Podcast
Questions and Answers
What are the three main complications of amniotomy?
What are the three main complications of amniotomy?
- Prolapse of the umbilical cord, infection, and abruptio placentae (correct)
- Infection, uterine rupture, and postpartum hemorrhage
- Prolapse of the umbilical cord, preterm labor, and placental abruption
- Fetal distress, maternal fever, and amniotic fluid embolism
What is the nursing intervention if non-reassuring fetal heart rate patterns or hypertonic uterine contractions occur during oxytocin administration?
What is the nursing intervention if non-reassuring fetal heart rate patterns or hypertonic uterine contractions occur during oxytocin administration?
- Reposition the woman, decrease or discontinue the oxytocin, administer oxygen, and prepare terbutaline (correct)
- Administer IV fluids to prevent maternal water intoxication
- Notify the healthcare provider and prepare for an emergency cesarean delivery
- Increase the dose of oxytocin to enhance uterine contractions
What is the purpose of administering oxytocin (Pitocin) during labor?
What is the purpose of administering oxytocin (Pitocin) during labor?
- To reduce maternal fever and fetal distress
- To induce labor and augment uterine contractions (correct)
- To treat preterm labor
- To prevent postpartum hemorrhage
What is the purpose of amnioinfusion during labor?
What is the purpose of amnioinfusion during labor?
Which of the following is a potential complication of oxytocin (Pitocin) administration during labor?
Which of the following is a potential complication of oxytocin (Pitocin) administration during labor?
What is the purpose of closely monitoring the woman's intake and output during oxytocin (Pitocin) administration?
What is the purpose of closely monitoring the woman's intake and output during oxytocin (Pitocin) administration?
What is the primary purpose of inducing labor?
What is the primary purpose of inducing labor?
What is the purpose of the Bishop score?
What is the purpose of the Bishop score?
What is the minimum recommended Bishop score before attempting labor induction?
What is the minimum recommended Bishop score before attempting labor induction?
Which method is used to confirm fetal maturity before inducing labor?
Which method is used to confirm fetal maturity before inducing labor?
What is the minimum gestational age recommended for labor induction?
What is the minimum gestational age recommended for labor induction?
Which monitoring is essential during labor induction?
Which monitoring is essential during labor induction?
Which of the following is NOT a contraindication for labor induction?
Which of the following is NOT a contraindication for labor induction?
What is the purpose of nipple stimulation during labor?
What is the purpose of nipple stimulation during labor?
What is the main risk associated with artificial rupture of membranes (AROM)?
What is the main risk associated with artificial rupture of membranes (AROM)?
Which of the following is a mechanical method of cervical ripening?
Which of the following is a mechanical method of cervical ripening?
What is the recommended nursing care for a patient after insertion of a prostaglandin vaginal insert?
What is the recommended nursing care for a patient after insertion of a prostaglandin vaginal insert?
Which of the following maternal medical conditions is NOT listed as a reason for labor induction?
Which of the following maternal medical conditions is NOT listed as a reason for labor induction?
What is the primary goal of infusion during labor?
What is the primary goal of infusion during labor?
Which statement about external version is correct?
Which statement about external version is correct?
What is the purpose of giving Rhogam to an Rh-negative mother after an external version?
What is the purpose of giving Rhogam to an Rh-negative mother after an external version?
Which of the following is NOT a nursing care responsibility during an external version?
Which of the following is NOT a nursing care responsibility during an external version?
What is the purpose of an internal version?
What is the purpose of an internal version?
Which of the following is a nursing responsibility when monitoring a patient after an external version?
Which of the following is a nursing responsibility when monitoring a patient after an external version?
What is the purpose of performing a non-stress test or biophysical profile before an external version?
What is the purpose of performing a non-stress test or biophysical profile before an external version?
What is the primary purpose of applying cold packs to the perineum after birth?
What is the primary purpose of applying cold packs to the perineum after birth?
What is the primary indication for using forceps or vacuum extraction during labor?
What is the primary indication for using forceps or vacuum extraction during labor?
Which of the following is a contraindication for the use of forceps or vacuum extraction during labor?
Which of the following is a contraindication for the use of forceps or vacuum extraction during labor?
What is the primary nursing care responsibility when a vacuum extractor is used during birth?
What is the primary nursing care responsibility when a vacuum extractor is used during birth?
What is the purpose of applying warmth in the form of heat packs or sitz baths after the initial 12-24 hours of cold application to the perineum?
