When shaving a woman in preparation for cesarean section, the area to be shaved should be from ___ to ___
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Solution
Under breast to mid-thigh including the pubic area
Shaving is done to prevent infection and the area usually shaved should sufficiently cover the area for surgery, cesarean section. The pubic hair is definitely to be included in the shaving
The placenta should be delivered normally within ___ minutes after the delivery of the baby.
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Solution
30 minutes
The placenta is delivered within 30 minutes from the delivery of the baby. If it takes longer, probably the placenta is abnormally adherent and there is a need to refer already to the obstetrician.
When the nurse palpates the suprapubic area of the mother and found that the presenting part is still movable, the right term for this observation that the fetus is
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Solution
Floating
The term floating means the fetal presenting part has not entered/descended into the pelvic inlet. If the fetal head has entered the pelvic inlet, it is said to be engaged.
The following are types of breech presentation EXCEPT:
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Solution
Incomplete
Breech presentation means the buttocks of the fetus is the presenting part. If it is only the foot/feet, it is considered footling. If only the buttocks, it is frank breech. If both the feet and the buttocks are presenting it is called complete breech.
During an internal examination, the nurse palpated the posterior fontanel to be at the left side of the mother at the upper quadrant. The interpretation is that the position of the fetus is:
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Solution
LOA
The landmark used in determine fetal position is the posterior fontanel because this is the nearest to the occiput. So if the nurse palpated the occiput (O) at the left (L) side of the mother and at the upper/anterior (A) quadrant then the fetal position is LOA.
When the fetal head is at the level of the ischial spine, it is said that the station of the head is
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Solution
Station “0”
determining is defined as the relationship of the fetal head and the level of the ischial spine. At the level of the ischial spine, the station is “0”. Above the ischial spine it is considered (-) station and below the ischial spine it is (+) station.
The normal dilatation of the cervix during the first stage of labor in a nullipara is
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Solution
1.2 cm./hr
For nullipara, the normal cervical dilatation should be 1.2 cm/hr. If it is less than that, it is considered a protracted active phase of the first stage. For multipara, the normal cervical dilatation is 1.5 cm/hr.
At what stage of labor is the mother is advised to bear down?
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Solution
During a uterine contraction
The primary power of labor and delivery is the uterine contraction. This should be augmented by the mother’s bearing down during a contraction.
The following are common causes of dysfunctional labor. Which of these can a nurse, on her own manage?
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Solution
Full bladder
A full bladder can impede the descent of the fetal head. The nurse can readily manage this problem by doing a simple catheterization of the mother.
The following are natural childbirth procedures EXCEPT:
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Solution
Ritgen’s maneuver
Ritgen’s method is used to prevent perineal tear/laceration during the delivery of the fetal head. Lamaze method is also known as psychoprophylactic method and Dick-Read method are commonly known natural childbirth procedures which advocate the use of non-pharmacologic measures to relieve labor pain.