Obstetric Procedures: Amniotomy and Risks
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Questions and Answers

What is the primary purpose of amniotomy in conjunction with induction of labor?

  • To prevent abruptio placentae
  • To monitor the fetal heart rate
  • To reduce the risk of chorioamnionitis
  • To enable internal electronic fetal monitoring (correct)

What is a potential complication of amniotomy?

  • Prolapse and compression of the umbilical cord (correct)
  • Placenta previa
  • Abruptio placentae
  • Vasa previa

Which of the following is an indication for induction of labor?

  • Abnormal presentation
  • Previous uterine surgery
  • Nonreassuring fetal heart rate patterns
  • Fetal compromise (correct)

What is a contraindication for induction of labor?

<p>Placenta previa (A)</p> Signup and view all the answers

What is a risk of prolonged rupture of membranes?

<p>The risk for infection increases (A)</p> Signup and view all the answers

Which of the following is not a purpose of Bishop's Scoring System?

<p>To monitor the fetal heart rate (C)</p> Signup and view all the answers

What is the purpose of external cephalic version?

<p>To change the fetal presentation from a breech or transverse lie to a cephalic lie (C)</p> Signup and view all the answers

What is internal version used for?

<p>To change the presentation of the second twin after the birth of the first twin (B)</p> Signup and view all the answers

What is the primary purpose of the primary line in an IV pump setup?

<p>To maintain the correct infusion rate (B)</p> Signup and view all the answers

What is the approximate frequency of forceps used compared to vacuum extraction?

<p>Forceps are used less frequently than vacuum extraction (D)</p> Signup and view all the answers

What is a potential response of the fetus to oxytocin administration?

<p>All of the above (D)</p> Signup and view all the answers

What is a potential maternal complication associated with operative delivery?

<p>All of the above (D)</p> Signup and view all the answers

What is the purpose of an episiotomy?

<p>To reduce pain and perineal tearing during childbirth (C)</p> Signup and view all the answers

What is the purpose of using a secondary infusion line in an IV pump setup?

<p>To allow the nurse to change or discontinue the oxytocin infusion rate (B)</p> Signup and view all the answers

What is a sign of tachysystole?

<p>Maternal tachycardia (B)</p> Signup and view all the answers

What is a potential fetal complication associated with operative delivery?

<p>All of the above (D)</p> Signup and view all the answers

What is the role of the nurse in oxytocin administration?

<p>To observe the mother's response and adjust the infusion rate as needed (B)</p> Signup and view all the answers

What is the purpose of cervical ripening?

<p>To prepare the cervix for labor (D)</p> Signup and view all the answers

What is the primary factor contributing to the increasing cesarean birth rate in the United States?

<p>Delayed childbearing and increased obesity (D)</p> Signup and view all the answers

What is the preferred uterine incision for cesarean birth?

<p>Low transverse incision (B)</p> Signup and view all the answers

What is the main concern for women who have had a cesarean birth in the past?

<p>Inadequacy due to cesarean birth (B)</p> Signup and view all the answers

What is the main benefit of low transverse uterine incisions in cesarean birth?

<p>Reduced risk of uterine rupture (C)</p> Signup and view all the answers

What is the primary consideration for women who want to have a vaginal birth after cesarean (VBAC)?

<p>Type of uterine incision in previous cesarean birth (A)</p> Signup and view all the answers

What is the priority intervention after an amniotomy to induce labor?

<p>Assess the fetal heart rate (FHR) (A)</p> Signup and view all the answers

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