NSPN 7100 MODULE 5B EXAM 2024/25
QUESTIONS WITH COMPLETE SOLUTIONS!!
what occurs with the longer the membranes remain ruptured before birth
Answer - greater risk of infection for fetus and mother
who are at particular risk when the membranes rupture pre labour Answer -
women who have been colonized with group B streptococcus
what is the approach with term PROM , who are not GBS positive, have no
signs of infection, are health and the fetus is engaged Answer - expectant
management, wait for labour
women are elect expectant management and are discharged home are given
what health care advice Answer - take showers rather than baths
refrain for intercourse
use proper techniques for perineal cleansing
when to return to hops- signs of infection, vaginal draining with meconium,
fresh blood or is foul smelling, concerns about fetus or selves
when are PROM women reassessed and offered labour induction Answer - if
labour has not commenced for 12-18 hours
the method of induction of labour depends on what Answer - ripeness of
cervix, overall health, health of fetus
, what do we generally give for an unripe cervix Answer - Prostaglandin E2
intravaginally
what is a women with a ripe cervix offered to induce labour Answer - oxytocin
what is the Bishop score for Answer - ripeness of cervix
one outcome of PROM is olygohydramnios what is this Answer - decreased
amniotic fluid
infection on the uterus during pregnancy is medically known as? Answer -
chorioamnionitis
signs of chorioamnionitis Answer - maternal fever, uterine irritability, maternal
and fetal tachycardias, uterine tenderness, foul smelling vaginal discharge
labor dystocia Answer - long, difficult and abnormal labor
what is labor dystocia the leading cause of Answer - cesarean birth
what are some of the causes of dysfunctional labor Answer - -ineffective
uterine contractions or maternal bearing down (powers)
-alterations in pelvic structure (passage)
-fetal causes, including abnormal presentation or position, anomalies, excessive
size, and number of fetuses (passenger)
-maternal position during labor and birth
-psychologic responses of the mother to labor related to past experiences,
preparation, culture and heritage, and support system
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