Complications of Labor or Birth Interventions Quiz

Multiple Gestation Pregnancy

• For a pregnant woman with multiple gestation, a recommended measure to relieve anxiety in the birthing room is encouraged presence of support persons and continuous emotional support.

Preventing Cord Prolapse

• In pregnancies with 2 or more fetuses, a necessary intervention to decrease the risk of cord prolapse after rupture of membranes (ROM) is continuous electronic fetal monitoring (EFM) and prompt cesarean section if there is a non-reassuring fetal heart rate (NRFHR).

Relieving Umbilical Cord Pressure

• The intervention primarily aimed at relieving pressure on the umbilical cord during labor or birth complications is changing maternal position.

Preventing Cord Drying

• A recommended intervention to prevent cord drying during labor or birth complications is applying a sterile lubricant to the umbilical cord.

Precipitate Labor

• Precipitate labor is defined as labor that lasts less than 3 hours.

Shoulder Dystocia Intervention

• The recommended intervention for shoulder dystocia during labor is the McRoberts' maneuver.

Macrosomia

• Macrosomia is considered an oversized fetus, typically weighing over 4500 grams ( approx. 9 lbs. 15 oz.).

Precipitate Labor Risks

• The potential risk associated with precipitate labor is fetal distress or injury.

Assessing Complications

• The basis for assessment of complications in labor and birth is evaluation of four key factors: uterine contractions, cervical dilation, fetal well-being, and maternal emotional and physical well-being.

Nursing Diagnosis

• The nursing diagnosis applicable to a family experiencing a labor complication is "Anxiety related to perceived threat to fetus and/or maternal well-being."

Dysfunctional Labor Intervention

• The recommended intervention for dysfunctional first or second stage of labor is oxytocin augmentation.

Mapping Labor Phases

• The purpose of mapping the lengths of phases and stages of normal labor is to identify any deviations from normal labor progress.

Assessment Factors

• An important factor in the assessment of complications in labor and birth is fetal heart rate (FHR) pattern interpretation.

Prolonged Labor Diagnosis

• The nursing diagnosis applicable due to prolonged labor is "Pain related to prolonged and intense uterine contractions."