Author Question: A maternal indication for the use of vacuum extraction is: a. A wide pelvic outlet. c. A history ... (Read 83 times)

mspears3 · **on:** Jun 28, 2018

A maternal indication for the use of vacuum extraction is:

a. A wide pelvic outlet. c. A history of rapid deliveries.
b. Maternal exhaustion. d. Failure to progress past 0 station.

Question 2

The nurse practicing in a labor setting knows that the woman most at risk for uterine rupture is:

a. A gravida 3 who has had two low-segment transverse cesarean births.
b. A gravida 2 who had a low-segment vertical incision for delivery of a 10-pound infant.
c. A gravida 5 who had two vaginal births and two cesarean births.
d. A gravida 4 who has had all cesarean births.

akemokai · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: B
A mother who is exhausted may be unable to assist with the expulsion of the fetus.
The patient with a wide pelvic outlet will likely not require vacuum extraction. With a rapid delivery, vacuum extraction is not necessary. A station of 0 is too high for a vacuum extraction.

Answer to Question 2

ANS: D
The risk of uterine rupture increases for the patient who has had multiple prior births with no vaginal births. As the number of prior uterine incisions increases, so does the risk for uterine rupture. Low-segment transverse cesarean scars do not predispose the patient to uterine rupture.