87 Questions
What is the purpose of amnioinfusion in the case of late decelerations?
To reduce pressure on the umbilical cord
What is a potential cause of Polyhydramnios as mentioned in the text?
Folate deficiency
In the context of complications during labor, what does Abruptio placentae refer to?
Premature separation of the placenta from the uterus
Which of the following is NOT a sign of reassuring fetal heart rate patterns?
Presence of late decelerations
What is the potential implication of Polyhydramnios during labor as outlined in the text?
Elevated risk of prolapsed cord occurrence
What is the significance of the absence of accelerations in fetal heart rate monitoring?
It suggests placental insufficiency
Which of the following is the most appropriate intervention for maternal hypotension during labor?
Administer IV fluids
What nursing intervention is recommended for handling Prolapsed Cord during childbirth as per the text?
Keeping the cord moist with warm sterile saline
What is the significance of the phenaphthazine (nitrazine) - blue test mentioned in the text?
It confirms the rupture of membranes
What is a common sign of Uterine Rupture based on the text's description?
Abdominal or low back pain
What potential complication can be expected if a pregnant woman experiences Precipitate Labor?
Prolapsed cord
Which of the following is NOT a sign of true labor?
Burst of energy
What is the significance of the term lightening in the context of impending labor?
It refers to the baby's head dropping into the pelvis
What is a significant risk factor for Preterm labor according to the text?
Smoking during pregnancy
Which of the following is the most appropriate intervention for uterine hyperactivity during labor?
Administer tocolytics
What is the significance of the term nadir in the context of fetal heart rate monitoring?
It refers to the lowest point of a deceleration
Which of the following is the most appropriate intervention for decreased fetal movement during labor?
Go to the hospital or birth center
What is the primary purpose of fetal heart rate monitoring during labor?
To detect fetal distress and guide interventions
Which of the following is NOT a sign of impending labor?
Decreased fetal movement
What is the significance of the term 'Braxton Hicks contractions' in the context of labor?
They are practice contractions that prepare the uterus for labor
What is the primary purpose of the 'phenaphthazine (nitrazine) - blue' test mentioned in the text?
To detect the rupture of membranes
What is the significance of the term 'nadir' in the context of fetal heart rate monitoring?
It refers to the lowest point of the fetal heart rate during a contraction
What is the primary intervention recommended for late decelerations in fetal heart rate monitoring?
Infusing normal saline into the uterus (amnioinfusion)
What is the significance of the term 'bloody show' in the context of labor?
It signifies the expulsion of the mucus plug
Which of the following is a nonreassuring pattern in fetal heart rate monitoring?
Tachycardia (sustained heart rate above 160 bpm)
What is the primary intervention for maternal hypotension during labor?
Providing intravenous fluids
What is the significance of 'lightening' in the context of impending labor?
It indicates the baby's head has engaged in the pelvis
Which complication during labor is characterized by the umbilical cord preceding the baby and may lead to compression and cutting off circulation and oxygen?
Prolapsed Cord
What is a significant risk factor for Preterm labor as indicated in the text?
Lack of prenatal care
What intervention is required in the case of Uterine Rupture as outlined in the text?
Preparing for an emergency c-section
What can be a potential cause of Abruptio placentae as discussed in the text?
Folate deficiency
What does Polyhydramnios refer to in the context of complications during labor?
Excessive amniotic fluid
Which condition is characterized by sharp tearing pain, anxiety, rapid pulse, and signs of shock such as hypotension?
Uterine Rupture
What is a potential complication associated with Polyhydramnios?
DIC (disseminated intravascular coagulopathy)
What would you observe on fetal heart monitor in the case of Precipitate Labor?
Tachysystole
Which risk factor for Preterm labor involves having had multiple pregnancies?
Multiparity
What intervention is recommended for Prolapsed Cord during childbirth according to the text?
Keeping the cord moist with warm sterile saline
Which complication during labor is characterized by a sharp tearing pain, anxiety, rapid pulse, and signs of shock such as hypotension?
Uterine Rupture
What is a significant risk factor for Preterm labor according to the text?
All of the above
What intervention is required in the case of Uterine Rupture as outlined in the text?
All of the above
In the context of complications during labor, what does Abruptio Placentae refer to?
Premature separation of the placenta
What is a potential cause of Polyhydramnios as mentioned in the text?
Diabetes
What would you observe on a fetal heart monitor in the case of Precipitate Labor?
Placental insufficiency
Which risk factor for Preterm labor involves having had multiple pregnancies?
Multiparity (5 or more)
What is a common sign of Uterine Rupture based on the text's description?
Uterine tenderness and firmness
What can be a potential cause of Abruptio Placentae as discussed in the text?
Hypertension
What is the significance of the term 'lightening' in the context of impending labor?
It indicates the baby has descended into the pelvis
What is the significance of 'VEAL CHOP' in the context of fetal heart rate monitoring?
A technique to determine fetal oxygenation
Which sign is NOT indicative of impending labor based on the information provided?
Formation of bloody show
What is the primary purpose of phenaphthazine (nitrazine) - blue test in the context provided?
To evaluate amniotic fluid pH
What is a common intervention for maternal hypotension during labor as per the text?
IV fluids administration
Which fetal heart rate pattern indicates a nonreassuring condition?
Tachycardia sustained above 160 bpm
What is the implication of decreased variability in fetal heart rate monitoring?
Indication of fetal distress
Which scenario is likely to require amnioinfusion during labor?
