High-Risk Factors in Labor and Client Responses
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Questions and Answers

How can the client's response to the onset of high-risk factors in labor affect the maternal and fetal outcome?

  • Stress, fear, and anxiety can increase tension, produce higher pain perception, and make labor contractions less effective. Catecholamine release during stress can negatively affect uterine blood flow. (correct)
  • Stress, fear, and anxiety have no effect on the client's response to labor. Catecholamine release during stress has no impact on uterine blood flow.
  • Stress, fear, and anxiety can improve labor progress, reduce pain perception, and make labor contractions more effective. Catecholamine release during stress can positively affect uterine blood flow.
  • Stress, fear, and anxiety can reduce tension, decrease pain perception, and make labor contractions more effective. Catecholamine release during stress can have a positive effect on uterine blood flow.

    • What are the factors that may contribute to the development of high-risk factors during labor?

  • Passenger or fetus, Passage way or pelvic bones & other pelvic structure, Powers or uterine contractions, Placenta, Clients' socioeconomic status
  • Passenger or fetus, Passage way or pelvic bones & other pelvic structure, Powers or uterine contractions, Placenta, Clients' psyche or Psychologic state (correct)
  • Passenger or fetus, Passage way or pelvic bones & other pelvic structure, Powers or uterine contractions, Placenta, Clients' medical history
  • Passenger or fetus, Passage way or pelvic bones & other pelvic structure, Powers or uterine contractions, Placenta, Clients' physical health

    • How can the family members' response to the onset of high-risk factors in labor affect the client?

  • Family members may be calm and collected, and better able to provide emotional support for the client.
  • Family members' response has no impact on the client during high-risk labor.
  • Family members may be overwhelmed with concern and less capable of providing needed emotional support for the client. (correct)
  • Family members may be overwhelmed with concern and more capable of providing needed emotional support for the client.

    • What special knowledge and skills are required for nursing care during complicated labor?

    <p>Special knowledge and skill in assessment and care of the mother and fetus, in addition to basic intrapartal care.</p> Signup and view all the answers

    What is the definition of fetal position?

    <p>The relationship of the fetal presenting part to the maternal pelvis, described using a three-letter notation.</p> Signup and view all the answers

    What information is provided in the three-letter notation used to describe fetal position?

    <p>The first letter indicates the side of the maternal pelvis the fetal presenting part is toward, the second letter indicates the landmark of the fetal presenting part.</p> Signup and view all the answers

    What is the ideal fetal position during labor?

    <p>Occiput in the left or right anterior quadrant of the maternal pelvis</p> Signup and view all the answers

    What is a persistent occiput posterior (OP) position?

    <p>When the fetal head remains in the occiput posterior position and fails to rotate anteriorly</p> Signup and view all the answers

    Which maternal risk is associated with a persistent occiput posterior position?

    <p>Increased risk of third or fourth degree perineal laceration</p> Signup and view all the answers

    What is the recommended nursing intervention for a fetal occiput transverse position?

    <p>Administer oxytocin (Pitocin) and prepare for forceps-assisted delivery</p> Signup and view all the answers

    Which maternal symptom is associated with an occiput posterior position?

    <p>Intense back pain during labor</p> Signup and view all the answers

    What is a potential nursing intervention to facilitate fetal rotation in a malposition?

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

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