Maternal and Child Health Nursing: Labor and Delivery Concepts Review
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Questions and Answers

Which of the following is NOT considered a danger sign of labor for the fetus?

  • Meconium staining
  • Maternal apprehension (correct)
  • Fetal hyperactivity
  • Abnormal fetal heart rate

    • Which of the following describes the normal range of fetal heart rate variability?

  • 6-25 BPM (correct)
  • 0-2 BPM
  • Greater than 25 BPM
  • 3-5 BPM

    • What is the significance of increased (>25 BPM) fetal heart rate variability?

  • It is a sign of fetal acidosis.
  • The significance is not known. (correct)
  • It is a sign of fetal distress if it persists for more than 30 minutes.
  • It is associated with fetal sleep state, prematurity, or drug reaction.

    • Which of the following maternal danger signs of labor indicates a pathologic retraction ring?

    <p>Abnormal lower abdominal contour</p> Signup and view all the answers

    What is the significance of absent (0-2 BPM) or decreased (3-5 BPM) fetal heart rate variability?

    <p>It is associated with fetal sleep state, prematurity, drug reaction, congenital anomalies, hypoxia, or acidosis.</p> Signup and view all the answers

    In which type of Cesarean section is the incision made in the contractile portion of the uterus, posing a risk of uterine rupture?

    <p>Classical</p> Signup and view all the answers

    What is the most popular type of anesthesia used in Cesarean sections for mothers to be awake during birth?

    <p>Regional block</p> Signup and view all the answers

    Under which circumstance might an Unscheduled/Emergency Cesarean Birth occur?

    <p>Failure to progress in labor</p> Signup and view all the answers

    When might a client be recommended to have a trial of labor after a Cesarean section?

    <p>With a low segment transverse uterine incision</p> Signup and view all the answers

    What situation would make a Scheduled Cesarean Birth necessary?

    <p>Complete placenta previa</p> Signup and view all the answers

    What type of incision is recommended for a Vaginal Birth After Cesarean (VBAC) if the reason for the initial cesarean was nonrecurring?

    <p>Low segment Transverse</p> Signup and view all the answers

    What is the significance of late decelerations in fetal heart rate patterns?

    <p>Indicative of fetal hypoxia</p> Signup and view all the answers

    What is the most common cause of tachycardia in fetal heart rate patterns?

    <p>Infection</p> Signup and view all the answers

    What do variable decelerations in fetal heart rate patterns suggest?

    <p>Cord compression</p> Signup and view all the answers

    What is the primary indication for a caesarean section?

    <p>Fetal malpresentation</p> Signup and view all the answers

    What is a potential complication associated with caesarean birth?

    <p>Thrombosis</p> Signup and view all the answers

    What should be done to relieve variable decelerations in fetal heart rate patterns?

    <p>Change in mother's position</p> Signup and view all the answers

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