What is the purpose of applying warmth in the form of heat packs or sitz baths after the initial 12-24 hours of cold application to the perineum?
Which of the following is a potential complication associated with the use of forceps or vacuum extraction during birth?
Which of the following is a potential complication associated with the use of forceps or vacuum extraction during birth?
What is the primary advantage of a low transverse cesarean incision?
What is the primary advantage of a low transverse cesarean incision?
Which statement about postpartum nursing care after a cesarean birth is correct?
Which statement about postpartum nursing care after a cesarean birth is correct?
Which of the following assessments should be performed every 15 minutes for the first hour and every 30 minutes for the second hour after a cesarean birth?
Which of the following assessments should be performed every 15 minutes for the first hour and every 30 minutes for the second hour after a cesarean birth?
What is the recommended nursing intervention if non-reassuring fetal heart rate patterns or hypertonic uterine contractions occur during oxytocin (Pitocin) administration?
What is the recommended nursing intervention if non-reassuring fetal heart rate patterns or hypertonic uterine contractions occur during oxytocin (Pitocin) administration?
Which of the following is a potential complication of oxytocin (Pitocin) administration during labor?
Which of the following is a potential complication of oxytocin (Pitocin) administration during labor?
What is the purpose of closely monitoring the woman's intake and output during oxytocin (Pitocin) administration?
What is the purpose of closely monitoring the woman's intake and output during oxytocin (Pitocin) administration?
Which of the following is a nursing responsibility when monitoring a patient after an external version?
Which of the following is a nursing responsibility when monitoring a patient after an external version?
What is the main difference between episiotomy and lacerations?
What is the main difference between episiotomy and lacerations?
Which degree of laceration involves the anal sphincter?
Which degree of laceration involves the anal sphincter?
What is the difference in healing outcomes between midline and mediolateral episiotomy?
What is the difference in healing outcomes between midline and mediolateral episiotomy?
What is the primary reason for performing an episiotomy?
What is the primary reason for performing an episiotomy?
Which direction does mediolateral episiotomy extend towards?
Which direction does mediolateral episiotomy extend towards?
What is the current goal for reducing cesarean sections in the United States, as outlined in Healthy People 2030?
What is the current goal for reducing cesarean sections in the United States, as outlined in Healthy People 2030?
Which of the following is NOT listed as an indication for a cesarean birth?
Which of the following is NOT listed as an indication for a cesarean birth?
Which of the following is a contraindication for a cesarean birth?
Which of the following is a contraindication for a cesarean birth?
Which of the following is a potential risk of cesarean birth for the newborn?
Which of the following is a potential risk of cesarean birth for the newborn?
What is the purpose of administering a Foley catheter during a cesarean birth?
What is the purpose of administering a Foley catheter during a cesarean birth?
What is the expected rate of cervical dilation during the active phase of labor for a woman who has had a child before?
What is the expected rate of cervical dilation during the active phase of labor for a woman who has had a child before?
Which factor is used as a guide to assess and manage the progress of cervical dilation and fetal descent during labor?
Which factor is used as a guide to assess and manage the progress of cervical dilation and fetal descent during labor?
What is a potential problem that can result from prolonged labor, especially if the membranes have been ruptured for an extended period?
What is a potential problem that can result from prolonged labor, especially if the membranes have been ruptured for an extended period?
In the case of precipitate birth, what maternal injury should be observed and reported, which can improve with cold applications?
In the case of precipitate birth, what maternal injury should be observed and reported, which can improve with cold applications?
What is the primary reason for inducing labor if premature rupture of membranes occurs at 36 weeks of gestation or later?
What is the primary reason for inducing labor if premature rupture of membranes occurs at 36 weeks of gestation or later?
What should be done if maternal temperature rises above 38°C (100.4°F) along with tenderness over the uterus in the context of premature rupture of membranes?
What should be done if maternal temperature rises above 38°C (100.4°F) along with tenderness over the uterus in the context of premature rupture of membranes?
What is a common cause of abnormal labor due to the occiput posterior position of the fetus?
What is a common cause of abnormal labor due to the occiput posterior position of the fetus?
Why may women with a small pelvis have difficulty delivering infants in an occiput posterior position?
Why may women with a small pelvis have difficulty delivering infants in an occiput posterior position?
What is a potential problem associated with multifetal pregnancies during labor?
What is a potential problem associated with multifetal pregnancies during labor?
What is the most favorable type of pelvis for vaginal births?
What is the most favorable type of pelvis for vaginal births?
Which factor can increase stress and contribute to dystocia during labor?
