INSTRUCTIONS: Answer the following exercises by marking the lettered response that best answers the exercise, by completing the incomplete statement, or by writing the answer in the space(s) provided.

After you have completed all of these exercises, turn to "Solutions to Exercises" at the end of the lesson and check your answers. For each exercise answered incorrectly, reread the material referenced with the solution.

1. What three factors may predispose a woman to a precipitate delivery?

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2. List the dangers of precipitate delivery.

3. List the priority equipment found in a sterile obstetric or precipitate delivery pack.

4. What should be provided if there is no sterile equipment available?

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5. When should you bulb suction amniotic fluid from the infant's mouth?

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6. What should be done in the following situations?

7. What can happen if you slap an infant's buttocks to stimulate breathing?

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8. What is the purpose of drying and wrapping an infant immediately after delivery?

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9. How often should you check the mother's uterine fundus during the first hour after delivery?

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10. After delivery, why should the mother void often?

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11. List six of the nine facts that should be documented about the birth.

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SOLUTIONS, LESSON 3

1. A multipara with relaxed pelvic or perineal floor muscles.

A multipara with usually strong, forceful contractions.

Inadequate warning of imminent birth due to absence of painful sensations during labor. (para 3- 3)

2.

3. Gloves.

Towel/cloth.

Bulb syringe.

Hemostats or cord clamps.

Scissors.

Dry blanket/towel. (para 3-5c)

4. Paper, towel, blanket, or cord to place under patient's buttocks.

Ligating material such as string, yarn, or shoelaces to tie the cord.

A sharp instrument such as scissors, a knife, or razor to cut the cord.

A dry cloth to wrap infant after delivery. (para 3-5d)

5. After delivery of the head. (paras 3-6d and e)

6. Tight nuchal cord--clamp it twice and cut between the clamps.

Cord is loose, cannot be lifted over infant's head--slide the cord over the delivering body. (paras 3-6g(2),(3))

7. May cause bruising of a large surface area and may result in compromising circulatory volume. (para 3-6k(5))

8. To prevent heat loss. (para 3-6k(7))

9. Every 10 to 15 minutes. (para 3-7c)

10. To prevent bladder distention. (para 3-7g)

11. Any six of the nine listed.

Fetal position and presentation.

Presence of nuchal cord and method of reduction.

Color, character, and amount of amniotic fluid.

Time of delivery.

Sex of infant.

APGAR scores; need for stimulation or resuscitation.

Approximate time of placental expulsion, appearance, and completeness.

Maternal condition (affect, amount of bleeding, and status of uterine contractions).

Any unusual occurrences during the delivery. (para 3-7h)

End of Lesson 3