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Questions and Answers
What is the recommended measure to relieve anxiety for a pregnant woman with multiple gestation in the birthing room?
What intervention may be necessary for pregnancies with 2 or more fetuses to decrease the risk of cord prolapse after rupture of membranes (ROM)?
Which intervention is primarily aimed at relieving pressure on the umbilical cord during labor or birth complications?
What is a recommended intervention to prevent cord drying during labor or birth complications?
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What is the definition of precipitate labor?
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What intervention is recommended for shoulder dystocia during labor?
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What is considered an oversized fetus (macrosomia)?
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What is the potential risk associated with precipitate labor?
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What is the basis for assessment of complications in labor and birth?
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Which nursing diagnosis may be applicable to a family experiencing a labor complication?
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What intervention is recommended for dysfunctional first or second stage of labor?
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What is the purpose of mapping the lengths of phases and stages of normal labor?
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Which factor is important in the assessment of complications in labor and birth?
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Which nursing diagnosis may be applicable due to prolonged labor?
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Study Notes
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."
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Description
Test your knowledge of interventions for complications during labor or birth with this quiz. Explore topics like elevating fetal head, Trendelenburg position, O2 administration, tocolytic agent (terbutaline), amnioinfusion, relief of pressure on the umbilical cord, prevention of cord drying, fetal blood sampling, and surgical intervention.
