Nr 327 Exam 2 Set Questions And Answers

Fetal complications w/ precipitous labor/birth {Ans: Fetal hypoxia Meconium staining and aspiration Brachial plexus injury Low Apgar Intracranial hemorrhage}During the first trimester what is ultrasonography used for? {Ans: Confirm pregnancy, verify location of pregnancy, identify multifetal gestation, gestational age with crown-rump and head measurement, number and fiability of fetuses, identify markers such as nuchal translucence, which suggests chromosome or other abnormalities, determine location of uterus, cervix, and placenta for procedures as CVS.}Calcium channel blockers {Ans: Inhibit smooth muscle contractions. Superior delay in labor 48-72 hours}Precipitous labor/birth {Ans: Labor and birth occuring in < 3hr occurs when as a sudden and often unattended birth Associated with maternal and fetal complications}Heroin {Ans: Physically addictive - babies get morphine for withdrawal. Physiologic withdrawal symptoms when withheld for 12-38 hours. Withdrawal symptoms: Muscle and ab pain, anxiety, htn, diaphoresis, N/V, increased salivation and nasal secretions}Vertical skin incision {Ans: Advantages -Quicker to perform -Better visualization of the uterus -Can quickly extend upwards for greater visualization if needed. -Often more appropriate for obese women Disadvantges -Easily visible when healed -Greater chance of dehiscence and hernia formation.}What should a woman who expects a cesarean birth be taught about the operating room?