MCN 109 - Complications of labor & delivery exam with complete solutions.
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Course
MCN 109
Institution
MCN 109
What are the forces that expel the fetus?
Primary and secondary force
What is the primary force in expelling the fetus?
Involuntary uterine muscular contractions causing effacement and dilatation of cervicx
What is the secondary force in expelling the fetus?
Voluntary, use of abdom...
MCN 109 - Complications of labor &
delivery exam with complete solutions
What are the forces that expel the fetus? - ANSWER- Primary and secondary
force
What is the primary force in expelling the fetus? - ANSWER- Involuntary uterine
muscular contractions causing effacement and dilatation of cervicx
What is the secondary force in expelling the fetus? - ANSWER- Voluntary, use of
abdominal muscles to push during the secondary stage
How are contractions during labor described? - ANSWER- Note the frequency,
duration, intensity.
What is frequency in contractions? - ANSWER- Time between the beginning of
one contraction and the beginning of the next contraction.
What is duration in contractions? - ANSWER- from the beginning of one
contraction to the end of the same contraction
What is intesity in contractions? - ANSWER- Strength of the contraction during
acme.
What is bearing down? - ANSWER- Check ppt
What are ineffective uterine forces? - ANSWER- Hypotonic uterine contractions
What is hypotonic uterine contractions? - ANSWER- Infrequent uterine
contraction not more than 2-3 occurring in a 10-minute period.
, What are the possible causes of hypotonic uterine contractions? - ANSWER-
Overstretching of the uterus
Bowel or bladder distention
Excessive use of analgesia
What are the signs and symptoms of hypotonic uterine inertia? - ANSWER- Weak
contraction - becomes mild
Infrequent
can be easily indented with fingertip
Prolonged active phase
Exhaustion of the mother
Psychological trauma - frustrated
What graph is used to assess phases of pregnancy? - ANSWER- Friedman's
graph
What are the therapeutic interventions of patients with hypotonic uterine
contractions? - ANSWER- - Ambulation
- Nipple stimulation
- Enema
- Amniotomy
- Augmentation of labor and pain
What is amniotomy? - ANSWER- artificial rupture of membranes with a tool called
the amniohook or amnicot.
What are the advantages of amniotomy? - ANSWER- Contractions are more
similar to those of spontaneous labor.
Usually no risk of rupture of the uterus.
Does not require as close surveillance.
What are disadvantages of an amniotomy - ANSWER- Delivery must occur
Increase danger of prolapse of umbilical cord
Compression and molding of the fetal head (caput).
What are the nursing care in amniotomy? - ANSWER- Check the fetal heart tones
Asses color, odor, amount
Provide perineal care
monitor contractions
Check temperature every 2 hours.
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