Findings/ Interventions
What is the first action if a cord prolapse is suspected?
Elevate the presenting part and call for help.
What is the purpose of oxytocin in the third stage of labor?
Promotes uterine contraction to prevent hemorrhage.
What is the indication for forceps-assisted delivery?
Prolonged second stage or non-reassuring FHR.
What is the normal finding for uterine position postpartum?
Midline and firm.
What is the initial step if a non-reassuring FHR is detected?
Reposition the mother to the left side.
What is a 'turtle sign' and what does it indicate?
Retraction of the fetal head after crowning; indicates shoulder dystocia.
Which medication is given to stop preterm labor?
Terbutaline.
When is a vacuum extractor contraindicated?
Fetal scalp abnormalities or preterm fetus.
What does lochia rubra indicate?
Normal early postpartum bleeding.
What FHR pattern indicates possible fetal hypoxia?
Late decelerations.
What complication is most associated with VBAC and sudden abdominal pain?
Uterine rupture.
Why should magnesium sulfate be monitored closely?
Risk of respiratory depression and toxicity.
What is a common complication of cesarean delivery
Infection or hemorrhage.
What symptom may indicate postpartum infection?
Foul-smelling lochia.
What is a normal fetal heart rate range?
110–160 bpm.
What should you do if the uterus becomes boggy after delivery?
Massage the fundus and assess bleeding.
What should be assessed before giving methylergonovine?
Blood pressure.
What must be done before an external cephalic version?
Non-stress test and informed consent.
What is a sign of urinary retention after birth?
Fundus displaced to the right.
What fetal heart pattern is most reassuring?
Moderate variability with accelerations.
What is the likely cause of bright red bleeding with a firm uterus postpartum?
Laceration of the cervix or vaginal wall.
What is the purpose of administering Rho(D) immune globulin?
Prevents Rh sensitization in Rh-negative mothers.
What position should the mother avoid after external version?
Supine.
Why is early ambulation encouraged postpartum?
Prevents blood clots and promotes bowel function.
What should you do if a variable deceleration occurs?
Change maternal position and administer oxygen.