BOOKLI TCODE:011 SUBMECT CODE 101 da mother came to a hospital with a complaint of labor pain for five hours. On evaluation she had three regular uterine contractions and cervix is scan dilated. Miter an hour, the cervis became fully dilated, fetal heart heal is 90 min and there is thrue rogular uterine contractions The nurse decided to deliver the fetus using vacuum What is the most likely indication for the above procedure" (C) Poor matemal expulsive effort (A) Tight perincum (B) Prolonged second stage of labor (D) Non reassuring fetal heart rate 91. A nurse administered three doses of 2 II of oxytocin in 1000 ml of normal saline solution for a pregnant mother who was indicated for labor induction. The dose was started with 20 drop per minute and increased every 30 minutes till adequate uterine contraction is achieved . After few hours, the uterus became tense, strong and highly contracted. What is the most likely complication the mother could develop? (A) Uterine inertia (C) Retained placenta (B) Uterine rupture (D) Chorioamnionitis 92. A 31-year-old primigravida mother visited a health center for delivery.On examination, the contraction was adequate with vertex presentation, the head was visible on the vulva and there was a bulged thinned perineum. The nurse conducted delivery of the baby by performing episiotomy. What is the most likely indication used to decide this procedure? (A) Vertex presentation (C) Thinned perineum (B) Uterine contraction (D) Head visible in vulva 20-year-old primigravida mother visited a health center for delivery.On arrival, she is on active first stage of labor with 8 cm cervical dilatation and three strong contractions in 10 minute. She shouts when she had pair secondary to uterine contraction. What is the most appropriate pain management for this mother? (A) Provide tocolytics to rest labor (B) Teach labor breathing technique (C) Encourage movement with attendant (D) Establish a relationship with the mother

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BOOKLI TCODE:011 SUBMECT CODE 101 da mother came to a hospital with a complaint of labor pain for five hours. On evaluation she had three regular uterine contractions and cervix is scan dilated. Miter an hour, the cervis became fully dilated, fetal heart heal is 90 min and there is thrue rogular uterine contractions The nurse decided to deliver the fetus using vacuum What is the most likely indication for the above procedure" (C) Poor matemal expulsive effort (A) Tight perincum (B) Prolonged second stage of labor (D) Non reassuring fetal heart rate 91. A nurse administered three doses of 2 II of oxytocin in 1000 ml of normal saline solution for a pregnant mother who was indicated for labor induction. The dose was started with 20 drop per minute and increased every 30 minutes till adequate uterine contraction is achieved . After few hours, the uterus became tense, strong and highly contracted. What is the most likely complication the mother could develop? (A) Uterine inertia (C) Retained placenta (B) Uterine rupture (D) Chorioamnionitis 92. A 31-year-old primigravida mother visited a health center for delivery.On examination, the contraction was adequate with vertex presentation, the head was visible on the vulva and there was a bulged thinned perineum. The nurse conducted delivery of the baby by performing episiotomy. What is the most likely indication used to decide this procedure? (A) Vertex presentation (C) Thinned perineum (B) Uterine contraction (D) Head visible in vulva 20-year-old primigravida mother visited a health center for delivery.On arrival, she is on active first stage of labor with 8 cm cervical dilatation and three strong contractions in 10 minute. She shouts when she had pair secondary to uterine contraction. What is the most appropriate pain management for this mother? (A) Provide tocolytics to rest labor (B) Teach labor breathing technique (C) Encourage movement with attendant (D) Establish a relationship with the mother

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90. (D) Non reassuring fetal heart rateExplanation: The most likely indication for delivering the fetus using vacuum in this scenario is a non-reassuring fetal heart rate. The fetal heart rate of 90 bpm is below the normal range (110-160 bpm), indicating potential fetal distress. Regular uterine contractions and full cervical dilation suggest that labor is progressing, but the non-reassuring fetal heart rate necessitates prompt intervention to ensure fetal well-being.91. (B) Uterine ruptureExplanation: The most likely complication the mother could develop in this scenario is uterine rupture. The administration of oxytocin led to strong and highly contracted uterine muscles, which can increase the risk of uterine rupture. Uterine rupture is a serious condition where the uterus tears, potentially endangering the life of both the mother and the fetus.92. (C) Thinned perineumExplanation: The most likely indication used to decide the performance of an episiotomy in this scenario is the thinned perineum. The presence of a bulged and thinned perineum suggests that the perineum is stretching and may tear during delivery. An episiotomy is performed to create a controlled opening in the perineum to prevent spontaneous and uncontrolled tearing during childbirth.93. (B) Teach labor breathing techniqueExplanation: The most appropriate pain management for this mother in the active first stage of labor with 8 cm cervical dilatation and strong contractions is to teach labor breathing techniques. Labor breathing techniques help the mother manage pain and cope with contractions by promoting relaxation and focusing on breathing. This non-pharmacological approach is effective in reducing the perception of pain during labor.

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