Block 7 L&D Complications

Question 1

amniofusion=

Answer 1

putting amniotic fluid back into the mother

Question 2

oligohydramnios=

Answer 2

scant amniotic fluid

Question 3

5 reasons an amniofusion may be done…

Answer 3

oligohydamnios. umbilical cord compression. reduction of recurrent variable develerations. dilution of meconium-stained amniotic fluid. replaces the cushion for the umbilical cord and relieves the variable decelerations.

Question 4

what needs to be done regarding the care of the mother after an amniofusion?

Answer 4

change the mom frequently

Question 5

AROM=

Answer 5

artificial rupture of membranes

Question 6

Amniotomy=

Answer 6

artificial rupture of membranes

Question 7

two reasons why an amniotomy may be done…

Answer 7

done to stimulate or enhance contractions. commits the women to delivery.

Question 8

three complications of amniotomy…

Answer 8

prolapse of the umbilical cord. infection. abruption placentae.

Question 9

what is the priority after an amniotomy?

Answer 9

fetal HR

Question 10

What four things need observed about the amniotic fluid?

Answer 10

color. odor. amount. character of it.

Question 11

what needs to be done if the amniotic fluid has a foul odor?

Answer 11

take the temp of the mother and call the Dr.

Question 12

what does green amniotic fluid indicate?

Answer 12

the fetus has passed a meconium stool

Question 13

what does it mean in the fetus passes mecomium in the womb?

Answer 13

the baby was in distress

Question 14

what needs to be observed on the mother after an amniofusion?

Answer 14

observe for wet underpads

Question 15

why do you need to change the underpads frequently after an amniofusion?

Answer 15

to keep the mother dry and reduce the risk for infection or skin breakdown.

Question 16

the initiation of labor before in begins naturally=

Answer 16

induction

Question 17

the stimulation of contractions after they have begun naturally=

Answer 17

augmentation

Question 18

what needs to be done before induction and why?

Answer 18

an ultrasound to assess fetal maturity

Question 19

what else can be done to induce labor?

Answer 19

amniotomy

Question 20

seven reason why a women would have to be induced?

Answer 20

gestational hypertension. ruptured membranes without the onset of labor. infection within the uterus. medical problems in the woman that worsens with pregnancy. fetal problems. placental insufficiency. fetal death.

Question 21

name seven things that would not required a labor induction…

Answer 21

placenta previa. prolapse of the umbilical cord. abnormal presentation. high station of the fetus. active herpes. abnormal size or structure of the mothers pelvis. previous classic C-section.

Question 22

if a mother has active herpes and is in labor, what needs to be done?

Answer 22

a c-section

Question 23

prostaglandin=

Answer 23

a gel or vaginal insert applied before labor induction to soften the cervix

Question 24

oxytocin is like=

Answer 24

pitocin

Question 25

why is oxytocin better to use in augmentation rather induction?

Answer 25

because it usually requires less total oxytocin that induction.

Question 26

name two ways to stimulate labor and contractions

Answer 26

walking and nipple stimulation

Question 27

most common complications of oxytocin is related to...

Answer 27

overstimulation of contractions

Question 28

overstimulation of contractions due to oxytocin can cause these two things...

Answer 28

fetal compromise and uterine rupture

Question 29

if a women is receiving Pitocin and the fetal HR goes below 110 what four needs to be done?

Answer 29

discontinue the Pitocin and increase the plain IV fluids. put the woman on her side and give her oxygen.

Question 30

a method to change fetal presentation=

Answer 30

a version

Question 31

name two contraindications of a version...

Answer 31

active herpes and inadequate amniotic fluid

Question 32

episiotomy=

Answer 32

controlled surgical enlargement of the vaginal opening due to birth

Question 33

lacerations=

Answer 33

uncontrolled tear of the tissues that results in a jagged wound

Question 34

first degree laceration=

Answer 34

superficial skin

Question 35

second degree laceration=

Answer 35

deeper tissues of the skin

Question 36

third degree laceration=

Answer 36

involves the anal sphincter

Question 37

fourth degree laceration=

Answer 37

through the rectal mucosa

Question 38

name two advantages of an episiotomy...

Answer 38

better control over where and how much the vagina opening is enlarged. an opening with a clean edge rather than a ragged opening of a tear.

Question 39

this may be an alternative to an episiotomy=

Answer 39

perinea massage and stretching

Question 40

what is done for the pain after an episiotomy other than pain meds?

Answer 40

cold pack for the first 12 hours and then heat or a sitz bath

Question 41

provides traction and rotation of the fetal head when the mother's pushing efforts are insufficient to accomplish a safe delivery=

Answer 41

forceps

Question 42

help the physician extract the fetal head through the incision during a cesarean birth=

Answer 42

forceps

Question 43

forceps can be used in woman with what type of medical problems(2).

Answer 43

cardiac or pulmonary problems so they don't have to push

Question 44

this extraction method is only used with occiput presentation.

Answer 44

vacuum

Question 45

vacuum extraction=

Answer 45

uses suction applied to the fetal head

Question 46

why does the mother have to be cathed before suction?

Answer 46

to prevent bladder trauma and make more room.