29 Questions
What is the definition of a 'mid-fetal head'?
The fetal head is below station 0 but has not reached station +2
What is the definition of a 'high-fetal head'?
The fetal head is above station 0
What is the main advantage of vacuum extraction over a C-section?
Lower risk of prolonged fetal distress
What is one of the risks of vacuum extraction?
Minor scalp injuries or more serious trauma or bleeding of the head
What is one of the cautions for performing a vacuum extraction?
All of the above
What is the current rate of Cesarean births in the United States?
26%
What is the primary purpose of spinal anesthesia during labor and delivery?
To block specific nerve pathways and provide pain relief
What is the recommended fluid for intravenous (IV) administration during spinal anesthesia?
Ringer's lactate
Which of the following is NOT a nursing intervention mentioned for spinal anesthesia?
Administering oxygen therapy
What is the primary purpose of epidural anesthesia during labor and delivery?
To block specific nerve pathways and provide pain relief
Which of the following narcotics is mentioned as being used rarely due to adverse reactions?
Morphine sulfate
What is a potential concern with the use of meperidine hydrochloride (Demerol) during labor and delivery?
Mother and infant interaction may be limited in the immediate postpartum period
What is variable deceleration indicative of?
Cord compression
During labor, what nursing care is provided in the first stage?
Support pain management
What is a potential method for comfort and pain relief during labor?
Acupuncture and acupressure
What should be monitored in the fourth stage of nursing care?
Amount of lochia and presence of clots
What is an ominous sign related to deceleration during labor?
Repetitive deceleration
What is the purpose of APGAR scores at 1 and 5 minutes after birth?
Evaluating the neonate's condition at birth
What is the main role of the nurse during labor and birth experiences?
All of the above
Which of the following is NOT a factor that can influence the perception of pain during labor and birth?
Availability of medical equipment
Which of the following is a type of complementary and alternative therapy for pain relief during labor and birth?
Therapeutic touch and massage
What is the goal for reducing the maternal mortality rate in the 2020 National Health Goals related to pain relief during labor?
No more than 11.4 deaths per 100,000 live births
What is the recommended approach for assessing pain and pain relief during labor and birth?
Listen carefully to the patient and observe their behavior
What is the primary indication for using a vacuum extractor during delivery?
Prolonged second stage
What is a potential complication for the neonate during vacuum extraction delivery that occurs if the procedure lasts longer than 10 minutes?
Cephalhematoma and scalp laceration
At what gestational age is vacuum delivery safe to perform as long as the amniotic membrane has ruptured?
34 weeks
What degree of perineal laceration involves the entire perineum and reaches the external sphincter of the rectum?
Third degree
In which scenario is forceps delivery contraindicated?
Cephalic presentation
What type of forceps delivery involves the fetal head being on the pelvic floor?
Outlet forceps delivery
Learn about variable deceleration during labor, its implications, and nursing care interventions in the first and second stages of labor. Dive into the importance of respecting contraction time, changing positions, pain management, and preparing for birth.
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