Presentation on theme: "NCLEX The nurse locates fetal heart tones in the upper-right quadrant. This finding should cause suspicion that the fetus is in a(n) A.Occiput posterior."— Presentation transcript:
NCLEX The nurse locates fetal heart tones in the upper-right quadrant. This finding should cause suspicion that the fetus is in a(n) A.Occiput posterior position B.Occiput transverse position C.Breech presentation D.Shoulder presentation
The nurse should suspect cephalopelvic disproportion after noting documentation about which of the following for a laboring client? A. Pelvic outlet is less than 9cm B. Midpelvis is contracted C. Fetal shoulders are too large to pass through the bony pelvis D. Fetal head is too large to pass through the bony pelvis
The nurse determines that a postpartum primipara who is most at risk for postpartum hemorrhage is the client who delivered which of the following infants? A.2500g infant B.3000g infant after a 2-hour labor C.3000g infant after a 9 hour labor D.3500g infant after a 12 hour labor
第九章 分娩并发症妇女的护理 Nursing care of intrapartum complications
胎膜早破 第一节 胎膜早破 premature rupture of membrane/PROM 1 、定义 胎膜在临产前破裂者，称为胎膜早破 Definition ： PROM is the rupture of the amniotic sac before labor begins. 2 、病因 etiology ： 创伤、宫颈内口松弛、妊娠后期性交、下生殖道感染 、羊膜腔内压力增高、衔接不好、胎膜发育不良、 缺乏微量元素。
Case study Zhang hong, a 30-year-old primipara, delivered a full term baby weighing 4200g, following with profuse vaginal bleeding, the amount of blood is about 300ml. The placenta delivers naturally, it is inspected that no segment or membranes have been left in the uterus, however, bleeding is continuing. A. what is the probable medical diagnosis? B. what are the most probable causes of this?
产后出血 一、定义： 胎儿娩出后 24 小时内，阴道流血量超过 500ml 者 ，称为产后出血。多发生在产后 2 小时内。 产后出血包括胎儿娩出后至胎盘娩出前，胎盘娩出 至产后 2 小时以及产后 2 小时至 24 小时 3 个时期， 多发生在前两期。 产后出血为产妇重要死亡原因之一，在我国目前居 首位。产妇一旦发生产后出血，预后严重。 Definition: postpartum hemorrhage is a condition that occur when 500ml or more of blood is lost within 24 hour after delivery of fetus.
子宫破裂 定义：子宫体部或子宫下段在妊娠期或分 娩期发生破裂称为子宫破裂。 Definition: rupture of the uterus refers to the splitting of the lower uterine segment or fundus of uterus in the third trimester or during labor.
子宫破裂 Xx, a 32 y primigravaida, in 38th wks gestation. There is vaginal watery discharge 3 d ago with abdominal pain for 10 h, the pain ↑ for 1h, fetal hand can be seen at the introitus. 20 mins ago, the intense abdominal pain relieved suddenly and the fetal hand is not visible. She is showing signs of pallor, diaphoresis, board-like abdomen with tenderness and rebounding pain; T 37.7, BP 80/40mmHg; fetal position is unclear, no FHR. What is the probable medical diagnosis?