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- Which of these are a possible complication of epidural anaesthesia? Select one or more: a. Prolonged labour b. Increased likelihood of an instrumental birth Oc. Chronic backache Od. HeadacheA 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 minutesWhich of the following is a false statement Select one: O a. Third trimester pregnancy may result in lardosis O b. Third trimester pregnancy may result in stress incontinence O c. Third trimester pregnancy may result in abdominal striae O d. Third trimester pregnancy may result in increased expiratory reserve volume
- What 2 ways can delivery of the placenta be managed during the 3rd stage? Select one or more: a. Conservative management b. Physiological management c. Active managementWhich 2 of the following would indicate that a woman is in the second stage of labour? Select one or more: a. The cervix is 10cm dilated b. The baby's head is visible Oc. The cervix is 3 cm dilated Od. The membranes rupturea b 20 с d e (D f g h- 13. Identify the female reproductive system structures described below. 1. site of fetal development 2. copulatory canal 3. egg typically fertilized here 4. becomes erect during sexual excitement 5. glands homologous to the bulbo-urethral glands of males 6. partially closes the vaginal opening; a membrane 7. produces oocytes, estrogens, and progesterone 8. fingerlike ends of the uterine tube m 好 j k I 3
- Lear ing Tek #4: P!CTURE ANALYSIS: Classify the picture as positive or negative feedback and explain how ieedback mechanism works in it. and explai how ieedback mechanism works in . POSITIVE/NEGATIVE FEEDBACI EXPLANATION FICTURE 1. Blood clotting Piatele Clot Fibrin Image Source: https://www.msdmanuals.com/- Imedia/manual/homeimages/hem blood clots pluggina.aif?thn=0&sc_lan 9=en Blood sugar Low Biood Supar promnles renase of Glucagon Insulin Immelin L s BicHd Sugar High Blood Sugur Image Source: https://.pinima.com/originals/5e/54/8e/5e548eb7090eb9d9 ede35475a83e7147.ipg ert 3. Thermoregulation Bady tenyeraure decreases Buty toneraliO Increases コ heling (shivering increases fleproases Image Source: https://ib.bioninja.com.au/ Media/negative- feedback med.jpeg 51 2.Identify 3 effects of Human Placental Lactogen (HPL) in pregnancy. Select one or more: O a. This helps to ensure the endometrium is ready to receive the implantation of the embryo O b. Higher levels of this are noted with multiple gestations O c. Reduces maternal insulin sensitivity leading to an increase in maternal blood glucose levels O d. Decreases maternal glucose utilisation, which helps ensure adequate fetal nutrition1. Roseann is scheduled for augmentation of labor with oxytocin. What factors would you ensure are in place before augmentation is begun? 2. The baby of Mrs. P is in occipito posterior position. She is experiencing severe back pain. What actions could her husband take to help relieve his wife’s pain caused by this posterior fetal position? 3. After rupture of the mother’s membranes, the fetal monitor shows variable decelerations. On inspection, you are able to see the umbilical cord at the vaginal opening. You are aware that this is a fetal emergency. In order of priority, what would be your best actions? You can include evidence based practices. Include your resources.
- 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 cycleWhich of the following is a false statement? G Q O With oral contraceptives, there is increased risk of coronary artery disease and stroke in smokers of all ages, but especially after age 35 O It is prudent to use contraception for one full year after the last menstrual period when one is perimenopausal O Estrogen therapy alleviates or eliminates hot flashes and may be useful short term if symptoms are debilitating O Hot flashes occur in all women during the perimenopausal yearsThe following are correct statements about false labor, except? * A.The pain is irregular in intensity and frequency. B.The duration of contraction progressively lengthens over time. C. There is no bloody vaginal discharge. O D. The cervix is still closed.