week 4- chapter 21

Question 1

what are indications of labor induction

Answer 1

prolonged gestation, prolonged rupture of the membranes, gestational HTN, cardiac disease, renal disease, chorioamnionitis, dystocia, intrauterine fetal demise, isoimmunization, and diabetes

Question 2

what is used for augmentation fo uterine contractions

Answer 2

pitocin

Question 3

what nonpharmacolgic interventions are used for labor induction

Answer 3

cervical ripening (cervadil), herbal agents, castor oil, sexual intercourse, technical methods, oxytocin

Question 4

the higher the bishop score…

Answer 4

the more likely they are to go into labor

Question 5

what consists of the bishop score

Answer 5

dilation, effacement, station, cervical consistency, and cervical position

Question 6

what are the risks with oxytocin/pitocin

Answer 6

Maternal: placental abruption, uterine rupture, unnecessary c-section, PP hemorrhage
Fetal: hypoxia, late decelerations, absent baseline variability

Question 7

what is the max dose for pit

Answer 7

20-30

Question 8

what are the indications for a vacuum

Answer 8

Prolonged second stage of labor, nonreassuring FHR pattern, failure of presenting part to fully rotate and descend, limited sensation or inability to push effectively, presumed fetal jeopardy or fetal distress, maternal heart disease, acute pulmonary edema, intrapartum infection, maternal fatigue, infection

Question 9

what is a risk factor of using a vacuum

Answer 9

cephalohematoma

Question 10

what are the primary risks for the mother during dystocia

Answer 10

blood loss from uterine atony or rupture, lacerations, extension of episiotomy or endometritis

Question 11

what are some interventions with shoulder dystocia

Answer 11

reposition mom, mcroberts, break the clavicle, corkscrew

Question 12

what is the difference between preterm labor and preterm birth

Answer 12

preterm labor includes cervical changes and uterine contractions occurring at 20-37 weeks while preterm birth is birth that occurs before the completion of 37 weeks

Question 13

why. might preterm birth be indicated

Answer 13

preeclampsia, fetal distress, IUGR (intrauterine growth restriction), placental abruption, pregestational or gestational diabetes, congenital malformations.

Question 14

what might help predict spontaneous preterm labor

Answer 14

cervical length and fetal fibronectin test

Question 15

how do you truly diagnose preterm labor

Answer 15

gestational age between 20-37 weeks, uterine contractions, progressive cervical change (effacement 80% or cervical dilation 2cm or greater)

Question 16

what are some interventions for preterm labor/birth

Answer 16

bed rest, tocolytics

Question 17

when are betamethazone and dexamethasone used

Answer 17

for fetla lung development within 48 hours of birth

Question 18

what is procardia

Answer 18

an antihypertensive

Question 19

what do you watch for with mag

Answer 19

checking I/O, breathing, reflexes

Question 20

What is PROM

Answer 20

Premature rupture of amniotic sac at any gestational age

Question 21

what is PPROM

Answer 21

membranes rupture before 37.7 weeks fo gestation