Variable Deceleration in Labor Nursing Care
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Questions and Answers

What is the definition of a 'mid-fetal head'?

  • The fetal head is in the birth canal but has not descended
  • The fetal head is above station 0
  • The fetal head is below station 0 but has not reached station +2 (correct)
  • The fetal head is at station +2

    • What is the definition of a 'high-fetal head'?

  • The fetal head is above station 0 (correct)
  • The fetal head is at station 0
  • The fetal head is in the birth canal but has not descended
  • The fetal head is below station 0

    • What is the main advantage of vacuum extraction over a C-section?

  • Lower risk of maternal complications
  • Lower risk of scalp injuries or head trauma
  • Lower risk of prolonged fetal distress (correct)
  • Lower risk of bleeding

    • What is one of the risks of vacuum extraction?

    <p>Minor scalp injuries or more serious trauma or bleeding of the head</p> Signup and view all the answers

    What is one of the cautions for performing a vacuum extraction?

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

    What is the current rate of Cesarean births in the United States?

    <p>26%</p> Signup and view all the answers

    What is the primary purpose of spinal anesthesia during labor and delivery?

    <p>To block specific nerve pathways and provide pain relief</p> Signup and view all the answers

    What is the recommended fluid for intravenous (IV) administration during spinal anesthesia?

    <p>Ringer's lactate</p> Signup and view all the answers

    Which of the following is NOT a nursing intervention mentioned for spinal anesthesia?

    <p>Administering oxygen therapy</p> Signup and view all the answers

    What is the primary purpose of epidural anesthesia during labor and delivery?

    <p>To block specific nerve pathways and provide pain relief</p> Signup and view all the answers

    Which of the following narcotics is mentioned as being used rarely due to adverse reactions?

    <p>Morphine sulfate</p> Signup and view all the answers

    What is a potential concern with the use of meperidine hydrochloride (Demerol) during labor and delivery?

    <p>Mother and infant interaction may be limited in the immediate postpartum period</p> Signup and view all the answers

    What is variable deceleration indicative of?

    <p>Cord compression</p> Signup and view all the answers

    During labor, what nursing care is provided in the first stage?

    <p>Support pain management</p> Signup and view all the answers

    What is a potential method for comfort and pain relief during labor?

    <p>Acupuncture and acupressure</p> Signup and view all the answers

    What should be monitored in the fourth stage of nursing care?

    <p>Amount of lochia and presence of clots</p> Signup and view all the answers

    What is an ominous sign related to deceleration during labor?

    <p>Repetitive deceleration</p> Signup and view all the answers

    What is the purpose of APGAR scores at 1 and 5 minutes after birth?

    <p>Evaluating the neonate's condition at birth</p> Signup and view all the answers

    What is the main role of the nurse during labor and birth experiences?

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

    Which of the following is NOT a factor that can influence the perception of pain during labor and birth?

    <p>Availability of medical equipment</p> Signup and view all the answers

    Which of the following is a type of complementary and alternative therapy for pain relief during labor and birth?

    <p>Therapeutic touch and massage</p> Signup and view all the answers

    What is the goal for reducing the maternal mortality rate in the 2020 National Health Goals related to pain relief during labor?

    <p>No more than 11.4 deaths per 100,000 live births</p> Signup and view all the answers

    What is the recommended approach for assessing pain and pain relief during labor and birth?

    <p>Listen carefully to the patient and observe their behavior</p> Signup and view all the answers

    What is the primary indication for using a vacuum extractor during delivery?

    <p>Prolonged second stage</p> Signup and view all the answers

    What is a potential complication for the neonate during vacuum extraction delivery that occurs if the procedure lasts longer than 10 minutes?

    <p>Cephalhematoma and scalp laceration</p> Signup and view all the answers

    At what gestational age is vacuum delivery safe to perform as long as the amniotic membrane has ruptured?

    <p>34 weeks</p> Signup and view all the answers

    What degree of perineal laceration involves the entire perineum and reaches the external sphincter of the rectum?

    <p>Third degree</p> Signup and view all the answers

    In which scenario is forceps delivery contraindicated?

    <p>Cephalic presentation</p> Signup and view all the answers

    What type of forceps delivery involves the fetal head being on the pelvic floor?

    <p>Outlet forceps delivery</p> Signup and view all the answers

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