Week 10 pt 1 practice questions Flashcards
(28 cards)
- change the woman’s position to left lateral recumbent. 2. reduce infusion rate of oxytocin (if running).
- increase IV fluids.
These are the 3 possible interventions for what?
Category 2 tracings
A fetus has a fetal scalp blood pH of 7.20. What should you do?
a) Nothing; this is not far outside the normal scalp pH of 7.25-7.35
b) Fetal alkalosis; necessitates delivery
c) Fetal acidosis; necessitates delivery
d) Correlation with poor perinatal outcome
c) Fetal acidosis; necessitates delivery
Which of the following is NOT one of the things that can resolve Braxton Hicks contractions?
a) Ambulation
b) Hydration
c) Analgesia
d) Rest
d) Rest
Each uterine contraction must generate >25mmHg of peak pressure and at least 3 contractions in a 10 min interval in order to indicate what?
a) Braxton Hicks contractions
b) Normal labor
c) Preterm labor
d) None of the above
b) Normal labor
What occurs when the biparietal diameter is at or below the inlet of the true pelvis?
a) Engagement
b) Position
c) Station
d) Effacement
e) Attitude
f) Lie
g) Presentation
a) Engagement
The normal fetal __________ when labor begins is with all joints in flexion
a) Engagement
b) Position
c) Station
d) Effacement
e) Attitude
f) Lie
g) Presentation
e) Attitude
Which of the following do Leopold maneuvers determine? Select all that apply
a) Engagement
b) Position
c) Station
d) Effacement
e) Attitude
f) Lie
g) Presentation
b) Position
f) Lie
g) Presentation
A patient’s contractions are irregular, and it takes a while to dilate to ~4-5cm. What stage of labor is she in?
a) Stage 1: Latent phase
b) Stage 1: Active phase
c) Stage 2
d) Stage 3
e) Stage 4
a) Stage 1: Latent phase
Which of the following is the highest risk stage of labor for mom?
a) Stage 1: Latent phase
b) Stage 1: Active phase
c) Stage 2
d) Stage 3
e) Stage 4
e) Stage 4
Pitocin (Oxytocin) to prevent postpartum hemorrhage should be initiated when?
a) Stage 1: Latent phase
b) Stage 1: Active phase
c) Stage 2
d) Stage 3
e) Stage 4
d) Stage 3
T/F: Amniotomy is contraindicated unless fetal head is engaged.
True
What is more likely if presenting part not engaged, malpresentation, if polyhydramnios present, and multiparty?
a) Short umbilical cord
b) Umbilical cord prolapse
c) Nuchal cord
d) Frank delivery
b) Umbilical cord prolapse
Which of the following is NOT an example of invasive pain mgmt in labor?
a) Epidural (infusion of local anesthetic through a catheter in the epidural space)
b) Spinal (single injection, lasts ~2hrs)
c) Local block (ie pudendal block)
d) General anesthesia
e) Short-acting IV narcotics (Demerol, Stadol, Fentanyl)
e) Short-acting IV narcotics (Demerol, Stadol, Fentanyl)
T/F: Engagement may occur days to weeks prior to labor with the 1st child
True
As the fetal head engages and descends, it assumes an occiput __________ position
a) Vertical
b) Horizontal
c) Transverse
d) Lateral
e) Oblique
c) Transverse
Which orientation should the fetal head eventually reach?
a) Vertical
b) Horizontal
c) Transverse
d) Lateral
e) Oblique
e) Oblique
The fetal head returning to the transverse position is called what?
a) Restitution
b) Expulsion
c) Lateralization
d) Extension
a) Restitution
T/F: Episiotomies heal better than lacerations.
False
What is the initial step to prevent uterine atony (postpartum hemorrhage)?
a) IM oxytocin
b) IV oxytocin
c) IM carbetocin
d) IV methylergonovine (methergine)
b) IV oxytocin
What life-threatening event can occur if part of the placenta is left inside the mother after birth?
Coagulation
Calcification
Hemorrhage
Sepsis
Hemorrhage
Primary cause of postpartum uterine atony (immediate or delayed) is what?
Bladder distention
Most common cause of C/S in US is what?
Dystocia
McRoberts maneuver does what for shoulder dystocia deliveries?
Hyperflexion of legs to mother’s abdomen
In a nulliparous woman, when is the latent phase of labor considered to be prolonged?
> 30 hrs
