Alterations In Intrapartal

Question 0

If a mother complains of pain after having a child by using forceps what do you need be worried about

Answer 0

Hematomas and bruises from the use of forceps

Question 1

Crossover of the sutures

Answer 1

Caput succedaneum

Question 2

What does cpd stand for and what does it mean

Answer 2

Cephlopelvic disproportion

Bigger head than what can fit through pelvic opening

Question 3

What needs to be done for a mother carrying a cpd fetus

Answer 3

C-section

Question 4

Vacuum extraction

Answer 4

Suction cup applied against occiput

Question 5

Why might you use the vacuum extraction during labor

Answer 5

Prolonged 2nd stage
Conditions that put mother and fetus at risk
Borderline cpd

Question 6

Contraindications for vacuum extraction

Answer 6

Face or breach 
Cpd
Extreme prematurity
Macrosomia
High fetal station

Question 7

What is the worry for babies when using any type of forceps

Answer 7

Ecchymoses
Facial and scalp lacerations
Facial nerve injury
Cephalohematoma

Question 8

V-back

Answer 8

Vaginal deliveries after c-sections as long as uterine cut is low uterine

Question 9

Cesarean births

Answer 9

Approx 33% of US births

Higher risk of maternal morbidity

Question 10

Acyclovir

Answer 10

Med given during antepartal periodo aids does not get passed on

Question 11

Most common uterine incision

Answer 11

Transverse in lower segment

Question 12

C-section prep

Answer 12

NPO
Antacid
Abd and perineal prep
Indwelling catheter
Suctioning function

Question 13

Beta methadone

Answer 13

Medication to help with lung maturity

Question 14

How frequent should vital signs be checked post delivery

Answer 14

Every 5 minutes until stable
15 minutes every hour
30 minutes until sent to pp

Question 15

Oligohydramnios

Answer 15

Too little fluid

Question 16

Amnioinfusion

Answer 16

Technique of introducing warmed, sterile, normal saline or Ringer’s lactate solution into the uterus through IUPC

Question 17

Cervical ripening

Answer 17

Softens by breakdown of collagen fibrils and effaces (ready to dilate)

Question 18

How can you make “cervical ripe”

Answer 18

Use prostaglandin agent
Use mechanical methods
Non pharmacological methods
Surgical methods used

Question 19

Why should a male wear a condom while having sex with a pregnant women

Answer 19

Semen stimulates prostaglandin and that stimulates contractions

Question 20

Augmentation of labor

Answer 20

stimulate contractions when natural labor has failed to progress

Question 21

Bishop score

Answer 21

Evaluate readiness for labor per pelvic exam

Score 0-10

Question 22

Dystocia

Answer 22

Abnormal or difficult labor due to mechanical factors

Question 23

What could dystopia be produced by

Answer 23

Inadequate uterine muscle activity
Fetus
Maternal pelvis

Question 24

Most common cause of dystocia

Answer 24

Dysfunctional uterine contractions

Question 25

Hypotonic labor patterns

Answer 25

Less than one centimeter dilated per hour or no cervical change for 2 hours

Question 26

What are risk factors for hypotonic labor patterns

Answer 26

Overstretch of uterus
Cpd
Excessive use of analgesia

Question 27

Hypertonic uterine dysfunction

Answer 27

Uterus never fully relaxes between contractions

Mother becomes exhausted and compromised placental perfusion

Question 28

Precipitous labor and birth

Answer 28

Entire labor and birth rapid within 3 hours

Abnormally strong contractions

Question 29

What is the biggest concern with postterm pregnancy

Answer 29

Placenta wearing out

The placenta will not be able to give baby blood and oxygen it needs after 42 weeks

Question 30

Are women on psych medications allowed to take their normal meds during pregnancy

Answer 30

Medications often cause problems

Question 31

What are babies with psych mothers usually like at birth

Answer 31

Lbw infant

Birth defects

Question 32

What is one thing with psych women to remember when caring for her

Answer 32

Same doctor/nurse will help calm her and she will feel more safe with someone she knows