NM 704 EXAM 3 MODULE 8 QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS VERIFIED
Active management of the third stage of labour
consists of interventions designed to facilitate the delivery of the placenta by increasing
uterine contractions and to prevent PPH by
averting uterine atony.
Within one minute of the delivery of the baby,
palpate the abdomen to rule out the presence of an additional baby or babies and give
oxytocin 10 units intramuscularly (IM).
The usual components of Active management of the third stage of labor include:
• administration of uterotonic agents
• controlled cord traction
• uterine massage after delivery of the placenta, as appropriate
Oxytocin is preferred over other uterotonic drugs because
• it is effective 2 to 3 minutes after injection
• has minimal side effects
• can be used in all women.
3rd stage of labor is definition
the period following the birth of the newborn through the expulsion of the placenta.
maximum safe Lidocaine dosages
• 4.5 mg/kg, up to 300 mg Lidocaine w/o epinephrine
• 7 mg/kg, up to 500 mg Lidocaine w/ epinephrine
, the signs of placental separation.
• A small gush of blood
• Lengthening of the umbilical cord
• Rise of the uterus into the abdomen
• The uterus becomes firm and rounded
Three Components of AMTSL according to the ICM/FIGO Joint Statement (2003)
are:
• Administration of a uterotonic medication within one minute of the birth of the baby,
after ruling out multiple gestation. Oxytocin is the preferred medication.
• Controlled cord traction to assist with placental expulsion.
• Uterine massage immediately after placental expulsion, and then as needed.
evidence regarding comparable outcomes with active management versus
expectant of the third stage.
AMTSL has CLEARLY demonstrated the following when AMTSL is used
compared with when expectant management is used to manage third stage of
labor:
• A reduced risk of postpartum hemorrhage
• Less overall blood loss
• Less anemia
• Less need for therapeutic uterotonics
Expectant/Physiologic management of third stage labor
noninterventionist approach that involves watchful waiting as third stage unfolds
spontaneously.
WITH COMPLETE SOLUTIONS VERIFIED
Active management of the third stage of labour
consists of interventions designed to facilitate the delivery of the placenta by increasing
uterine contractions and to prevent PPH by
averting uterine atony.
Within one minute of the delivery of the baby,
palpate the abdomen to rule out the presence of an additional baby or babies and give
oxytocin 10 units intramuscularly (IM).
The usual components of Active management of the third stage of labor include:
• administration of uterotonic agents
• controlled cord traction
• uterine massage after delivery of the placenta, as appropriate
Oxytocin is preferred over other uterotonic drugs because
• it is effective 2 to 3 minutes after injection
• has minimal side effects
• can be used in all women.
3rd stage of labor is definition
the period following the birth of the newborn through the expulsion of the placenta.
maximum safe Lidocaine dosages
• 4.5 mg/kg, up to 300 mg Lidocaine w/o epinephrine
• 7 mg/kg, up to 500 mg Lidocaine w/ epinephrine
, the signs of placental separation.
• A small gush of blood
• Lengthening of the umbilical cord
• Rise of the uterus into the abdomen
• The uterus becomes firm and rounded
Three Components of AMTSL according to the ICM/FIGO Joint Statement (2003)
are:
• Administration of a uterotonic medication within one minute of the birth of the baby,
after ruling out multiple gestation. Oxytocin is the preferred medication.
• Controlled cord traction to assist with placental expulsion.
• Uterine massage immediately after placental expulsion, and then as needed.
evidence regarding comparable outcomes with active management versus
expectant of the third stage.
AMTSL has CLEARLY demonstrated the following when AMTSL is used
compared with when expectant management is used to manage third stage of
labor:
• A reduced risk of postpartum hemorrhage
• Less overall blood loss
• Less anemia
• Less need for therapeutic uterotonics
Expectant/Physiologic management of third stage labor
noninterventionist approach that involves watchful waiting as third stage unfolds
spontaneously.
