Questions and Answers
What action should be taken if resuscitation is required in a newborn?
Which shunt closes upon clamping the umbilical cord?
What is the primary change in circulation after umbilical cord clamping?
Which statement about the Apgar score is accurate?
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What is the primary goal of conducting a vaginal delivery?
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When should resuscitation be initiated based on the Apgar scoring system?
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Which nursing intervention is crucial during the second stage of labor?
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What is the purpose of using the cardiotocograph (CTG) during labor?
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Which of the following is NOT one of the major principles of immediate newborn care?
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What does the Apgar score NOT assess?
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When is the Apgar score assessed for newborns?
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Why is maintaining thermoregulation important for a newborn?
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Which action should be prioritized among nursing interventions after a vaginal delivery?
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Study Notes
Second Stage of Labour: Nursing Interventions and Care for Normal Vaginal Delivery
- Conduct vaginal delivery while ensuring safety and support for the mother.
- Encourage clients to push during each contraction to aid in the delivery process.
- Use cardiotocograph (CTG) to continuously monitor uterine contractions and fetal heart rate (FHR) for any abnormalities.
- Observe the mother closely for any signs of maternal distress during labor.
Immediate Care of Newborn
- Simple supportive care is typically sufficient immediately after delivery, yet essential for newborn survival.
- Major principles of immediate newborn care include:
- Maintaining airway patency to ensure proper breathing.
- Ensuring thermoregulation to keep the newborn warm.
- Promoting bonding through skin-to-skin contact and initiating breastfeeding.
- Proper identification of newborns for safety and record-keeping.
- Identifying any actual or potential problems that may require immediate intervention.
Apgar Scoring (AS)
- Apgar scores are assessed at 1 minute and 5 minutes following delivery to evaluate the newborn's adjustment to extrauterine life.
- The Apgar score consists of five criteria: Appearance, Pulse, Grimace response, Activity, and Respiration.
- A score below 7 indicates the need for potential resuscitation measures; resuscitation should begin before the 1-minute Apgar score is calculated if necessary.
Newborn Circulation Post-Cord Clamping
- Following cord clamping and cutting, significant circulatory changes occur in the newborn.
- Closure of shunts includes:
- Ductus arteriosus, which connects the pulmonary artery to the aorta.
- Foramen ovale, an opening between the right and left atria of the heart.
- Ductus venosus, which connects the umbilical vein to the inferior vena cava.
- Oxygenated blood begins to flow to the newborn’s lungs and liver, establishing independent circulation.
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Description
This quiz covers essential nursing interventions during the second stage of labor, focusing on normal vaginal delivery. Participants will explore effective strategies for assisting with delivery, monitoring vital signs, and providing immediate care for newborns. Gain insights into best practices to ensure the safety and well-being of both mother and child.
