Question

1. Identify THREE ways false contractions are different from real, labor contractions.

b.  Identify THREE ways of preventing and stopping false contractions.

2, How can a nurse identify cord prolapse?

b. What are the risks and potential complications associated with cord prolapse?

c, Identify THREE priority treatments for cord prolapse

3. How does blood volume change throughout pregnancy?

b. Why does the blood lost during a typical delivery not cause shock?

4.  Describe how a nurse would perform an assessment of fundus

b. What is the difference between a “firm” fundus and a “boggy” fundus?

c. Which type requires medical intervention?

d. List FIVE types of medical intervention used.

Answer 1

1.The ways in differentiating a false contraction from true contraction are

• The contraction timing is different, thet are not regular ,in simple the contraction comes and goes
• The pain will not be continuous or increasing as in true contraction
• The pain will be present only in front of the abdomen where as in True contraction the pain can be felt in the loin region also
• The rest or activity can decrease the contraction pain
• When there is lack of fluid in the body
• Full bladder
• After intercoitus

b.Some of the ways to stop false contraction are

• Relaxation techniques, massaging
• Warm bath
• Walking is the best way to stop contraction
• Changing positions
• Staying hydrated
• warm drinks like luke warm water or tea

2.Some of the ways to identify the prolapsed cord are

• Visualization of the cord
• Bradycardia in the fetus or fetal distress sign can be noted
• Excessive amniotic fluids
• The presentation of the fetius is breech

b.The risk and potential complications of cord prolapse are

• Fetal distress
• Fetal death
• Still birth
• Fetal hypoxia leading to damage of brain function

c.The priority treatment for cord prolapse are

• Providing a knee-chest position
• Elevation of the part can reduce adverse problems
• Taking the mother fir immediate C section