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AHN 548 Exam 5 Abnormalities Of Puerperium Questions And Answers
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AHN 548 Exam 5 Abnormalities Of Puerperium Questions And Answers
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AHN 548 Exam 5 Abnormalities Of PuerperiumQuestions And Answers
*#Cardinal Movements of Labor* ANS How a fetus in a vertex presentation passes through
birth canal
a) Engagement
b) Flexion
c) Descent and Internal Rotation
d) Extension of Fetal Head
e) External Rotation
f) Expulsion
b) Flexion ANS Allows smaller diameters of fetal head to present as fetus moves through
birth canal
c) Descent and Internal Rotation ANS Usually from an occiput transverse position to an
occiput anterior or occiput posterior position
d) Extension of Fetal Head ANS Occurs as it reaches the introitus and exits the birth canal
e) External Rotation ANS After delivery of the head the fetus rotates face forward relative to
shoulders
, f) Expulsion ANS ...
*ANALGESICS + ANESTHETICS* ANS *IV Narcotics: avoid near delivery bc of possible
neonatal depression*
-May need to reverse effects with narcan/naloxone if neonatal depression at time of delivery
*Epidural*: good pain relief for L&D, less spinal HA
*Spinal*: fast, short acting, frequent spinal HA
*General*: Emergent c-sections
*Pudendal block*: for pain relief at delivery
*Local block*: for repair of episiotomy or tear
Which type of anesthetic puts someone at risk for aspiration? ANS GENERAL
T/F: If pt is in active phase of arrest, and does not dilate in 2-4 hours, she needs to have a C-
section. ANS TRUE
T/F: Molding of the fetal head and caput succedaneum are normal. ANS TRUE
The upper limit is ___ hours in nulliparas and ___ hour in multiparas. ANS 3 hours in
nulliparas
1 hour in multiparas
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