This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: He patient has been pushing for two hours and is exhausted. The fetal head is visible between ... (Read 48 times)

hubes95

  • Hero Member
  • *****
  • Posts: 561
on: Jun 28, 2018
he patient has been pushing for two hours and is exhausted. The fetal head is visible between contractions. The physician informs the patient that a vacuum extractor could be used to facilitate the delivery.
 
  Which statement indicates that the patient needs additional information about vacuum extraction assistance?
  1. A small cup will be put onto the baby's head, and a gentle suction will be applied.
  2. I can stop pushing and just rest if the vacuum extractor is used.
  3. The baby's head might have a bruise from the vacuum cup.
  4. The vacuum will be applied for a total of ten minutes or less.

Question 2

The patient has been pushing for two hours and is exhausted. The physician is performing a vacuum extraction birth. What finding is expected?
 
  1. The head is delivered after eight pulls during contractions.
  2. A bruise is present on the occiput that does not cross the suture line.
  3. The location of the vacuum is apparent on the fetal scalp after birth.
  4. Positive pressure is applied by the vacuum extraction during contractions.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

LegendaryAnswers

  • Sr. Member
  • ****
  • Posts: 341
Reply #1 on: Jun 28, 2018
Answer to Question 1

Correct Answer: 2
Rationale 1: The vacuum extractor is a small cup-shaped device that is applied to the scalp.
Rationale 2: Vacuum extraction is an assistive delivery, and the patient must continue with pushing efforts to accomplish the birth.
Rationale 3: The vacuum extractor might leave a bruise on the scalp where the device is placed.
Rationale 4: The vacuum extractor is applied to the scalp for up to 10 minutes total.

Answer to Question 2

Correct Answer: 3
Rationale 1: Use of the vacuum extraction for eight contractions is too many and can create damage to the fetal head. If fetal descent does not occur with the first two pulls, the procedure should be discontinued, and cesarean birth should take place.
Rationale 2: This is a cephalohematoma and is a complication of vacuum extraction birth.
Rationale 3: Caput in the shape of the vacuum cup is usually present immediately after birth and resolves in 23 days.
Rationale 4: Negative pressure is suction, which is needed to use the vacuum extractor to facilitate birth.


hubes95

  • Member
  • Posts: 561
Reply 2 on: Jun 28, 2018
Wow, this really help

chereeb

  • Member
  • Posts: 326
Reply 3 on: Yesterday
Gracias!

« previous next »
 

Did you know?

Adolescents often feel clumsy during puberty because during this time of development, their hands and feet grow faster than their arms and legs do. The body is therefore out of proportion. One out of five adolescents actually experiences growing pains during this period.

Did you know?

Elderly adults are at greatest risk of stroke and myocardial infarction and have the most to gain from prophylaxis. Patients ages 60 to 80 years with blood pressures above 160/90 mm Hg should benefit from antihypertensive treatment.

Did you know?

There are major differences in the metabolism of morphine and the illegal drug heroin. Morphine mostly produces its CNS effects through m-receptors, and at k- and d-receptors. Heroin has a slight affinity for opiate receptors. Most of its actions are due to metabolism to active metabolites (6-acetylmorphine, morphine, and morphine-6-glucuronide).

Did you know?

The modern decimal position system was the invention of the Hindus (around 800 AD), involving the placing of numerals to indicate their value (units, tens, hundreds, and so on).

Did you know?

Many supplement containers do not even contain what their labels say. There are many documented reports of products containing much less, or more, that what is listed on their labels. They may also contain undisclosed prescription drugs and even contaminants.

Taking a Patient’s Oral Temperature with an Electronic Thermometer Taking a Patient’s Oral Temperature with an Electronic Thermometer
Visible Light Spectrum Visible Light Spectrum
Multiple-dose drug administration: drug A and drug B are administered every 12 hours; drug B reaches Multiple-dose drug administration: drug A and drug B are administered every 12 hours; drug B reaches
Preoperative and Postoperative Patient Instructions Preoperative and Postoperative Patient Instructions
CT scan of the head shows a massive bleed with a midline shift. CT scan of the head shows a massive bleed with a midline shift.
Toxoplasma gondii in the heart of an HIV patient. Toxoplasma gondii in the heart of an HIV patient.
Video: DNA Replication Factory and Protein

For a complete list of videos, visit our video library