Labor and Delivery Quiz 2
1. List three findings from Leopolds maneuve
Position
Engagement
Presentation
2. What is the nursing action which should be performed immediately following
AROM
—amniotiomy?
FHT’s
3. List three causes of fetal tachycardia.
Prematurity
Tocolytic agents
Maternal fever
4. List three causes of fetal bradycardia.
Hypoxia
Drugs
Cord compression
5. List the causes and the nursing action for 1. Early decelerations, 2. Variable decelerations, and 3. Late decelerations.
1. head compression —no action needed
2. Cord compression
—Oxygen, positional changes (delivery if not relieved by above actions)
3. Placental insufficiency —Oxygen, positional changes, increase IV fluids, delivery
6. What are three conditions which may contribute to prolapsed cord?
1. ROM with unengaged presenting part
2. Malpresentation
3. Polyhydramnios
7 What are the signs of uterine hyperstimulation in a laboring patient and what are the nursing actions?
Uterus does not completely relax in between contractions
Pain
Fetal distress
Nursing actions: turn off pitocin, offer narcotic analgesics as ordered or other sedation, monitor FHT’s
8. List three factors which cause pain in labor.
Myometrial anoxia
Stretching of cervix
Tension/anxiety/fear
9. What is the major and most common side effect of epidural anesthesia?
Hypotension
10. What are the nursing actions to monitor, prevent and treat this side effect?
IV flluid loading
BP q 3-15minutes
Left lateral positioning

11. What are some of the variables to be considered when dealing with different cultures in childbearing women?
Meaning of pain
Role of partner
Modesty
12. List two causes of dystocia in labor.
CPD
Malpresentation
13 List two valid indicators for induction of labor.
Postdates pregnancy
Previous precipitous delivery
PIH
13. List three dangers of labor induction.
Prolonged labor
Failed induction=CS
Pain
14. List three indications for cesarean section delivery.
Maternal diabetes
Fetal distress
Dystocia
15. List three requirements for VBAC
Previous low cervical CS
No CPD
Double set up
16. List a cause of shoulder dystocia.
Macrosomia due to maternal diabetes
17. List three causes of uterine atony following delivery
Large baby
Long labor
Multiple gestation