Test 3- Modules 6,7,8 Flashcards

1
Q

T/F - The timing of vaginal exams should generally be linked to your decision on when to intervene for lack of progress.

A

True - no set time for VE

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2
Q

If the results will NOT change your _________, the vaginal exam should not be done.

A

management

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3
Q

You may decide that vaginal exams are not necessary as long as the woman appears to be progressing by _____ ______, but you must also decide how long you will wait for these signs before deciding to do a vaginal exam to assess for _______ _____ _______.

A

outward signs; lack of progress

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4
Q

T/F - Epidurals have been proven to increase the cesarean rate.

A

False - studies are conflicting

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5
Q

When baby is OP side-lying position should be with baby’s ____ toward the _____. Whenin semi-prone she should lay on side with baby’s _______ toward the __________.

A

back toward the bed.

back toward the ceiling.

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6
Q

T/F - Semisitting position should not be used if OP position is suspected.

A

True

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7
Q

Side lying lunge changes the _____ of the pelvis, giving ____ room on the _____ side of the pelvis, which increases chances of rotation in an ____ or _________ fetus.

A

shape; upper; OP or ascyclitic

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8
Q

Semisitting provides ________ advantage compared with supine. Should be used when progress ___________ and the woman __________.

A

gravity; is good and the woman prefers it.

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9
Q

Sitting upright with support is thought to be especially beneficial when the ______ are lower than the _____.

A

knees lower than the hips.

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10
Q

T/F - Leaning forward positions may enhance rotation from OP better than supine and semisitting postions.

A

True

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11
Q

Leaning forward positions are good when the woman has _________.

A

backache.

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12
Q

Leaning forward positions enlarge the pelvic ________.

A

inlet

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13
Q

Kneeling with leaning ______ fetus with __________.

A

aligns fetus with pelvic inlet.

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14
Q

Hands and knees aids rotation from ____ or _____.

may aid in reducing ________ _______.

A

OP or OT; anterior lip

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15
Q

____________ position can be used when OP is suspected during prelabor or early labor.

A

open knee-chest

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16
Q

Closed knee chest enlarges the pelvic _________ and is good when the woman has a __________ _______ or ______ _______.

A

outlet; swollen cervix or anterior lip

17
Q

Asymmetric standing increases the pelvic ___________ ____________.

A

outlet diameter.

18
Q

Squatting during pushing should not be used with ________ ___________ due to increase in _________.

A

breath holding; tears

19
Q

Lap squatting is useful when second stage progress has __________.

A

arrested.