Chapter 19: Nursing Care During Obstetric Procedures

Question 1

Urinary tract trauma (1 risk)

Answer 1

Cesarean section

Question 2

Infection or chorioamnionitis (3 risks)

Answer 2

amniotomy, induction and augmentation, Cesarean section

Question 3

Bishop score of >7-8 in first birth or >4 in second and later births (1 indication)

Answer 3

induction and augmentation

Question 4

Induction or augmentation of labor (1 indication)

Answer 4

amniotomy

Question 5

Hemorrhage (2 risks)

Answer 5

induction and augmentation, Cesarean section

Question 6

nuchal cord (1 contraindication)

Answer 6

version

Question 7

Worsening maternal medical conditions (1 indication)

Answer 7

induction and augmentation

Question 8

Ending pregnancy benefits mother/fetus (1 indication)

Answer 8

induction and augmentation

Question 9

placenta previa (2 contraindications)

Answer 9

induction and augmentation, version

Question 10

Pregnancy or chronic hypertension (preeclampsia) (2 indications)

Answer 10

induction and augmentation, Cesarean section

Question 11

small pelvic size (1 contraindication)

Answer 11

version

Question 12

Prolapsed umbilical cord (1 indication, 1 contraindication, 2 risks)

Answer 12

Indication: Cesarean section
Contraindication: induction and augmentation
Risks: amniotomy, induction and augmentation

Question 13

maternal cardiac or pulmonary disease (1 indication)

Answer 13

operative vaginal birth

Question 14

maternal seizures (1 indication)

Answer 14

Cesarean section

Question 15

fetal immaturity (1 contraindication)

Answer 15

Cesarean section

Question 16

Fetal death (1 indication, 1 contraindication)

Answer 16

Indication: induction and augmentation
Contraindication: Cesarean section

Question 17

coagulation defects (1 contraindication)

Answer 17

Cesarean section

Question 18

thrombophlebitis (1 risk)

Answer 18

Cesarean section

Question 19

uterine tachysystole (1 risk)

Answer 19

induction and augmentation

Question 20

vaginal birth can be accomplished quickly without trauma (1 indication)

Answer 20

operative vaginal birth

Question 21

Operative vaginal birth (1 indication)

Answer 21

episiotomy

Question 22

Uterine malformation (1 contraindication)

Answer 22

version

Question 23

Uterine rupture (1 risk)

Answer 23

induction and augmentation

Question 24

fetal entanglement in cord (1 risk)

Answer 24

version

Question 25

Postterm (42+ weeks) (1 indication)

Answer 25

induction and augmentation

Question 26

shortened stage necessary for maternal/fetal wellbeing (1 indication)

Answer 26

operative vaginal birth

Question 27

cord compression (1 indication, 1 risk)

Answer 27

Indication: operative vaginal birth
Risk: version

Question 28

paralytic ileus (1 risk)

Answer 28

Cesarean section

Question 29

Abnormal presentation (1 indication, 1 contraindication)

Answer 29

Indication: Cesarean section
Contraindication: induction and augmentation

Question 30

Cesarean section birth (1 risk)

Answer 30

induction and augmentation

Question 31

Nonreassuring FHR (1 indication)

Answer 31

operative vaginal birth

Question 32

Classic uterine incision (1 indication, 1 contraindication)

Answer 32

Indication: Cesarean section
Contraindication: induction and augmentation

Question 33

Abruptio placentae (3 indications, 2 risks)

Answer 33

Indications: induction and augmentation, operative vaginal birth, Cesarean section
Risks: amniotomy, version

Question 34

fetal size greater than 4000 g (1 contraindication)

Answer 34

version

Question 35

Cesarean section would be quicker (1 contraindication)

Answer 35

operative vaginal birth

Question 36

Previous Cesarean section birth (1 indication, 1 contraindication)

Answer 36

Indication: Cesarean section
Contraindication: version

Question 37

uterine placental insufficiency (late decelerations) (1 contraindication)

Answer 37

version

Question 38

oligohydramnios (1 contraindication)

Answer 38

version

Question 39

maternal water intoxication (1 risk)

Answer 39

induction and augmentation

Question 40

posterior birth (1 indication)

Answer 40

episiotomy

Question 41

multifetal gestation (1 contraindication)

Answer 41

version

Question 42

Genital herpes (1 indication)

Answer 42

Cesarean section

Question 43

dystocia (presenting part is crammed) (2 indications)

Answer 43

episiotomy, Cesarean section

Question 44

Labor/vaginal birth considered safe (1 indication)

Answer 44

induction and augmentation

Question 45

Fetus doesn’t fit birth canal (1 indication)

Answer 45

Cesarean section

Question 46

Spontaneous rupture of amniotic sac (1 indication)

Answer 46

induction and augmentation

Question 47

maternal exhaustion (1 indication)

Answer 47

operative vaginal birth

Question 48

atelectasis (1 risk)

Answer 48

Cesarean section

Question 49

Two or more low transverse C sections (1 contraindication)

Answer 49

induction and augmentation

Question 50

Prompt delivery is necessary (1 indication)

Answer 50

Cesarean section