Care of Mother, Child, and Adolescent - Lesson 3: Problems with the Passenger

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Questions and Answers

What is the nursing management for a fetus in malpresentation?

  • Gentle pushing on the lower abdomen to turn the baby
  • Perform continuous fetal heart rate monitoring
  • Apply warm or cold compress
  • Assist in cesarean section (correct)

What is a common cause of fetal distress according to the text?

  • Applying warm compress
  • Overstimulation of the uterus
  • Multiple pregnancy (correct)
  • Lying on the side opposite

What is the nursing management for a fetus in malposition?

  • Perform an ultrasound exam (correct)
  • Induction of labor may be started per doctor's order
  • Apply warm or cold compress
  • Allow the mother to void every 2 hours

In cases of fetal distress, what intervention may be necessary?

<p>Assist in cesarean section (D)</p> Signup and view all the answers

What is a common symptom of premature labor?

<p>Feeling of abdominal pressure or tightening (B)</p> Signup and view all the answers

In the context of cephalopelvic disproportion, what is the recommended management if the surgeon is certain about the condition?

<p>Performing a cesarean section (B)</p> Signup and view all the answers

What maneuver can be used in cases of shoulder dystocia during labor?

<p>Applying suprapubic pressure (D)</p> Signup and view all the answers

How does premature labor differ from term labor?

<p>It happens before the end of week 37 of gestation (C)</p> Signup and view all the answers

What can be a contributing factor to uterine rupture?

<p>Prolonged labor (B)</p> Signup and view all the answers

What is a sign of impending uterine rupture?

<p>Pathologic retraction ring (B)</p> Signup and view all the answers

What are signs of shock indicating potential uterine rupture?

<p>Rapid weak pulse, hypotension (A)</p> Signup and view all the answers

Which intervention may be necessary for a patient with suspected uterine rupture?

<p>Possible laparotomy (D)</p> Signup and view all the answers

What is one of the causes of postpartum hemorrhage?

<p>Uterine atony (B)</p> Signup and view all the answers

When is blood loss from the uterus considered postpartum hemorrhage in specific agencies?

<p>&gt; 1000 ml within a 24-hour period (B)</p> Signup and view all the answers

Flashcards

Cesarean Section

Delivery via surgical incision.

Fetal Malpresentation

The fetus is not in the normal head-down position.

Fetal Malposition

The fetus is in a non-optimal position for delivery, but still vertex.

Fetal Distress

Compromise of fetal well-being during labor.

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Premature Labor

Contractions and cervical changes before 37 weeks.

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Cephalopelvic Disproportion (CPD)

Fetus's head is too large to fit through the mother's pelvis.

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Suprapubic Pressure

Applying pressure above the pubic bone to dislodge the impacted shoulder.

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Uterine Rupture

A tear in the wall of the uterus.

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Pathologic Retraction Ring

A visible indentation across the abdomen indicating the thinning of the lower uterine segment.

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Hypotension & Tachycardia

Rapid heart rate and low blood pressure, indicating a dangerous drop in blood volume.

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Laparotomy

Surgical exploration of the abdomen.

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Uterine Atony

Failure of the uterus to contract adequately after delivery.

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Postpartum Hemorrhage

Excessive bleeding after childbirth.

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