Bandl’s Ring and Pathologic Retraction Ring
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Questions and Answers

Why is it important to monitor the maternal temperature every hour during labor?

  • To prevent pulmonary edema in the mother
  • To monitor the effectiveness of magnesium sulfate administration
  • To detect any infection that may be developing (correct)
  • To assess for signs of tachycardia in the mother

What is the purpose of placing the bag of fluid in a radiant warmer during labor?

  • To prevent fetal tachycardia
  • To prevent hypothermia in the mother (correct)
  • To promote fetal lung maturation
  • To increase uterine contractions

Why is it advised not to replace the cord back into the vagina if it protrudes during labor?

  • To avoid constriction of blood vessels in the cord (correct)
  • To promote betamethasone administration
  • To prevent pulmonary edema in the mother
  • To reduce CNS depression in the fetus

What is the rationale behind administering O2 at 10 LPM during labor?

<p>To improve O2 supply to the fetus (A)</p> Signup and view all the answers

What is the recommended management for occiput transverse position during labor?

<p>Encourage the mother to lie on her opposite side from the fetal back (D)</p> Signup and view all the answers

In occiputotransverse position, what is a suggested position that can help with rotation?

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

What is a common intervention for relieving back pain in occiput transverse position?

<p>Apply heat or cold packs (D)</p> Signup and view all the answers

In prolonged labor with occiput transverse position, what should be provided to replenish glucose stores?

<p>Administer sports drink or IV glucose (A)</p> Signup and view all the answers

What is Bandl’s Ring, as described in the text?

<p>Formed by excessive retraction of the upper uterine segment (A)</p> Signup and view all the answers

What is the suggested management for Bandl’s Ring according to the text?

<p>Cesarean birth to ensure fetus safety and manual placenta removal. (D)</p> Signup and view all the answers

Which complication is NOT associated with Bandl's Ring?

<p>Maternal tachycardia (C)</p> Signup and view all the answers

What is the purpose of betamethasone and dexamethasone in prenatal care?

<p>To stimulate fetal lung maturation. (B)</p> Signup and view all the answers

What is a major side effect of magnesium sulfate as mentioned in the text?

<p>Lethargy and respiratory depression. (C)</p> Signup and view all the answers

What is a nursing concern when administering ritrodrine (Yutopar)?

<p>Pulmonary edema (C)</p> Signup and view all the answers

Why should a patient be placed on complete bed rest in PTL management?

<p>To reduce pressure of the fetus on the cervix. (B)</p> Signup and view all the answers

Study Notes

Monitoring During Labor

  • Maternal temperature should be monitored every hour to detect any potential infections or complications.

Fetal Care During Labor

  • A bag of fluid is placed in a radiant warmer during labor to maintain the fetal temperature and prevent hypothermia.
  • If the umbilical cord protrudes during labor, it should not be replaced back into the vagina to prevent further complications.

Oxygen Administration

  • Oxygen is administered at 10 LPM during labor to help improve fetal oxygenation and prevent fetal distress.

Occiput Transverse Position

  • The recommended management for occiput transverse position during labor is to encourage position changes, such as kneeling or standing, to help with rotation.
  • A suggested position to help with rotation is the lateral or side-lying position.
  • A common intervention for relieving back pain in occiput transverse position is to use heat or massage therapy.
  • In prolonged labor with occiput transverse position, glucose-rich fluids or foods should be provided to replenish glucose stores.

Bandl's Ring

  • Bandl's Ring is a physiological retraction ring that occurs in the upper uterus during labor.
  • The suggested management for Bandl's Ring is to monitor uterine activity and fetal heart rate, and to provide IV fluids to help with hydration.
  • Uterine rupture is NOT a complication associated with Bandl's Ring.

Medications in Prenatal Care

  • Betamethasone and dexamethasone are administered in prenatal care to promote fetal lung maturity.
  • A major side effect of magnesium sulfate is Respiratory depression.

Medications in Labor

  • A nursing concern when administering ritrodrine (Yutopar) is to monitor the patient's blood pressure and heart rate.
  • A patient should be placed on complete bed rest in PTL (Preterm Labor) management to prevent further complications and promote fetal well-being.

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Description

Learn about Bandl’s Ring, a type of contraction ring that appears during the 2nd stage of labor, serving as a warning sign for severe dysfunctional labor. Understand its formation, causes, and implications for labor complications.

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