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BOOKLITCODE: 011 w) A 22 year-old primigravida mother came to a hospital with a complaint of labor pain for five hours. On evaluation she had three regular uterine contractions and cervis is 8cm dilated After an hour, the cervis became fully dilated fetal heart beat is 90 min and there is three regular 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 drup 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-ol 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 SUBJECT CODE: 01

Pergunta

BOOKLITCODE: 011 w) A 22 year-old primigravida mother came to a hospital with a complaint of labor pain for five hours. On evaluation she had three regular uterine contractions and cervis is 8cm dilated After an hour, the cervis became fully dilated fetal heart beat is 90 min and there is three regular 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 drup 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-ol 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 SUBJECT CODE: 01

BOOKLITCODE: 011 w) A 22 year-old primigravida mother came to a hospital with a complaint of labor pain for five hours. On evaluation she had three regular uterine contractions and cervis is 8cm dilated After an hour, the cervis became fully dilated fetal heart beat is 90 min and there is three regular 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 drup 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-ol 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 SUBJECT CODE: 01

Solução

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ZoraideProfissional · Tutor por 6 anos

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1. The most likely indication for the vacuum delivery in the given scenario is (B) Prolonged second stage of labor. The cervix is fully dilated, and there are regular uterine contractions, but the fetal heart rate is concerning at 90 bpm. Vacuum delivery is indicated when there is a prolonged second stage of labor, especially when the fetal heart rate is non-reassuring.<br /><br />2. The most likely complication the mother could develop after administering oxytocin for labor induction is (A) Uterine inertia. The uterus becoming tense, strong, and highly contracted indicates that the uterus is not relaxing between contractions, which can lead to uterine inertia.<br /><br />3. The most likely indication used to decide the performance of an episiotomy in the given scenario is (D) Head visible in vulva. The head being visible on the vulva indicates that the baby is descending into the birth canal, and an episiotomy may be performed to facilitate delivery.<br /><br />4. The most appropriate pain management for the mother in the given scenario is (B) Teach labor breathing technique. Labor breathing techniques can help the mother manage pain and cope with contractions. Tocolytics are not typically used for pain management during labor, and while movement and establishing a relationship with the mother can be beneficial, teaching labor breathing techniques is the most appropriate option in this scenario.
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