Which of the following factors would lead to an increased risk ...

[wenmo]

Which of the following factors would lead to an increased risk for a prolapsed cord to occur during an amniotomy?
 
  a. Presenting part engaged
  b. Postdated pregnancy
  c. Preterm pregnancy
  d. Term pregnancy

Question 2

Which clinical finding indicates the use of vacuum extraction as a birth method?
 
  a. Mentum presentation of the fetus
  b. Presence of caput succedaneum
  c. Maternal exhaustion as a result of ineffective pushing during second stage of labor
  d. Physician preference

[shoemake]

Answer to Question 1

ANS: C
Prolapsed cord is more likely to occur when the presenting part is not engaged and the pregnancy is preterm because the fetus would be smaller and there would potentially be more amniotic fluid. If the presenting part is engaged and the pregnancy is at term or postdated, it is less likely that a prolapsed cord would occur.

Answer to Question 2

ANS: C
Vacuum extraction is used in place of forceps as an assistive method to help with the birth of the fetus. It is not used in nonvertex presentations. Mentum presentation is where the chin is the presenting part. Vacuum extraction should not be used in the presence of caput succedaneum (swelling) or in the presence of excessive molding.

[wenmo]

TYSM

[nothere]

Excellent