A fetal head that is floating above the inlet during early labor: Is always associated with a deflexed attitude Is associated with an increased risk of Cesarean delivery Signifies a malposition Only occurs in cases of android pelvic architecture
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- An atrial septal defect is a birth defect in which there is an opening in the septum between the left and right atria. People with such a defect typically have more than a normal amount of blood in the right atrium. Why does blood flow from left to right across the septum rather than in the opposite direction? The excess of blood can cause hypertension in one circuit. Which one?6. The average in the umbilical vein during fetal life is about A. 20 mm Hg B. 30 mm Hg C. 40 mm Hg D. 50 mm HgMATCHING TYPE 1. Dropping of the fetal head into the pelvis2. Ends with complete dilation of the cervix3. Begins with the delivery of the baby4. Ends with the delivery of the babyA. First stage of laborB. Second stage of laborC. Third stage of laborD. Fourth stage of labor E. EffacementF. Lightening
- 3.A 38-year-old G1 undergoes a routine sonogram to survey fetal anatomy at 21 weeks' gestation. The cervical changes are found. She denies any complaints, including contractions. On sterile speculum exam she is noted to be dilated 1-2 cm with bulging membranes just past the level of the external os. She undergoes 24 hours of observation on labor and delivery without any change. What is the most likely diagnosis? OA. Inevitable abortion B. Cervical insufficiency Arresked preterm labor OC. D. Placenta Previa5. A 38-year-old G1 undergoes a routine sonogram to survey fetal anatomy at 21 weeks' gestation. The cervical changes as shown below are found. She denies any complaints, including contractions. On sterile speculum exam she is noted to be dilated 1-2 cm with bulging membranes just past the level of the external os. She undergoes 24 hours of observation on labor and delivery without any change. The patient elects to proceed with cerclage placement. What is the most appropriate statement regarding her probable outcome? OA. There is a 20% risk of delivery prior to term. OB. There is a 33% risk of delivery prior to 35 weeks' gestation. C. There is a 50% risk of delivery prior to 36 weeks' gestation. OD. There is at least a 50% risk of delivery prior to 28 weeks' gestation. *1. Encloses and protects the embryo and fetus from temperature fluctuations and trauma 2. Will form the umbilical cord and become part of the urinary bladder. 3. Provides nutrients and blood circulation for the first 2 weeks of gestation. 4. Is developed from the trophoblast layer of the blastocyst and forms the fetal portion of the placenta Match the following numbered functions above with the correct structures listed below. Number Structure Chorion Allantois Yolk sac Amnion
- 9. Match each uterine disorder with the correct description. aloodsma Adenomyosis Endometriosis Endometritis Leiomyoma polycystic ovarian lumica A syndrome bould to r a. "Fibroids" that grow within the myometrium; the most common form of pelvic tumor; typically do not interfere with pregnancy and most regress with menopause: b. Endometrial tissue is present within the myometrium; likely to occur in middleaged, multiparous women and resolve with menopause: c. Infection of the endometrial lining with a variable clinical picture but often marked by a foul- smelling vaginal discharge: baltimage set to viovel nolinot leader d. Presence of endometrium in ectopic sites usually within the pelvic cavity; likely to occur in young women who are infertile or who have chronic pelvic pain. Treated by suppressing ovulation: e. Leading cause of infertility: giriano scudo of besig is uimybibigg9. Marielle, 18 year old, Gravida 1 Para 0, 40 weeks AOG is in the labor and delivery unit. Eight minutes after a normal delivery under pudendal anesthesiaMarielle has not completed the third stage of labor. The uterus is discoid and firm; no bleeding is evident. What should the nurse do?a. Gently massage the uterus and waitb. Pull steadily but with greater traction on the cordc. Perform Crede's maneuver the contractions with intramuscular (IM) methergined. Manually remove the placenta.Identify 3 effects of progesterone on pregnancy. Select one or more: O a. This causes the uterus to remain contracted after delivery to reduce blood loss from the placental site O b. This is produced when the ovarian follicle that encloses the developing egg forms a structure called the corpus luteum O c. This decreases bladder tone leading to an increased risk of urinary infection O d. This prepares the body for pregnancy. It acts as an appetite stimulant Identify 1 effect of the hormone vasopressin in pregnancy. Select one: O a. This has an important compensatory mechanism for restoring blood pressure in hypovolaemic shock such as that which occurs during haemorrhage O b. Promotes the maintenance of the corpus luteum at the beginning of pregnancy O C. Involved in thickening of the endometrium and other aspects of regulating the menstrual cycle
- Marielle, 18 year old, Gravida 1 Para 0,40 weeks AOG is in labor. On examination, the cervix is 5 dilated, 50% effaced, and the vertex is at station . The position of fetal presentation has a large impact on the success of the second stage of labor. The diagram depicts which position of the fetus in the female pelvis? a. Left occiput transverse (LOT ) b. Right occiput posterior (ROP ) c. Left occiput anterior ( LOA ) d. Left mento transverse ( LMT ) e. Left sacro transverse (LST)6. During most of the active phase: A. Fetal descent occurs B. Uterine contractility diminishes C. Cervical dilation occurs linearly D. The cervix remains very posterior 7. Which of the following is generally true of multiparas? A. Labor is longer than in nulliparas B. Labor begins with the fetal head at a higher station than in nulliparas C. Prolonged latent phase is diagnosed after 20 h of labor D. Labor begins with a less mature cervix than in nulliparasA 29 year old multiparous client who has had an uneventful healthy pregnancy is admitted to the hospital. The physician informs the client is in the active phase of labor. The record also shows that the full term baby is in the left occiput posterior position. The nurse correctly says that the following are signs indicating that the labor is progressing, EXCEPT one:a. The duration becomes longer lasting for 10 to 20 minutesb. The interval becomes shorterc. The intensity of uterine contraction becomes strong and board like in consistencyd. The frequency is every 2 to 3 minutes