Podcast
Questions and Answers
What is the definition of precipitous labor and delivery?
What is the definition of precipitous labor and delivery?
Labor lasting less than 3 hours.
List three interventions for managing preterm labor.
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?
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?
What are the different classes of drugs used for tocolysis?
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What is uterine inversion?
What is uterine inversion?
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Name one assessment finding for uterine inversion.
Name one assessment finding for uterine inversion.
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What are the causes of early postpartum hemorrhage?
What are the causes of early postpartum hemorrhage?
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When does late postpartum hemorrhage occur?
When does late postpartum hemorrhage occur?
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What is the intervention for late postpartum hemorrhage?
What is the intervention for late postpartum hemorrhage?
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What is subinvolution in the context of postpartum care?
What is subinvolution in the context of postpartum care?
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What are the causes of uterine prolapse?
What are the causes of uterine prolapse?
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What are the symptoms of moderate to severe uterine prolapse?
What are the symptoms of moderate to severe uterine prolapse?
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Study Notes
Precipitous Labor and Delivery
- Defined as labor that lasts less than three hours from the onset of contractions to the delivery of the baby.
Interventions for Managing Preterm Labor
- Bed rest and hydration to reduce uterine contractions.
- Corticosteroids for fetal lung maturity if delivery is imminent.
- Tocolytics to delay labor and improve outcomes for the fetus.
Purpose of Tocolytics in Pregnancy
- Utilized to suppress premature labor by relaxing uterine muscles, allowing time for fetal development and reducing the risk of complications.
Classes of Drugs Used for Tocolysis
- Beta-adrenergic agonists (e.g., terbutaline).
- Calcium channel blockers (e.g., nifedipine).
- Antiprostaglandins (e.g., indomethacin).
Uterine Inversion
- Occurs when the uterus turns inside out during or after childbirth, leading to potential hemorrhage and shock.
Assessment Finding for Uterine Inversion
- Presence of a large, red, and rounded mass protruding from the vaginal opening.
Causes of Early Postpartum Hemorrhage
- Uterine atony, retained placental fragments, and lacerations of the birth canal.
Timing of Late Postpartum Hemorrhage
- Occurs more than 24 hours but less than six weeks after delivery.
Intervention for Late Postpartum Hemorrhage
- Uterine massage and administration of medications to promote uterine contraction; may require surgical intervention in severe cases.
Subinvolution in Postpartum Care
- Refers to the incomplete return of the uterus to its pre-pregnancy size, potentially leading to prolonged bleeding.
Causes of Uterine Prolapse
- Weakness of pelvic floor muscles due to childbirth, aging, or obesity.
Symptoms of Moderate to Severe Uterine Prolapse
- A sensation of heaviness or pulling in the pelvic region, urinary incontinence, and a noticeable bulge from the vaginal opening.
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Description
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.
