©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
Nurs 4040: L&D Complications Exam
Questions and Answers
Problems in L&D are related to what 4 factors? - Ans:✔✔-Powers (ctx, pushing)
Passenger (fetal aspects, position)
Passage (pelvis shape and size)
Psyche (moms response)
Describe hypotonic/insufficient contractions. - Ans:✔✔-Not changing the cervix
What do we do for hypotonic/insufficient contractions? - Ans:✔✔-Augmentation of labor
Amniotomy
C/S
Hydrate
Get her walking
What do we need to watch for with prolonged, ineffective labor? - Ans:✔✔-Infection
Page 1/22
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
Maternal exhaustion
Hypertonic contractions are also known as? - Ans:✔✔-Tachysystole
Tachysystole is defined as? - Ans:✔✔-More than 5 contractions in 10 minutes
What do we do for tachysystole? - Ans:✔✔-Promote rest
Give meds
Assess FHR and UC's
Define precipitous delivery. - Ans:✔✔-Onset to birth is less than 3 hours (does not mean less than 3
hours in hospital)
What is important to do with a precipitous delivery? - Ans:✔✔-Stay with the patient
What are some risk factors for a precipitous delivery? - Ans:✔✔-Hx
Multiparous women
What are some nursing assessments necessary for a precipitous delivery? - Ans:✔✔-Fetal complications
Lacerations
Describe inadequate pushing. - Ans:✔✔-Pushing for 4 hours
Page 2/22
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
What do we have to watch for with inadequate pushing? - Ans:✔✔-Maternal exhaustion
What is one thing we can do for inadequate pushing? - Ans:✔✔-Get mom to change positions
Define macrosomia. - Ans:✔✔-Greater than 4000 g at birth
What is a major symptom of OT or OP presentation? - Ans:✔✔-Back pain
What is the McRoberts position? - Ans:✔✔-Pull knees to ears
What are some issues with abnormal position? - Ans:✔✔-OP or OT
Breech (butt first)
Multifetal
Malpresentation (hand on head)
Describe shoulder dystocia. - Ans:✔✔-URGENT
Head out, but shoulder will not come out
What is some medical management of shoulder dystocia? - Ans:✔✔-C/S
Forceps
Vacuum
Page 3/22
FIRST PUBLISH OCTOBER 2024
Nurs 4040: L&D Complications Exam
Questions and Answers
Problems in L&D are related to what 4 factors? - Ans:✔✔-Powers (ctx, pushing)
Passenger (fetal aspects, position)
Passage (pelvis shape and size)
Psyche (moms response)
Describe hypotonic/insufficient contractions. - Ans:✔✔-Not changing the cervix
What do we do for hypotonic/insufficient contractions? - Ans:✔✔-Augmentation of labor
Amniotomy
C/S
Hydrate
Get her walking
What do we need to watch for with prolonged, ineffective labor? - Ans:✔✔-Infection
Page 1/22
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
Maternal exhaustion
Hypertonic contractions are also known as? - Ans:✔✔-Tachysystole
Tachysystole is defined as? - Ans:✔✔-More than 5 contractions in 10 minutes
What do we do for tachysystole? - Ans:✔✔-Promote rest
Give meds
Assess FHR and UC's
Define precipitous delivery. - Ans:✔✔-Onset to birth is less than 3 hours (does not mean less than 3
hours in hospital)
What is important to do with a precipitous delivery? - Ans:✔✔-Stay with the patient
What are some risk factors for a precipitous delivery? - Ans:✔✔-Hx
Multiparous women
What are some nursing assessments necessary for a precipitous delivery? - Ans:✔✔-Fetal complications
Lacerations
Describe inadequate pushing. - Ans:✔✔-Pushing for 4 hours
Page 2/22
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
What do we have to watch for with inadequate pushing? - Ans:✔✔-Maternal exhaustion
What is one thing we can do for inadequate pushing? - Ans:✔✔-Get mom to change positions
Define macrosomia. - Ans:✔✔-Greater than 4000 g at birth
What is a major symptom of OT or OP presentation? - Ans:✔✔-Back pain
What is the McRoberts position? - Ans:✔✔-Pull knees to ears
What are some issues with abnormal position? - Ans:✔✔-OP or OT
Breech (butt first)
Multifetal
Malpresentation (hand on head)
Describe shoulder dystocia. - Ans:✔✔-URGENT
Head out, but shoulder will not come out
What is some medical management of shoulder dystocia? - Ans:✔✔-C/S
Forceps
Vacuum
Page 3/22
