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HOOKLET CODE W) A 22 year-old primigravida mother came to a hospital with a complaint of labor pain for live hours. On evaluation the had three regular uterine contractions and cervis is Scin dilated After an hour, the cervis became fully dilated.fetal beart beat is 90mm and there is three regular uterine contractions The nurse decided to deliver the ferus using vacuum. What is the most likely indication for the above procedure? (A) Tight perincum (C) Poor matemal expulsive effort (B) Prolonged second stage of labor (D) Non reassuring fetal heart rate 91. A nurse administered three doses of 2 III 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 22 SUBMECT CODE: 01

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HOOKLET CODE W) A 22 year-old primigravida mother came to a hospital with a complaint of labor pain for live hours. On evaluation the had three regular uterine contractions and cervis is Scin dilated After an hour, the cervis became fully dilated.fetal beart beat is 90mm and there is three regular uterine contractions The nurse decided to deliver the ferus using vacuum. What is the most likely indication for the above procedure? (A) Tight perincum (C) Poor matemal expulsive effort (B) Prolonged second stage of labor (D) Non reassuring fetal heart rate 91. A nurse administered three doses of 2 III 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 22 SUBMECT CODE: 01

HOOKLET CODE W) A 22 year-old primigravida mother came to a hospital with a complaint of labor pain for live hours. On evaluation the had three regular uterine contractions and cervis is Scin dilated After an hour, the cervis became fully dilated.fetal beart beat is 90mm and there is three regular uterine contractions The nurse decided to deliver the ferus using vacuum. What is the most likely indication for the above procedure? (A) Tight perincum (C) Poor matemal expulsive effort (B) Prolonged second stage of labor (D) Non reassuring fetal heart rate 91. A nurse administered three doses of 2 III 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 22 SUBMECT CODE: 01

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4) (D) Non reassuring fetal heart rate<br /><br />Explanation: The most likely indication for vacuum delivery in this scenario is a non-reassuring fetal heart rate. The fetal heart rate of 90 beats per minute is below the normal range (110-160 beats per minute), indicating potential fetal distress. The regular vacuum delivery may be performed to ensure the safety of both the mother and the fetus.<br /><br />terine rupture<br /><br />Explanation: The administration of oxytocin in large doses can lead to excessive uterine contractions, which can cause uterine rupture. Uterine rupture is a serious complication where the uterus tears, potentially leading to severe bleeding and endangering the life of the mother and the fetus. In this scenario, the uterus becoming tense, strong, and highly contracted indicates that the mother could develop uterine rupture.<br /><br />92) (D) Head visible in vulva<br /><br />Explanation: The most likely indication for performing an episiotomy in this scenario is the visibility of the baby's head in the vulva. An episiotomy is a surgical incision made in the perineum to enlarge the vaginal opening during childbirth. When the baby's head is visible in the vulva, it indicates that the birth canal and may require assistance with delivery. Performing an episiotomy can help facilitate the delivery and prevent further complications.<br /><br />93) (B) Teach labor breathing technique<br /><br />Explanation: The most appropriate pain management for this mother during the active first stage of labor with strong contractions is to teach labor breathing techniques. Labor breathing techniques, such as slow, deep breathing, can help the mother manage pain and cope with contractions. These techniques promote relaxation and can help reduce the perception of pain. Providing tocolytics, encouraging movement, or establishing a relationship with the mother may not be the most effective pain management strategies in this scenario.
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