Operative Deliveries

Question 0

Types of episiotomy

Answer 0

Midline, mediolateral (to the side)

Question 1

Episiotomy

Answer 1

Surgical incision of the perineum to enlarge the area to allow for a safe delivery preventing a tear

Question 2

Indications of episiotomy

Answer 2

Prevent damage to perineum, sphincter and rectum, prevent jagged tears, reduce risk to fetus, protect bladder, prevent future over stretching

Question 3

Complications with episiotomy

Answer 3

Blood loss, infection, pain, discomfort, painful intercourse

Question 4

Methods to reduce need for episiotomy

Answer 4

Kegel exercises, massage, avoid lithotomy position when pushing, side lying, warm compresses, breathing techniques

Question 5

Nursing care for episiotomy

Answer 5

Offer support and comfort, available for surgical needs, document, maintain sterility

Question 6

Care to episiotomy

Answer 6

Ice, assess pain, assess perineum, teach care, sitz bath, topical creams

Question 7

Cesarean section

Answer 7

A surgical procedure with an incision through the transabdominal site to remove a fetus

Question 8

C section purpose

Answer 8

Preserve life or health of mom and baby, prevent further complications

Question 9

Types of c section incisions

Answer 9

Vertical through skin and uterus
Horizontal though skin, vertical through uterus
Horizontal through skin and uterus

Question 10

What type of c section is the only kind that can be considered for future vaginal birth?

Answer 10

Horizontal

Question 11

Indications for c section

Answer 11

Malpresentation of fetus, prolapsed cord, implanted placenta, herpes/HIV, pelvic disproportion, failure to progress

Question 12

Number one issue for mortality

Answer 12

Hemorrhaging

Question 13

Major complications of c section

Answer 13

Aspiration, PE, would infection, dehiscence, thrombophlebitis, hemorrhage, uti, injury to bowel or bladder

Question 14

Preop nursing care

Answer 14

Education of possible c section, if scheduled do labs, vs, shave, bath, h&p, decide on anesthesia, npo 8 hrs, antacids, consent

Question 15

Immediate preop prep

Answer 15

IV, catheterization, remove dentures and stuff, allergies, npo, consent, explain procedure, emotional support

Question 16

In trap nursing care

Answer 16

Time out, I’d patient, sterile field, assist with counts, positioning, safety, assist father, baby care

Question 17

Post op nursing care

Answer 17

Assess fundus, lochia, vital signs, dressing, pain, foley, IV, deep breathing, anti thrombotic stockings

Question 18

Estimated blood loss for vaginal delivery

Answer 18

500ml

Question 19

Estimated blood loss for c section

Answer 19

1000ml

Question 20

Daily care and assessment of c section

Answer 20

BUBBLIE

Peri care, homan sign, assess incision, sutures, vs, oob, bonding, pain Meds

Question 21

Systemic analgesia

Answer 21

Crosses placental barrier, blood brain barrier, stadol

Question 22

Nerve block analgesia

Answer 22

Local injection of xylocaine into perineal tissues or pudendal nerve block

Question 23

Epidural anesthesia

Answer 23

Into subarachnoid space

Question 24

General anesthesia

Answer 24

Unconsciousness, not usually choice

Question 25

Nursing responsibilities r/t epidural

Answer 25

Assess IV, we'll hydrated, maintain sterility, support patient, assess for hypotension, decrease respirations, fetal hr, loss of sensation

Question 26

Complications with epidurals

Answer 26

Hypotension, bradycardia, dura tear, spinal headache, catheter migration, abscess, hematoma

Question 27

Post delivery care

Answer 27

Assess for hypotension and resp depression, stress incontinence, spinal headache, itchiness, n/v

Question 28

General anesthesia care

Answer 28

Not done unless emergency | Assess anesthesia, cricoid pressure, roll pt hip to relieve aorta and vena cava

Question 29

VBAC

Answer 29

Vaginal birth after cesarean section- must have had horizontal incision, good pelvis, risk for uterine rupture