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, scroll to the bottom of this page and check your answers. For each exercise answered incorrectly, reread the material referenced with the solution.
1. List six conditions that could increase a pregnant woman chances of having premature labor.
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2. Assemble resuscitation equipment and make sure it functions properly is one of the nursing interventions when:
a. Amniotic fluid enters into an opened maternal blood sinus.
b. Preterm delivery is imminent.
c. Multiple fetuses are known.
d. C-sections are performed.
3. List the four classifications of dystocia.
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4. What type of episiotomy is made on the midline but directed to the right or left?
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FOR EXERCISES 5 THROUGH 13. Match the terms in Column A with the correct definition or statement as listed in Column B. Place the letter of the correct answer in the space provided to the left of Column A.
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COLUMN A ____ 5. Induction of labor. ____ 6. Oversized baby. ____ 7. Episiotomy. ____ 8. Multiple pregnancy. ____ 9. Post term labor. ____ 10. Dystocia ____ 11. Preterm labor. ____ 12. Pelvic dystocia. ____ 13. Cesarean section. |
COLUMN B
a. Surgical incision made into the abdomen and uterus to deliver the fetus. b. Labor that is difficult which is due to mechanical and functional factors. c. Labor that occurs prior to 38 weeks gestation. d. Significant shortening of the internal diameters of the bony pelvis. e. Deliberate initiation of uterine contractions prior to their spontaneous onset and after the period of viability. f. An incision into the perineum made to facilitate delivery. g. Pregnancy that goes beyond 42 weeks gestation. h. An infant that weighs more than 4500 grams. i. Two or more fetuses in the uterus at the same time. |
14. Complication associated with oversized babies and their delivery are given below. Write the type of complication described in the blank before the description.
a. ___________________________ The fetus head may deliver, but the shoulders are too large for the pelvic inlet.
b. ___________________________ Possible lacerations of the vagina or of the perineum.
c. ___________________________ Dislocation of the fetus cervical vertebrae or fracture of the clavicle.
15. List the special situations in labor and delivery.
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FOR ITEMS 16 THROUGH 27. The following statements/phrases may be true or false. Indicate the correct answer by circling the “T” for true and “F” for false.
16. Preterm labor is not interrupted if there is severe bleeding or if the fetus is already dead. T F
17. The amniotic fluid is frequently thin in post term pregnancy, therefore, tracheal suctioning immediately at delivery is not performed. T F
18. An enema may be used to stimulate contractions if the patient is ready to deliver. T F
19. Most oversized babies are girls. T F
20. A Cesarean section is performed if an oversized fetus fails to descend. T F
21. A possible prolapsed cord is considered a possible complication during labor and delivery of multiple births. T F
22. Only on physician and on nurse should be notified to assist in multiple births. T F
23. The physician sutures the episiotomy (incision) after delivery of the fetus. T F
24. A Cesarean section is classified as major surgery. T F
25. Forceps delivery aids in shortening the second stage in dystocia. T F
26. The fetal head must be engaged for forceps delivery. T F
27. Midforceps delivery is an easy forceps delivery. T F
Lesson 05: Self-Test Answers
1. Any six of the following conditions:
Spontaneous rupture of membranes.
Cervical incompetency.
Uterine anomalies.
Overdistended uterus caused by hydramnios or two or more fetuses.
Anomalties of the products of conception.
Faulty placentation.
Retained intrauterine device.
Fetal death.
Serious maternal disease.
Unknown causes. (para 5-2b)
2. b (para 5-2d(4))
3. Pelvic.
Soft tissue.
Fetal.
Uterine. (para 5-5b)
4. Mediolateral. (para 5-10b(2))
5. e. (para 5-4a)
6. h. (para 5-6a)
7. f. (para 5-10a)
8. I. (para 5-8a)
9. g. (para 5-3a)
10. b. (para 5-5a)
11. c. (para 5-2a)
12. d. (para 5-5b(1))
13. a. (para 5-9a)
14. Shoulder dystocia.
Trauma to the birth canal.
Trauma to the fetus. (para 5-6b(1),(2),(3))
15. Preterm labor.
Post term labor.
Induction of labor.
Dystocia of labor.
Oversized babies.
Amniotic fluid embolism.
Multiple pregnancies.
Cesarean section.
Episiotomies. (para 5-1)
16. T (para 5-2c(2))
17. F (para 5-3b(2)(a))
18. T (para 5-4c(1))
19. F (para 5-6a)
20. T (para 5-6c(3))
21. T (para 5-8c(4)(b))
22. F (para 5-8c(4)(b))
23. F (para 5-10d)
24. T (para 5-9c(1))
25. T (para 5-11a(1)(a))
26. T (para 5-11b(2))
27. F (para 5-11c(2))