exam

What are some risk factors for uterine rupture?

Prior uterine rupture, trauma, abortion, instrumental injury, grand multiparity, uterine overdistention, fetal malpresentation.

What intervention should be performed immediately if uterine rupture is suspected?

Start IV fluids, transfuse blood products, administer O2, and prep for immediate surgery.

What maternal symptom can indicate uterine rupture?

Sudden sharp abdominal pain or a ripping or tearing sensation not associated with contractions.

What is the assessment focus for the newborn after a shoulder dystocia complication?

Examine for fractures of the clavicle or humerus and assess for brachial plexus injuries and asphyxia.

What maternal assessment should be done post-shoulder dystocia?

Early detection for hemorrhage and trauma to the vagina, perineum, and rectum.

What are some interventions for a prolapsed cord?

Prompt recognition of fetal hypoxia, relieve pressure off the cord, and assist the patient into favorable positions.

What are common risk factors associated with preterm labor?

Previous spontaneous preterm birth, STIs, hypertension, bleeding of uncertain origin, uterine anomalies, multiple gestation.

What pharmacological intervention may reduce preterm labor complications?

Administering antenatal corticosteroids to reduce neonatal morbidity and mortality.

What are signs of respiratory distress in a newborn that require immediate assessment?

Depressed respirations, decreased muscle tone, heart rate less than 100 beats/min.

What does HELLP syndrome stand for?

Hemolysis, Elevated Liver Enzymes, Low Platelets.

What is a significant complication associated with placenta previa?

Painless bright red vaginal bleeding.

What is an essential step in managing late pregnancy bleeding due to placental disorders?

Initial care includes IV access, lab tests, and potential corticosteroid administration if before 34 weeks.

What do hypovolemic symptoms indicate in a patient experiencing hemorrhage?

Decreased oxygen carrying capacity and increased risk for anemia, infection, preterm labor.

What is the primary risk for infants associated with meconium-stained amniotic fluid?

Risk of developing meconium aspiration syndrome.

What are the four categories of the three-tier fetal heart rate classification system?

Category I, II, III.

What does the term 'subinvolution of the uterus' indicate in postpartum care?

Late PPH resulting from infection, retained placental fragments, or coagulopathy.

What is an expected sign of a miscarriage in threatened miscarriage cases?

Slight spotting with mild cramping.

What is the primary intervention for a newborn suspected of meconium aspiration syndrome?

Assess respiratory effort, suction as needed, and consider resuscitation equipment.

What should nursing interventions for intimate partner violence aim to do?

Provide reassurance, communicate the unacceptability of violence, maintain confidentiality, document carefully, educate the patient, and ensure safety.

What characteristics help define fetal positioning during labor?

Lie, presentation, position, and attitude.

What management should be prioritized for obstetrical hemorrhage?

Prompt recognition and intervention, including resuscitation with crystalloid and blood products.