QUESTIONS AND VERIFIED
CORRECT ANSWERS
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- small catheter inserted through needle (allows continuous infusion)
Epidural Complications: Maternal Hypotension - CORRECT ANSWER-pre-hydrate with
IV fluids
Epidural Complications: Bladder Distension - CORRECT ANSWER-void prior to
insertion, may need foley
Epidural Complications: Prolonged Second Stage - CORRECT ANSWER-labor down
Epidural Complications: Catheter Migration - CORRECT ANSWER-doesn't work
anymore
Epidural Complications: Dural Puncture - CORRECT ANSWER-spinal headache post
procedure
Care of Mother After Birth - CORRECT ANSWER-- observe for hemorrhage
- promote comfort
- promote early family attachment
Care of Infant After Birth - CORRECT ANSWER-- monitor cardiopulmonary function
(apgar)
- support thermoregulation
- identify infant
Mother: Narcotics - CORRECT ANSWER-- delayed respiratory depression, monitor
respiratory status for 24 hours
- nausea and vomiting
, - pruritus
Baby: Narcotics - CORRECT ANSWER-look for depressed respiration
General Anesthesia - CORRECT ANSWER-- usually used for cesarean birth
- risk for aspiration of gastric contents
- clear liquids may be ordered
VBAC - CORRECT ANSWER-- Women who had previous cesarean birth(s) that elect
to have a vaginal birth
- significant risk for uterus rupture
Effleurage - CORRECT ANSWER-- the slow massage of the abdomen or another body
part during contractions
- Women learn to perform effleurage using both hands in a circular motion
Candidates for VBAC - CORRECT ANSWER-- low transverse uterine incisions reduce
the risk
- has to be ready for the C section just in case
C-Section Safety - CORRECT ANSWER-- discontinue oral intake
- cushions to the bony prominence
- safety strap
- vitals
- clean the incision and remove fluids
Vacuum Extraction - CORRECT ANSWER-- uses suction to grasp the fetal head while
traction is applied
- not used for the fetus of 34 weeks or less gestation because the suction is more likely
to injure the head,
- No more than three "pop-offs"
Forceps Delivery - CORRECT ANSWER-- blades may be closed or open and are
shaped to grasp the fetal head
- foam pads are available to cushion the fetal head from the blades.
- used to assist birth of the head, as it is born last in a vaginal breech birth
Internal Version - CORRECT ANSWER-- an uncommon procedure, most often for the
second twin after the first delivers
- physician reaches into the uterus with one hand and, with the other hand on the
maternal abdomen, moves the fetus into a longitudinal lie (cephalic or breech) to allow
vaginal birth
External Cephalic Version - CORRECT ANSWER-- change the fetal position
- may allow the woman to avoid a cesarean birth