Which factor can increase stress and contribute to dystocia during labor?
What is the primary goal of nursing care regarding a woman's psyche during childbirth?
What is the primary goal of nursing care regarding a woman's psyche during childbirth?
What is the primary nursing care responsibility when managing a patient with uterine overdistention during labor?
What is the primary nursing care responsibility when managing a patient with uterine overdistention during labor?
What is the primary nursing intervention for a patient experiencing ineffective maternal pushing during labor?
What is the primary nursing intervention for a patient experiencing ineffective maternal pushing during labor?
What is the primary nursing care responsibility when managing a patient with a macrosomic (large) fetus during labor?
What is the primary nursing care responsibility when managing a patient with a macrosomic (large) fetus during labor?
What is the primary nursing intervention for a patient experiencing shoulder dystocia during labor?
What is the primary nursing intervention for a patient experiencing shoulder dystocia during labor?
What is the primary nursing care responsibility when managing a patient with a breech presentation during labor?
What is the primary nursing care responsibility when managing a patient with a breech presentation during labor?
What is the primary nursing intervention for a patient experiencing ineffective uterine contractions during labor?
What is the primary nursing intervention for a patient experiencing ineffective uterine contractions during labor?
What is the primary characteristic of hypertonic labor?
What is the primary characteristic of hypertonic labor?
What is the recommended nursing care for a woman experiencing hypertonic labor?
What is the recommended nursing care for a woman experiencing hypertonic labor?
When does hypotonic labor typically occur?
When does hypotonic labor typically occur?
Which factor increases the likelihood of hypotonic labor?
Which factor increases the likelihood of hypotonic labor?
What is the primary nursing care responsibility for a woman experiencing hypotonic labor?
What is the primary nursing care responsibility for a woman experiencing hypotonic labor?
Which statement about abnormalities in labor is correct?
Which statement about abnormalities in labor is correct?
What is the primary goal of tocolytic therapy?
What is the primary goal of tocolytic therapy?
Which medication is the drug of choice for tocolytic therapy?
Which medication is the drug of choice for tocolytic therapy?
What is a potential adverse effect of magnesium sulfate therapy on the fetus?
What is a potential adverse effect of magnesium sulfate therapy on the fetus?
What is the purpose of the Preterm Labor Assessment Tool (PLAT)?
What is the purpose of the Preterm Labor Assessment Tool (PLAT)?
Which of the following is a sign of impending preterm labor?
Which of the following is a sign of impending preterm labor?
What is the purpose of monitoring fetal kick counts during preterm labor management?
What is the purpose of monitoring fetal kick counts during preterm labor management?
What is a potential complication of using calcium channel blockers like nifedipine (Procardia) to stop labor contractions?
What is a potential complication of using calcium channel blockers like nifedipine (Procardia) to stop labor contractions?
What is a common side effect of administering B-Adrenergic drugs like terbutaline to stop uterine contractions?
What is a common side effect of administering B-Adrenergic drugs like terbutaline to stop uterine contractions?
What is a significant cardiac side effect associated with B-Adrenergic drugs like terbutaline?
What is a significant cardiac side effect associated with B-Adrenergic drugs like terbutaline?
What is a potential risk of prolonged pregnancy related to the fetus?
What is a potential risk of prolonged pregnancy related to the fetus?
When should B-Adrenergic drugs like terbutaline be discontinued to prevent side effects in the newborn?
When should B-Adrenergic drugs like terbutaline be discontinued to prevent side effects in the newborn?
Which medication is contraindicated if magnesium sulfate is being used or uterine infection is suspected?
Which medication is contraindicated if magnesium sulfate is being used or uterine infection is suspected?
What is a potential consequence of prostaglandin synthesis inhibitors like indomethacin stimulating the ductus arteriosus to close prematurely?
What is a potential consequence of prostaglandin synthesis inhibitors like indomethacin stimulating the ductus arteriosus to close prematurely?
Which medication is most commonly used to reduce amniotic fluid when polyhydramnios is an issue?
Which medication is most commonly used to reduce amniotic fluid when polyhydramnios is an issue?
What is the most appropriate method for speeding fetal lung maturity when the gestation is between 24 and 34 weeks?
What is the most appropriate method for speeding fetal lung maturity when the gestation is between 24 and 34 weeks?
What nursing care should be provided after delivery for a patient who received glucocorticoids like betamethasone for fetal lung maturity?
What nursing care should be provided after delivery for a patient who received glucocorticoids like betamethasone for fetal lung maturity?
