Variable Deceleration in Labor Nursing Care

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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?

Minor scalp injuries or more serious trauma or bleeding of the head (B) Signup and view all the answers

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

All of the above (D) Signup and view all the answers

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

26% (D) Signup and view all the answers

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

To block specific nerve pathways and provide pain relief (C) Signup and view all the answers

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

Ringer's lactate (B) Signup and view all the answers

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

Administering oxygen therapy (C) Signup and view all the answers

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

To block specific nerve pathways and provide pain relief (A) Signup and view all the answers

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

Morphine sulfate (C) Signup and view all the answers

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 (B) Signup and view all the answers

What is variable deceleration indicative of?

Cord compression (A) Signup and view all the answers

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

Support pain management (C) Signup and view all the answers

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

Acupuncture and acupressure (D) Signup and view all the answers

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

Amount of lochia and presence of clots (A) Signup and view all the answers

What is an ominous sign related to deceleration during labor?

Repetitive deceleration (A) Signup and view all the answers

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

Evaluating the neonate's condition at birth (D) Signup and view all the answers

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

All of the above (D) 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?

Availability of medical equipment (D) 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?

Therapeutic touch and massage (C) 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?

No more than 11.4 deaths per 100,000 live births (B) Signup and view all the answers

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

Listen carefully to the patient and observe their behavior (C) Signup and view all the answers

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

Prolonged second stage (A) 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?

Cephalhematoma and scalp laceration (A) Signup and view all the answers

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

34 weeks (D) Signup and view all the answers

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

Third degree (A) Signup and view all the answers

In which scenario is forceps delivery contraindicated?

Cephalic presentation (C) Signup and view all the answers

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

Outlet forceps delivery (D) Signup and view all the answers