MCN 109 - Complications of labor &
delivery exam with complete solutions
What are the forces that expel the fetus? - ANSWER- Primary and secondary
force
What is the primary force in expelling the fetus? - ANSWER- Involuntary uterine
muscular contractions causing effacement and dilatation of cervicx
What is the secondary force in expelling the fetus? - ANSWER- Voluntary, use of
abdominal muscles to push during the secondary stage
How are contractions during labor described? - ANSWER- Note the frequency,
duration, intensity.
What is frequency in contractions? - ANSWER- Time between the beginning of
one contraction and the beginning of the next contraction.
What is duration in contractions? - ANSWER- from the beginning of one
contraction to the end of the same contraction
What is intesity in contractions? - ANSWER- Strength of the contraction during
acme.
What is bearing down? - ANSWER- Check ppt
What are ineffective uterine forces? - ANSWER- Hypotonic uterine contractions
What is hypotonic uterine contractions? - ANSWER- Infrequent uterine
contraction not more than 2-3 occurring in a 10-minute period.
, What are the possible causes of hypotonic uterine contractions? - ANSWER-
Overstretching of the uterus
Bowel or bladder distention
Excessive use of analgesia
What are the signs and symptoms of hypotonic uterine inertia? - ANSWER- Weak
contraction - becomes mild
Infrequent
can be easily indented with fingertip
Prolonged active phase
Exhaustion of the mother
Psychological trauma - frustrated
What graph is used to assess phases of pregnancy? - ANSWER- Friedman's
graph
What are the therapeutic interventions of patients with hypotonic uterine
contractions? - ANSWER- - Ambulation
- Nipple stimulation
- Enema
- Amniotomy
- Augmentation of labor and pain
What is amniotomy? - ANSWER- artificial rupture of membranes with a tool called
the amniohook or amnicot.
What are the advantages of amniotomy? - ANSWER- Contractions are more
similar to those of spontaneous labor.
Usually no risk of rupture of the uterus.
Does not require as close surveillance.
What are disadvantages of an amniotomy - ANSWER- Delivery must occur
Increase danger of prolapse of umbilical cord
Compression and molding of the fetal head (caput).
What are the nursing care in amniotomy? - ANSWER- Check the fetal heart tones
Asses color, odor, amount
Provide perineal care
monitor contractions
Check temperature every 2 hours.
delivery exam with complete solutions
What are the forces that expel the fetus? - ANSWER- Primary and secondary
force
What is the primary force in expelling the fetus? - ANSWER- Involuntary uterine
muscular contractions causing effacement and dilatation of cervicx
What is the secondary force in expelling the fetus? - ANSWER- Voluntary, use of
abdominal muscles to push during the secondary stage
How are contractions during labor described? - ANSWER- Note the frequency,
duration, intensity.
What is frequency in contractions? - ANSWER- Time between the beginning of
one contraction and the beginning of the next contraction.
What is duration in contractions? - ANSWER- from the beginning of one
contraction to the end of the same contraction
What is intesity in contractions? - ANSWER- Strength of the contraction during
acme.
What is bearing down? - ANSWER- Check ppt
What are ineffective uterine forces? - ANSWER- Hypotonic uterine contractions
What is hypotonic uterine contractions? - ANSWER- Infrequent uterine
contraction not more than 2-3 occurring in a 10-minute period.
, What are the possible causes of hypotonic uterine contractions? - ANSWER-
Overstretching of the uterus
Bowel or bladder distention
Excessive use of analgesia
What are the signs and symptoms of hypotonic uterine inertia? - ANSWER- Weak
contraction - becomes mild
Infrequent
can be easily indented with fingertip
Prolonged active phase
Exhaustion of the mother
Psychological trauma - frustrated
What graph is used to assess phases of pregnancy? - ANSWER- Friedman's
graph
What are the therapeutic interventions of patients with hypotonic uterine
contractions? - ANSWER- - Ambulation
- Nipple stimulation
- Enema
- Amniotomy
- Augmentation of labor and pain
What is amniotomy? - ANSWER- artificial rupture of membranes with a tool called
the amniohook or amnicot.
What are the advantages of amniotomy? - ANSWER- Contractions are more
similar to those of spontaneous labor.
Usually no risk of rupture of the uterus.
Does not require as close surveillance.
What are disadvantages of an amniotomy - ANSWER- Delivery must occur
Increase danger of prolapse of umbilical cord
Compression and molding of the fetal head (caput).
What are the nursing care in amniotomy? - ANSWER- Check the fetal heart tones
Asses color, odor, amount
Provide perineal care
monitor contractions
Check temperature every 2 hours.
