Problems With The Psssage 2

Question 1

What is a premature rupture of the membranes?

Answer 1

Spontaneous rupture of the membranes

Question 2

What are the 4 etiology if premature rupture of the membranes ?

Answer 2

Infections
Fetal abnormalities
Incompetent cervix
Sexual intercourse

Question 3

What is the major risk of premature rupture of the membranes?

Answer 3

Ascending uterine infection

• precipitation of labor

Question 4

What are the 6 treatment and nursing care for premature rupture Of the membranes ?

Answer 4

Wait, watch, bed rest, no sex

Assess for throw time of the rupture of the membranes and if labor has started

Check for the temperature frequently

Describe character of the amniotic fluid

Check for the WBC

provide psychological support

Question 5

What are the 8 nursing management of preterm labor?

Answer 5

Teach how to take med on time
Teach pt to check for BP > 120/140
Teach to assess fetal movement daily and the kick counts 
Drink adequate water 
Monitor uterine activity 
Decreased activity 
Lie on the die
Keep bladder empty

Question 6

What do you call the 2 medications which provide stressor to the lungs of the fetus to stimulate production of surfactant?

Answer 6

Batamethasone and Celestone

Question 7

What is a prolapse umbilical cord?

Answer 7

Umbilical cord precedes the fetus’s exit from the uterus. It drops through the open cervix into the vagina ahead of the baby.

Question 8

What is the risk factor if the prolapse of the umbilical cord?

Answer 8

Occurs anytime the inlet Is not occluded. Fetus is not well engaged.

Question 9

What are the 5 nursing interventions of prolapse umbilical cord?

Answer 9

Elevate presenting sort with a sterile gloved hand.

Palate FHTs, never attempt to replace cord

Give oxygen per mask

Cover exposed cord with sterile wet gauze

Stay with the patient and offer support

Question 10

What is an aminioinfusion?

Answer 10

Warmed, sterile normal saline is introduced into the uterus through an intrauterine pressure catheter.

Question 11

What are the 4 nursing interventions of aminioinfusion ?

Answer 11

Assess maternal and fetal v/s

Assess contractions

Provide comfort measures

Measure intake and output of the fluid

Question 12

What is a prolapse uterus?

Answer 12

Falling or sliding of the womb from its normal position into the vaginal area

Uterus is normally held in placed inside your pelvis with various muscles, tissues, and ligaments.

Question 13

What are the various stages of prolapse uterus?

Answer 13

1st degree: the cervix drops into the vagina

2nd: the cervix sticks to the opening of the vagina
3rd: the cervix is outside the vagina
4th: the entire uterus is outside the vagina

Question 14

What is a procidentia?

Answer 14

It is when entire uterus is outside the vagina. It is caused by the weakness in all of the supporting muscles .

Question 15

What are the three causes of prolapse uterus?

Answer 15

Multiple childbirths in normal or complicated delivery through the vagina

Weakness in the pelvis muscles with advanced age

After menopause : weakening and loss of tissue and loss of estrogen

Question 16

10 symptoms of prolapse uterus?

Answer 16

Feeling of pressure on pelvis 
Low back pain 
Feeling that something is coming out of your vagina 
Difficulty walking 
Painful sexual intercourse 
Frequent urination
Repeated bladder infections 
Feeling of pulling in the pelvic 
Vaginal bleeding 
Increased vaginal discharge

Question 17

What re the 7 causes of uterine rupture?

Answer 17

Placenta Previa
Placenta accrete 
Multiple fetuses 
Placental abrupt ion
Macrosomia
Trauma 
Difficulty removing the placenta after delivery