HFHC Exam 2 UPDATED ACTUAL Questions and CORRECT Answers
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Course
HFHC
Institution
HFHC
HFHC Exam 2 UPDATED ACTUAL
Questions and CORRECT Answers
Postpartum fluid loss - CORRECT ANSWER - -within 12 hours, women diurese a lot
-profuse diaphoresis often occurs at night for first 2-3 days
-body is trying to get rid of extra fluid accum. during pregnancy
What are the 4 vaginal tears/...
HFHC Exam 2 UPDATED ACTUAL
Questions and CORRECT Answers
Postpartum fluid loss - CORRECT ANSWER - -within 12 hours, women diurese a lot
-profuse diaphoresis often occurs at night for first 2-3 days
-body is trying to get rid of extra fluid accum. during pregnancy
What are the 4 vaginal tears/episiotomies? - CORRECT ANSWER - 1st degree =
abraision, 1-2 sutures
2nd degree = vag. opening thru some of perineal tissue (most common), some sutures
Smoking, preeclampsia, infection, trauma, gestational diabetes, indicated (determined too risky
to continue to term - mom was sick enough, baby at risk, etc.)
Betamethasone purpose - CORRECT ANSWER - Steroid to promote fetal lung activity,
which helps kick start production of surfactant.
Goal is to get 2 injections 24 hrs apart. Med is very viscous and painful to receive. Causes
significant spike in blood sugar, so be cautious in diabetic moms.
PROM - CORRECT ANSWER - Premature rupture of membranes - rupture at least 1 hr
before onset of labor at any gestational age
,Spontaneous rupture of membranes and leakage of amniotic fluid before the onset of labor at any
gestational age.
Pt. is usually hospitalized and must be watched closely! Check mom's temp and watch fetal heart
rate (tachycardia = sign of infection); start IV abx (3 days) and then oral for duration of preg.
A condition that occurs when membranes rupture and amniotic fluid leaks from the vagina
before 37 weeks of gestation.
Baby goes to NICU to get IV abx and mom may get 1 more dose of abx after delivery.
Oxytocin (Pitocin) - CORRECT ANSWER - Synthetic version of oxytocin (natural feel
good hormone) that induces uterine contractions. High alert med (only when baby is still inside).
Used to induce labor or augment labor progressing slowly b/c of inadeq. uterine contractions.
Complications = placental abruption, uterine rupture, unnecessary c/s (med caused fetal distress),
after birth hemorrhage (use Pitocin to fix - contractions help stop bleeding), fetal hypoxemia (too
many contractions and baby can't get enough O2)
Fetal vertex positions - CORRECT ANSWER - Position = how baby lines up in birth
canal; Vertex = head down
*Where is back of baby's head in relation to mom's pelvis?*
, 1. OA (occiput anterior) - ideal and best position! Head down and face towards back of pelvis.
2. ROA (right occiput anterior) - back of head on right side and face towards back of pelvis
3. LOA (left occiput anterior) - back of head on left side and face towards back of pelvis -
**most common!
4. OP (occiput posterior) - back of baby's head is on back of pelvis (more difficult vaginal birth
with more risk - can cause more tears and bruising on face, may need c/s) and face is towards
front of pelvis
5. ROP (right occiput posterior) - back of baby's head on right side and face towards front of
pelvis
6. LOP (left occiput posterior) - back of baby's head on left side and face towards front of pelvis
7. ROT (right occiput transverse) - back of baby's head on right side and face is sideways in birth
canal
8. LOT (left occiput transverse) - back of baby's head on left side and face is sideways in birth
canal)
Stages of labor - CORRECT ANSWER - 1. Stage 1 - 1st contraction to 10 cm dilated -
LONGEST STAGE!
2. Stage 2 - 10 cm dilated to birth of baby (woman can expect pushing and delivery of baby)
3. Stage 3 - delivery of baby until delivery of placenta - SHORTEST STAGE! This stage is 30
min (if placenta does not detach, this becomes complicated)
4. Stage 4 - delivery of placenta through 2 hours (recovery time) after. Mom - watch for
bleeding, q15 min vitals and fundal massage; baby - how well adjusting
Induction of labor (IOL) - CORRECT ANSWER - The stimulation of uterine contractions
before the spontaneous onset of labor, with or without ruptured fetal membranes, for the purpose
of accomplishing birth.
Could be chemical (Prostaglandins, pitocin) or mechanical (balloon catheters)
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