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. (D)</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. (D)</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. (B)</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 (A)</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 (B)</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 (A)</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 (B)</p> Signup and view all the answers

Which maternal symptom is associated with an occiput posterior position?

<p>Intense back pain during labor (C)</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 (B)</p> Signup and view all the answers

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