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BOOKLITCODE: 011 primigravida 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 After an hour, the tervis became fully ditated.feral heart beat is 90mm and there is three rogular uterine contraction The nurse decided to deliver the fetus 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 Iti 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 Retained placenta (B) Uterine rupture (D) Chorioamnionitis 92. A 31-year-ol 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 crc DE: 01

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BOOKLITCODE: 011 primigravida 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 After an hour, the tervis became fully ditated.feral heart beat is 90mm and there is three rogular uterine contraction The nurse decided to deliver the fetus 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 Iti 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 Retained placenta (B) Uterine rupture (D) Chorioamnionitis 92. A 31-year-ol 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 crc DE: 01

BOOKLITCODE: 011 primigravida 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 After an hour, the tervis became fully ditated.feral heart beat is 90mm and there is three rogular uterine contraction The nurse decided to deliver the fetus 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 Iti 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 Retained placenta (B) Uterine rupture (D) Chorioamnionitis 92. A 31-year-ol 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 crc DE: 01

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1. (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 bpm is below the normal range (110-160 bpm), indicating fetal distress. Vacuum delivery is often performed when there is a concern for fetal well-being, such as a non-reassuring fetal heart rate, to ensure prompt delivery and minimize risks to the fetus.<br /><br />2. (B) Uterine rupture<br /><br />Explanation: The most likely complication the mother could develop in this scenario is uterine rupture. The administration of oxytocin, a uterotonic agent, can cause the uterus to become overly contracted and tense. If the contractions are too strong and the uterus becomes overly distended, it can lead to uterine rupture, which is a serious obstetric emergency.<br /><br />3. (D) Head visible in vulva<br /><br />Explanation: The most likely indication used to decide the performance of an episiotomy in this scenario is the visibility of the baby's head in the vulva. When the head is visible, it indicates that the baby is descending into the birth canal and that an episiotomy may be necessary to facilitate delivery and prevent perineal tears.<br /><br />4. (B) Teach labor breathing technique<br /><br />Explanation: The most appropriate pain management for this mother during the active first stage of labor is to teach labor breathing techniques. Labor breathing techniques can help the mother manage pain and cope with contractions. Providing tocolytics is not appropriate in this scenario as the mother is already in active labor. Encouraging movement with an attendant may be helpful but is not the primary pain management strategy. Establishing a relationship with the mother is important but does not directly address pain management.
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