Abnormalities of Labor & Brith

Question 1

Description of normal contractions during active labor?

Answer 1

• moderate to strong to palpation (>50 mmHg)
• last 45-60 secs
• 2-5 q 10 mins

Question 2

medical term for dysfunctional labor?

Answer 2

dystocia

Question 3

What is hypotonic uterine dysfunction?

Answer 3

contractions are infrequent and weak

Question 4

Abnormal labor patterns?

Answer 4

prolonged, protracted dilation, protracted descent, arrested dilation, arrested descent

Question 5

Abnormal Labor Pattern - Prolonged Latent Phase:

1) nulligravida
2) multigravida
3) tx

Answer 5

1) labor lasting > 20hrs
2) labor lasting > 14 hrs
3) rest or induction

Question 6

Abnormal Labor Pattern - Protracted Dilation:

1) nulligravida
2) multigravida
3) tx

Answer 6

1) < 1.2 cm/hr
2) < 1.5 cm/hr
3) stimulate labor

Question 7

Abnormal Labor Pattern - Protracted Descent:

1) nulligravida
2) multigravida
3) tx

Answer 7

1) < 1 cm/hr
2) < 2 cm/hr
3) stimulate labor, change positions

Question 8

Abnormal Labor Pattern - Arrested Dilation:

1) nulligravida
2) multigravida
3) tx

Answer 8

1) > 2hrs without progress
2) > 2hrs without progress
3) stimulate labor, operative delivery

Question 9

Abnormal Labor Pattern - Arrested Descent:

1) nulligravida
2) multigravida
3) tx

Answer 9

1) > 1 cm
2) > 1 cm
3) stimulate labor, operative delivery

Question 10

What is the normal uterine resting tone?

Answer 10

10 mmHg

Question 11

medical term for overstimulation of the uterus with no break in between contractions?

Answer 11

hypertonic

Question 12

Nursing Care for Abnormal Labor Progress?

Answer 12

• Careful assessment of contractions & pattern
• Assessment
  
  • Fetal position
  • Fetal presentation
• Report any abnormalities or deviations
• Reassure patient and her family
• Prevent exhaustion
• Closely assess for infection
• Prepare for potential fetal distress
• Prepare for possible operative delivery
• Prepare for potential hemorrhage
• Augment labor as needed

Question 13

Methods of labor augmentation?

Answer 13

• Artificial Rupture of Membranes (AROM)
• Diluted IV Pitocin (DIVP)
• Nipple stimulation
• Acupressure
  
  • Ho-Ku point

Question 14

What is the purpose of labor augmentation?

Answer 14

to enhance the strength and frequency of contractions

Question 15

What is considered a “favorable” Bishops Score?

Answer 15

> 8-9