Obstetric Procedures: Amniotomy and Risks

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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?

Placenta previa Signup and view all the answers

What is a risk of prolonged rupture of membranes?

The risk for infection increases Signup and view all the answers

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

To monitor the fetal heart rate Signup and view all the answers

What is the purpose of external cephalic version?

To change the fetal presentation from a breech or transverse lie to a cephalic lie Signup and view all the answers

What is internal version used for?

To change the presentation of the second twin after the birth of the first twin Signup and view all the answers

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

To maintain the correct infusion rate Signup and view all the answers

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

Forceps are used less frequently than vacuum extraction Signup and view all the answers

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

All of the above Signup and view all the answers

What is a potential maternal complication associated with operative delivery?

All of the above Signup and view all the answers

What is the purpose of an episiotomy?

To reduce pain and perineal tearing during childbirth Signup and view all the answers

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

To allow the nurse to change or discontinue the oxytocin infusion rate Signup and view all the answers

What is a sign of tachysystole?

Maternal tachycardia Signup and view all the answers

What is a potential fetal complication associated with operative delivery?

All of the above Signup and view all the answers

What is the role of the nurse in oxytocin administration?

To observe the mother's response and adjust the infusion rate as needed Signup and view all the answers

What is the purpose of cervical ripening?

To prepare the cervix for labor Signup and view all the answers

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

Delayed childbearing and increased obesity Signup and view all the answers

What is the preferred uterine incision for cesarean birth?

Low transverse incision Signup and view all the answers

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

Inadequacy due to cesarean birth Signup and view all the answers

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

Reduced risk of uterine rupture Signup and view all the answers

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

Type of uterine incision in previous cesarean birth Signup and view all the answers

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

Assess the fetal heart rate (FHR) Signup and view all the answers

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?

What is a potential complication of amniotomy?

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

What is a contraindication for induction of labor?

What is a risk of prolonged rupture of membranes?

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

What is the purpose of external cephalic version?

What is internal version used for?

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

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

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

What is a potential maternal complication associated with operative delivery?

What is the purpose of an episiotomy?

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

What is a sign of tachysystole?

What is a potential fetal complication associated with operative delivery?

What is the role of the nurse in oxytocin administration?

What is the purpose of cervical ripening?

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

What is the preferred uterine incision for cesarean birth?

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

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

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

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

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