Obstetric Emergencies & Interventions

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Questions and Answers

What is the primary purpose of performing an amniotomy during labor?

  • To assess for fetal lung maturity.
  • To reduce the risk of umbilical cord prolapse.
  • To induce or accelerate labor. (correct)
  • To prevent postpartum hemorrhage.

Which of the following findings would be a contraindication for performing an external version?

  • Singleton fetus in breech presentation.
  • Reactive non-stress test (NST).
  • Previous cesarean birth. (correct)
  • Adequate amniotic fluid volume.

A patient is receiving oxytocin for labor induction. Which assessment finding requires immediate nursing intervention?

  • Fetal heart rate (FHR) consistently in the 140s.
  • Maternal blood pressure of 130/80 mmHg.
  • Uterine contractions occurring every 2 minutes, lasting 90 seconds. (correct)
  • Gradual increase in cervical dilation from 3 cm to 4 cm in 2 hours.

Which of the following is the most critical nursing action when a prolapsed umbilical cord is suspected?

<p>Relieving pressure on the umbilical cord. (D)</p> Signup and view all the answers

During a vaginal birth after cesarean (VBAC), which assessment finding is most indicative of a potential uterine rupture?

<p>Sudden onset of intense abdominal pain and vaginal bleeding. (D)</p> Signup and view all the answers

What is the primary rationale for using the McRoberts maneuver in a shoulder dystocia situation?

<p>To decrease the angle of the maternal symphysis pubis. (C)</p> Signup and view all the answers

Which of the following is a priority nursing intervention following an amniotic fluid embolism?

<p>Administering oxygen and calling for assistance. (B)</p> Signup and view all the answers

A patient at 39 weeks gestation with preeclampsia is being induced. Which Bishop score indicates readiness for labor?

<p>Score of 9 (B)</p> Signup and view all the answers

Following a forceps-assisted delivery, the nurse should prioritize assessment for which maternal complication?

<p>Perineal lacerations and hematoma. (D)</p> Signup and view all the answers

What is the primary rationale against using a 'classical' uterine incision during a cesarean birth?

<p>Greater chance of uterine rupture in subsequent pregnancies. (C)</p> Signup and view all the answers

Flashcards

Amniotomy

Artificial rupture of membranes (AROM) to induce/accelerate labor or assess amniotic fluid.

External Version

Turning a fetus from breech to vertex presentation before labor.

Bishop Score

Determines maternal readiness for labor by evaluating cervical factors.

Induction of Labor

Deliberate start of uterine contractions to stimulate labor before it begins on its own.

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Augmentation of Labor

Stimulating contractions when spontaneous contractions are not effective.

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Forceps-Assisted Birth

Using forceps to help deliver the fetal head.

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Vacuum-Assisted Birth

Using a vacuum extractor to assist in delivery of the fetal head.

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Cesarean Birth

Surgical delivery of the fetus through abdominal and uterine incision.

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VBAC

Vaginal delivery after a previous cesarean birth.

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Prolapsed Umbilical Cord

Umbilical cord lies below the presenting part of the fetus.

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