean section

49
Q

Two or more low transverse C sections (1 contraindication)

A

induction and augmentation

50
Q

Prompt delivery is necessary (1 indication)

A

Cesarean section