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Nurs 4040 L&D Complications Test With Complete Solution
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Nurs 4040 L&D Complications TestWith Complete Solution
Problems in L&D are related to what 4 factors? - ANSWER Powers (ctx,
pushing)
Passenger (fetal aspects, position)
Passage (pelvis shape and size)
Psyche (moms response)
Describe hypotonic/insufficient contractions. - ANSWER Not changing the
cervix
What do we do for hypotonic/insufficient contractions? - ANSWER
Augmentation of labor
Amniotomy
C/S
Hydrate
Get her walking
What do we need to watch for with prolonged, ineffective labor? - ANSWER
Infection
Maternal exhaustion
Hypertonic contractions are also known as? - ANSWER Tachysystole
Tachysystole is defined as? - ANSWER More than 5 contractions in 10
,minutes
What do we do for tachysystole? - ANSWER Promote rest
Give meds
Assess FHR and UC's
Define precipitous delivery. - ANSWER Onset to birth is less than 3 hours
(does not mean less than 3 hours in hospital)
What is important to do with a precipitous delivery? - ANSWER Stay with the
patient
What are some risk factors for a precipitous delivery? - ANSWER Hx
Multiparous women
What are some nursing assessments necessary for a precipitous delivery? -
ANSWER Fetal complications
Lacerations
Describe inadequate pushing. - ANSWER Pushing for 4 hours
What do we have to watch for with inadequate pushing? - ANSWER Maternal
exhaustion
What is one thing we can do for inadequate pushing? - ANSWER Get mom to
change positions
Define macrosomia. - ANSWER Greater than 4000 g at birth
What is a major symptom of OT or OP presentation? - ANSWER Back pain
What is the McRoberts position? - ANSWER Pull knees to ears
, What are some issues with abnormal position? - ANSWER OP or OT
Breech (butt first)
Multifetal
Malpresentation (hand on head)
Describe shoulder dystocia. - ANSWER URGENT
Head out, but shoulder will not come out
What is some medical management of shoulder dystocia? - ANSWER C/S
Forceps
Vacuum
What is CPD? - ANSWER Cephalopelvic disproportion
Head and shoulders are too large for the pelvis
What is a major risk with CPD? - ANSWER Uterine rupture
Soft tissue obstruction
What are some complications of maternal obesity? - ANSWER GDM
Pre-E
Thrombosis
What is ECV? - ANSWER External cephalic version
Manually flip a breeched baby
What should you do before an ECV? - ANSWER NST to ensure fetal well being
U/S to ensure fetus still in breech presentation
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