He patient has been pushing for two hours and is exhausted. The ...

[hubes95]

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.

[LegendaryAnswers]

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]

Excellent

[bblaney]

Gracias!