Amniotomy: Procedure and Indications
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Questions and Answers

What is the primary purpose of performing an amniotomy?

  • To induce labor or augment uterine activity (correct)
  • To check the baby's heartbeat using a stethoscope
  • To break the amniotic sac manually to relieve pressure
  • To prevent infection in the uterus

What complication may arise if the cord slips downward due to the gush of amniotic fluid?

  • Fetal hypoxia
  • Premature rupture of membranes
  • Uterine rupture
  • Prolapse of the umbilical cord (correct)

Why can infection occur after an amniotomy?

  • The uterus becomes overly distended with amniotic fluid
  • The placenta detaches from the uterine wall
  • The baby inhales amniotic fluid
  • Vaginal organisms can enter the uterus more easily (correct)

What is a concern related to abruptio placenta that can be exacerbated by amniotomy?

<p>Fetal hypoxia (C)</p> Signup and view all the answers

Why is it important to monitor FHT (fetal heart tones) after an amniotomy?

<p>Rates outside the normal range suggest a prolapsed umbilical cord (C)</p> Signup and view all the answers

How does the discharge of amniotic fluid during labor affect the size of the placenta?

<p>The placenta remains the same size (A)</p> Signup and view all the answers

What is the main risk associated with vaginal delivery when the fetus is in abnormal position or immature?

<p>Trauma to maternal or fetal tissues (A)</p> Signup and view all the answers

When is vaginal delivery contraindicated in the case of fetal distress?

<p>If a quicker delivery is necessary for maternal or fetal health (B)</p> Signup and view all the answers

What is the purpose of catheterizing the woman before certain obstetric procedures?

<p>To prevent trauma to the bladder (B)</p> Signup and view all the answers

In what scenario would vaginal delivery be considered more traumatic than a Cesarean birth?

<p>When the fetus is too large for a vaginal delivery (D)</p> Signup and view all the answers

What potential injuries can an infant experience during a vaginal delivery?

<p>Facial lacerations (A)</p> Signup and view all the answers

What is the purpose of replacing 500 ml of amniotic fluid per hour during an obstetric procedure?

<p>To aid the pregnant client in delivering the fetus safely (D)</p> Signup and view all the answers

What complication can arise from a lack of amniotic fluid during an obstetric procedure?

<p>Umbilical cord compression in the fetus (D)</p> Signup and view all the answers

What is the role of a nurse during an obstetric procedure for replacing amniotic fluid?

<p>To continuously monitor uterine activity and fetal heart rate (C)</p> Signup and view all the answers

Why is it important to replace amniotic fluid during an obstetric procedure?

<p>To alleviate variable decelerations in fetal heart rate (C)</p> Signup and view all the answers

What is one indication for replacing amniotic fluid during an obstetric procedure?

<p>Increased meconium-stained amniotic fluid (C)</p> Signup and view all the answers

What could be a consequence of not maintaining a proper level of amniotic fluid during an obstetric procedure?

<p>Increased risks of preterm labor (D)</p> Signup and view all the answers

Flashcards

Amniotomy Purpose

To induce or augment labor.

Cord Prolapse Cause

Cord slips downward due to amniotic fluid gush.

Amniotomy Infection Risk

Breaches the natural barrier, allowing bacteria entry.

Amniotomy and Abruptio Placenta

Amniotomy can worsen placental abruption.

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Post-Amniotomy FHT Monitoring

To detect potential complications or fetal distress.

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Amniotic Fluid Discharge Effect

Does not affect placenta size.

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Abnormal Fetal Position Risk

Birth trauma or injury to the fetus during vaginal delivery.

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Fetal Distress Contraindication

Vaginal delivery is not advisable if fetus is distressed.

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Pre-Procedure Bladder Emptying

Reduces surgery injury risk by emptying the bladder.

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Vaginal Delivery Trauma Risk

Can be more traumatic if fetus is abnormal or immature.

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Vaginal Delivery Infant Injuries

Potential injuries include birth trauma, bone fractures, or bruising.

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Amniotic Fluid Replacement Purpose

Maintain proper amniotic fluid levels and avoid complications.

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Low Amniotic Fluid Complication

Cord compression, potentially leading to fetal distress.

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Nurse Role in Amniotic Replacement

Monitor both the patient and the fluid-replacement process.

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Fluid Replacement Benefit

Prevents cord compression and promotes fetal well-being.

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Amniotic Fluid Replacement Indication

Oligohydramnios (low amniotic fluid levels).

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Unmaintained Amniotic Fluid Consequence

Cord compression, leading to fetal distress.

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Study Notes

Amniotomy and Labor Complications

  • The primary purpose of performing an amniotomy is to induce or augment labor.
  • If the cord slips downward due to the gush of amniotic fluid, a complication that may arise is cord prolapse.
  • Infection can occur after an amniotomy because the natural barrier to infection has been breached, allowing bacteria to enter the uterus.
  • A concern related to abruptio placenta is that it can be exacerbated by amniotomy, which can lead to placental abruption.
  • It is important to monitor FHT (fetal heart tones) after an amniotomy to detect any potential complications or signs of fetal distress.
  • The discharge of amniotic fluid during labor does not affect the size of the placenta.

Vaginal Delivery Complications

  • The main risk associated with vaginal delivery when the fetus is in an abnormal position or immature is birth trauma or injury to the baby.
  • Vaginal delivery is contraindicated in the case of fetal distress, and a cesarean section may be necessary.
  • Catheterizing the woman before certain obstetric procedures helps to empty the bladder and reduce the risk of injury during surgery.

Vaginal Delivery vs. Cesarean Birth

  • Vaginal delivery can be more traumatic than a Cesarean birth if the fetus is in an abnormal position or immature.
  • Potential injuries an infant can experience during a vaginal delivery include birth trauma, bone fractures, or bruising.

Amniotic Fluid Replacement

  • The purpose of replacing 500 ml of amniotic fluid per hour during an obstetric procedure is to maintain a proper level of amniotic fluid and prevent complications.
  • A complication that can arise from a lack of amniotic fluid during an obstetric procedure is cord compression.
  • The role of a nurse during an obstetric procedure for replacing amniotic fluid is to monitor the patient and the replacement process.
  • Replacing amniotic fluid during an obstetric procedure helps to prevent cord compression and promote fetal well-being.
  • One indication for replacing amniotic fluid during an obstetric procedure is oligohydramnios (low amniotic fluid levels).
  • A consequence of not maintaining a proper level of amniotic fluid during an obstetric procedure is cord compression, which can lead to fetal distress.

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Description

Learn about amniotomy, the artificial rupture of membranes procedure used during childbirth. Discover the reasons behind performing an amniotomy and the tools involved in the process.

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