12 Questions
What is the definition of precipitous labor and delivery?
Labor lasting less than 3 hours.
List three interventions for managing preterm labor.
Restrict activity, ensure hydration, maintain bed rest and lateral position.
What is the purpose of tocolytics in pregnancy?
To slow or stop contractions of the uterus during pregnancy.
What are the different classes of drugs used for tocolysis?
Betamimetics (such as terbutaline), magnesium sulfate, prostaglandin inhibitors (like indomethacin, ketorolac), calcium channel blockers (such as nifedipine).
What is uterine inversion?
When the uterus completely or partly turns inside out.
Name one assessment finding for uterine inversion.
Depression in the fundal area of the uterus.
What are the causes of early postpartum hemorrhage?
Uterine atony, lacerations, uterine inversion
When does late postpartum hemorrhage occur?
After the first 24 hours of delivery
What is the intervention for late postpartum hemorrhage?
Massage fundus, monitor vital signs and fundus, assess blood loss, administer IV fluids, blood, oxytocin, remain with the client
What is subinvolution in the context of postpartum care?
Incomplete involution or failure of the uterus to return to its normal size and condition
What are the causes of uterine prolapse?
Pregnancy and childbirth, hormonal changes after menopause, obesity, severe coughing and straining on the toilet
What are the symptoms of moderate to severe uterine prolapse?
Seeing or feeling tissue bulge out of the vagina, feeling of heaviness or pulling in the pelvis, feeling like the bladder doesn’t empty all the way, problems with leaking urine (incontinence)
Test your knowledge on precipitous labor lasting less than 3 hours and preterm labor occurring between the 20th and 37th week of pregnancy. Learn about interventions for each situation, including staying with the mother, encouraging panting between contractions, and monitoring for painful uterine contractions and amniotic membrane rupture.
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