Week 3 Poll Qs Flashcards
Liza calls the L&D unit indicating that she is having irregular contractions in her abdomen, she indicates that the contractions get less painful when she moves around.
Prelabour or True Labour?
Prelabour
~ Ask about bloody show, gestational age, rate pain, check what cervix looks like, look for fluid and determine if baby is moving.
With a cephalic presentation, what is the usual presenting part?
a) Occiput
b) Frontal suture
c) Buttocks
d) Temporal bone
a) Occiput (back of head)
Can a client deliver vaginally with a fetus in a transverse lie?
Yes or No?
No
Vaginal examinations are contraindicating during which of the following?
a) Preterm labour
b) Placenta previa
c) Bulging membranes
d) Signs of fetal distress
b) Placenta previa
GBS is considered normal vaginal flora in nonpregnant women and therefore, poses minimal risk to the newborn.
False
Case study:
Sasha is a healthy G1P0 that presents for routine prenatal care at 36 weeks. The client is due for screening for GBS.
1) What do you discuss with the client?
2) How is the sample collected?
1) Explain what GBS is and how there is a risk that the bacteria can transfer to the neonate during vaginal delivery. Assure that if she is positive, prophylactic antibiotics may help, which are Pen G or Ancef). Risks include PROM
2) Swab vagina and then rectum & rotate. It’s a self-collected specimen done b/w 35-37 wks. It takes 24hrs to get the result
Case study:
Evie is a G2P1 that presents to L&D at 38 weeks and 4 days. They believe that their “water has broken”.
How do you confirm rupture of membranes?
1) Is there a fundal height change?
2) Complete vaginal exam
3) Sample the fluid and do a Nitrazine swab (it’ll turn blue if it is amniotic fluid) or put it under the microscope to look for ferning
Clients should be encouraged to use the Valsalva maneuver (holding one’s breath and tightening abdominal muscles) for pushing during the second stage.
False
