Questions and Answers
Labor is usually longer in a multigravida and shorter in a primigravida.
False
Lightening occurs when the head of the fetus descends into the woman's pelvis as the fetus positions for delivery.
True
Meconium in the amniotic fluid may result in respiratory distress or an airway obstruction in the newborn.
True
The risk of perineal tearing during labor can be reduced by applying gentle pressure across the perineum with a sterile gauze pad.
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In which of the following instances should you insert your fingers into the pregnant patient's vagina?
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Which of the following is a normal change in pregnancy?
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When transporting a pregnant patient in her third trimester, how should you position her?
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When does the onset of labor begin?
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If amniotic fluid is green, what does this signify?
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As you are delivering the head during birth, you observe the umbilical cord is wrapped once around the neck. What should you do?
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What would the Apgar score be for a newborn whose body is pink but whose hands and feet are cyanotic, has a pulse rate of 98 bpm, cries but does not recoil from stimulus, resists attempts to straighten hips and knees, and has slow respirations?
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If a newborn's heart rate is 75 bpm, what should you do?
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Study Notes
Labor and Delivery
- Labor duration is longer in primigravida (first pregnancy) and shorter in multigravida (subsequent pregnancies).
- Lightening occurs when the fetal head descends into the pelvis, preparing for delivery.
- Presence of meconium in amniotic fluid may cause respiratory distress or airway obstruction in newborns.
- Gentle pressure across the perineum during labor can reduce the risk of perineal tearing.
Interventions and Procedures
- Insert fingers into the vagina during limb presentation, prolapse of the umbilical cord, or breech birth, but not in vertex presentation.
- Transport a pregnant patient in the third trimester on her left side to prevent supine hypotensive syndrome.
- The onset of labor begins with uterine contractions, regardless of amniotic sac rupture or the urge to push.
Fluid and Fetal Monitoring
- Green amniotic fluid indicates the presence of meconium, raising concerns for newborn health.
- During delivery, if the umbilical cord is wrapped around the neck, attempt to slip the cord gently over the head rather than pulling or cutting it.
Newborn Assessment and Care
- Apgar score for a newborn with cyanosis of hands and feet, pulse of 98 bpm, minimal response to stimulus, resistance in limb manipulation, and slow respiration is scored at 6.
- For newborns with a heart rate of 75 bpm, initiate assisted ventilation with a Bag-Valve-Mask (BVM) and provide warmth while continuously assessing.
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Description
Test your knowledge on labor, delivery, and fetal monitoring techniques. This quiz covers the stages of labor, necessary interventions, and potential risks associated with meconium. Assess your understanding of important practices for ensuring maternal and neonatal health during childbirth.
