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BOOKLITCODE: 011 T CODE: 01 (4) A 23year-old promigravid a 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 Scin dilated Miter an hour. the tervis became fully ditated fetal heart beat is 90mm and there is three 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 IU 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 93. A 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 pain 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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BOOKLITCODE: 011 T CODE: 01 (4) A 23year-old promigravid a 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 Scin dilated Miter an hour. the tervis became fully ditated fetal heart beat is 90mm and there is three 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 IU 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 93. A 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 pain 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

BOOKLITCODE: 011 T CODE: 01 (4) A 23year-old promigravid a 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 Scin dilated Miter an hour. the tervis became fully ditated fetal heart beat is 90mm and there is three 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 IU 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 93. A 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 pain 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) The most likely indication for the vacuum delivery in this scenario is (B) Prolonged second stage of labor. The prolonged second stage of labor is defined as a labor duration longer than 3 hours for nulliparous women and 2 hours for multiparous women. In this case, the cervix is fully dilated, and there are regular uterine contractions, indicating that the second stage of labor is prolonged.<br /><br />91) The most likely complication the mother could develop in this scenario is (B) Uterine rupture. The administration of oxytocin can lead to an overstimulation of the uterus, causing it to become tense, strong, and highly contracted. This can result in uterine rupture, which is a serious complication that requires immediate medical attention.<br /><br />92) The most likely indication used to decide the performance of an episiotomy in this scenario is (D) Head visible in vulva. The presence of the head visible in the vulva indicates that the baby is descending into the birth canal and that an episiotomy may be necessary to facilitate a safe delivery.<br /><br />93) The most appropriate pain management for this mother in this scenario is (B) Teach labor breathing technique. Labor breathing techniques can help the mother manage pain and cope with contractions. It is important to provide pain management options that are safe and effective for both the mother and the baby.
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