Variable decelerations during contractions
What is the primary implication of bradycardia in fetal heart rate monitoring?
May suggest a potential concern for fetal well-being
Which scenario would likely necessitate the lifting of the baby's head off the cord during labor?
Presence of variable decelerations
What is a common intervention for managing uterine hyperactivity during labor according to the text?
Administration of tocolytics
Which of the following is a key sign that indicates the onset of true labor, according to the text?
Cervical dilation and effacement
What is the primary purpose of the $phenaphthazine (nitrazine) - blue$ test mentioned in the text?
To detect the presence of amniotic fluid
What is the significance of the term $nadir$ in the context of fetal heart rate monitoring, as discussed in the text?
The lowest point of fetal heart rate variability
Which of the following is a nonreassuring pattern in fetal heart rate monitoring?
Tachycardia (sustained heart rate >160 bpm)
What is the primary intervention recommended for managing late decelerations in fetal heart rate monitoring, as per the information in the text?
Perform amnioinfusion
Which of the following is a potential cause of maternal hypotension during labor that may require intervention?
Uterine hyperactivity
What is a common sign of uterine rupture during labor, as described in the text?
Sharp tearing pain, anxiety, and rapid pulse
Which of the following is NOT a sign of impending labor, according to the information provided in the text?
Cervical dilation
What is a potential complication associated with polyhydramnios during labor, as mentioned in the text?
The text does not mention any complications associated with polyhydramnios
Which of the following is the most appropriate intervention for managing uterine hyperactivity during labor, as per the information in the text?
Administer tocolytics
What is a potential cause of Polyhydramnios, based on the information provided?
Multiple pregnancies
Which condition during labor is characterized by the separation of a placenta that is normally implanted, and what are some of its possible causes?
Abruptio placentae, caused by hypertension, cocaine, and poor nutrition
What is a potential complication associated with Polyhydramnios as mentioned in the text?
Fetal hypoxemia
Which scenario would likely necessitate lifting the baby's head off the cord during labor?
Prolapsed Cord with cord extending out of the vagina
What is the significance of 'VEAL CHOP' in the context of fetal heart rate monitoring?
It indicates non-reassuring patterns in fetal heart rate monitoring.
Which of the following is NOT a sign of reassuring fetal heart rate patterns during labor?
Late decelerations
What is the primary intervention recommended for variable decelerations in fetal heart rate monitoring?
Attempt to lift the baby's head off the cord or change maternal position
Which of the following is a potential cause of abruptio placentae, the premature separation of a normally implanted placenta?
Maternal hypertension
In the context of fetal heart rate monitoring, what is the significance of the term 'nadir'?
The lowest point of a deceleration
Which of the following is a potential complication associated with polyhydramnios (excessive amniotic fluid) during labor?
Increased risk of cord prolapse
What is the primary purpose of the phenaphthazine (nitrazine) - blue test mentioned in the text?
To detect the presence of amniotic fluid
Which of the following is a potential intervention for maternal hypotension during labor?
Increase intravenous fluid administration
Which intervention is recommended for managing Polyhydramnios during labor?
Immediate C-section to prevent dystocia and prolapsed cord
What is the primary concern with Oligohydramnios (low amniotic fluid) during labor?
Prolonged fetal hypoxemia and decreased blood flow
Which of the following is the most appropriate intervention for managing Prolapsed Cord during labor?
Insert fingers into the vagina to apply pressure on the cord
Which condition is characterized by a tender, boardlike uterus with cramp-like contractions and potential concealed bleeding?
Abruptio Placentae
What is the primary concern with Abruptio Placentae during labor?
Potential for disseminated intravascular coagulopathy (DIC)
Which condition is characterized by a sharp tearing pain, anxiety, restlessness, rapid pulse, and signs of shock like hypotension?
Uterine Rupture
What is the primary intervention for managing Uterine Rupture during labor?
Perform emergency C-section and potential hysterectomy
Which of the following conditions is associated with an increased risk of Prolapsed Cord during labor?
Polyhydramnios
Study Notes
- Impending labor signs include lightening, increased vaginal mucus discharge, softening of the cervix, Braxton Hicks contractions, burst of energy, weight loss of 1 to 3 pounds, and rupture of membranes.
- True labor signs involve cervical dilation and effacement, contractions at regular intervals increasing in duration and intensity, back pain radiating around to the abdomen, bloody show, and expulsion of the mucus plug.
- Reasons to go to the hospital during impending labor include contractions, ruptured membranes, bleeding other than bloody show, decreased fetal movement, and any other concern.
- Fetal monitoring methods include fetoscope, Doppler, external monitoring, and internal monitoring.
- Fetal heart rate baseline is 110-160 BPM, with patterns like bradycardia, decreased variability, accelerations, early decelerations, variable decelerations, and late decelerations.
- VEAL CHOP is a mnemonic for interpreting fetal heart rate patterns: Variable decelerations indicate cord compression, Early decelerations are okay (head compression), Accelerations are good (predicts fetal oxygenation), and Late decelerations suggest placental insufficiency.
- Risk factors for preterm labor include prior premature birth, multiple pregnancies, uterine or cervical problems, high blood pressure, diabetes, smoking, alcohol use, young or advanced maternal age, lack of prenatal care, and untreated infections.
Test your knowledge on the signs and symptoms that indicate labor is approaching, such as lightening, increased vaginal mucus discharge, softening of the cervix, and more. Learn about the differences between false labor and true labor signs.
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