Maternal and Child Health Nursing: Labor and Delivery Concepts Review

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17 Questions

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

Maternal apprehension

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

6-25 BPM

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

The significance is not known.

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

Abnormal lower abdominal contour

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

It is associated with fetal sleep state, prematurity, drug reaction, congenital anomalies, hypoxia, or acidosis.

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

Classical

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

Regional block

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

Failure to progress in labor

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

With a low segment transverse uterine incision

What situation would make a Scheduled Cesarean Birth necessary?

Complete placenta previa

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

Low segment Transverse

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

Indicative of fetal hypoxia

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

Infection

What do variable decelerations in fetal heart rate patterns suggest?

Cord compression

What is the primary indication for a caesarean section?

Fetal malpresentation

What is a potential complication associated with caesarean birth?

Thrombosis

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

Change in mother's position

Review key concepts related to labor and delivery in maternal and child health nursing, focusing on maternal and fetal responses during labor. Topics covered include danger signs of labor for both the fetus and the mother, alterations in fetal heart rate and variability.

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