NSPN 7100 Module 5B Questions and
Correct Answers/ Latest Update / Already
Graded
what occurs with the longer the membranes remain ruptured before
birth
Ans: greater risk of infection for fetus and mother
who are at particular risk when the membranes rupture pre labour
Ans: women who have been colonized with group B
streptococcus
what is the approach with term PROM , who are not GBS positive, have
no signs of infection, are health and the fetus is engaged
Ans: expectant management, wait for labour
women are elect expectant management and are discharged home are
given what health care advice
Ans: take showers rather than baths
refrain for intercourse
use proper techniques for perineal cleansing
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when to return to hops- signs of infection, vaginal draining with
meconium, fresh blood or is foul smelling, concerns about fetus
or selves
when are PROM women reassessed and offered labour induction
Ans: if labour has not commenced for 12-18 hours
the method of induction of labour depends on what
Ans: ripeness of cervix, overall health, health of fetus
what do we generally give for an unripe cervix
Ans: Prostaglandin E2 intravaginally
what is a women with a ripe cervix offered to induce labour
Ans: oxytocin
what is the Bishop score for
Ans: ripeness of cervix
one outcome of PROM is olygohydramnios what is this
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Ans: decreased amniotic fluid
infection on the uterus during pregnancy is medically known as?
Ans: chorioamnionitis
signs of chorioamnionitis
Ans: maternal fever, uterine irritability, maternal and fetal
tachycardias, uterine tenderness, foul smelling vaginal
discharge
labor dystocia
Ans: long, difficult and abnormal labor
what is labor dystocia the leading cause of
Ans: cesarean birth
what are some of the causes of dysfunctional labor
Ans: -ineffective uterine contractions or maternal bearing
down (powers)
-alterations in pelvic structure (passage)
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