CHAP 23 - COMPLICATION OF LABOR OR BIRTH

Question 1

COMMON CAUSES OF DYSFUNCTIONAL LABOR

Answer 1

PCPF NFEI

Question 2

TYPES OF CONTRACTIONS

Answer 2

HYPERTONIC
HYPOTONIC
UNCOORDINATE

Question 3

HYPERTONIC

Answer 3

LATENT
PAINFUL
UNFAVORABLE REACTION
HELPFUL

Question 4

HYPOTONIC

Answer 4

ACTIVE
LIMITED PAIN
FAVORABLE REACTION
LITTLE VALUE

Question 5

DYSFUNCTION AT THE FIRST STAGE OF LABOR

Answer 5

1. PROLONGED LATENT P
2. PROTRACTED ACTIVE P
3. PROLONGED DECELERATION P
4. SECONDARY ARREST OF DILATATION

Question 6

DYSFUNCTION AT THE SECOND STAGE OF LABOR

Answer 6

1. PROLOGNED DESCENT
2. ARREST OF DESCENT

Question 7

INDUCTION AND AUGMENTATION OF LABOR

Answer 7

 The fetus is in a longitudinal line.
 The cervix is ripe, or ready for birth.
 The presenting part is the fetal head (vertex) and is engaged.
 There is no suspected CPD.
 The fetus is estimated to be mature by dating (over 39 weeks).

Question 8

ASS DANGERS OF OXYTOCIN

Answer 8

 Dizziness, headache
 Nausea and vomiting
 Tachycarda
 Hypotension
 Hypertonic contractions
 Fetal bradycardia or tachycardia
 Decrased urine output

Question 9

UTERINE RUPTURE

Answer 9

• occurs during labor, contraction stops, and bleeding occure primarily the abdominal cavity.

Question 10

Assessing the Preganant Patient with Complete Uterine Rupture

Answer 10

 Falling BP
 Rapid, weak pulse
 Severe abdominal pain
 Halt in contractions
 Absent FHR
 Possible vaginal bleeding

Question 11

a) Refers to the uterus turning inside out with either birth of the fetus or delivery of the placenta.

b) It is a rare phenomenon, occurring in about one in 20,000 births

Answer 11

UTERINE INVERSION

Question 12

occurs when amniotic fluid is forced into an open uterine blood sinus after a membraneruptureorpartial premature separation of the placenta.

Answer 12

AMNIOTIC FLUID EMBOLISM

Question 13

PROBLEMS WITH THE PASSENGER

Answer 13

1. PROLAPSE OF THE UMBILICAL CHORD
2. FETAL INTOLERANCE OF LABOR (AMNIOINFUSION)
3. MULTIPLE GESTATION
4. PROBLEMS WITH FETAL POSITION, PRESENTATION OR SIZE