NUR 099 (Nursing Seminar 1)

STUDENT ACTIVITY SHEET BS NURSING / FOURTH YEAR

Session # 7

LESSON TITLE: OBGYN NURSING PART 4

Materials:
LEARNING OUTCOMES:
Book, pen and notebook, index card/class list
Upon completion of this lesson, the nursing student can:

1. Review the nursing care of a family experiencing a

complication of labor or birth;
2. Know the difference between the problems of the passenger
and the passage for birth; References: References: Pillitteri, A. (2009).
3. Apply the nursing management for mothers who are Maternal & Child Health Nursing: Care of the
experiencing a complication of labor and delivery Childbearing & Childrearing Family (6th Edition).
4. Detect the problems a woman may encounter during the Lippincott Williams & Wilkins
postpartum period.

LESSON PREVIEW/REVIEW (5 minutes)

MAIN LESSON (55 minutes)

I. Nursing care of a family experiencing a sudden pregnancy complication

a. Bleeding during pregnancy
b. Preterm labor
c. Preterm rupture of membranes
d. Hypertensive disorders during pregnancy
e. HELLP syndrome
f. Multiple pregnancy
g. Polyhydramnios
h. Oligohydramnios
i. Postterm pregnancy
j. Rh incompatibility

CHECK FOR UNDERSTANDING (25 minutes)

You will answer and rationalize this by yourself. This will be recorded as your quiz. One (1) point will be given to correct
answer and another one (1) point for the correct ratio. Superimpositions or erasures in you answer/ratio is not allowed. You
are given 25 minutes for this activity:

Multiple Choice

1. A 22-year old woman named Riza has been brought into the delivery room and was diagnosed to have
tachysystole labor. What would be the characteristic of tachysystole labor?
a. Infrequent and brief contractions
b. More than 5 contractions per 10 minute intervals in 2 consecutive intervals
c. Prolonged active phase
d. Uterus can be easily indented by the fingertip

ANSWER: ________
RATIO:___________________________________________________________________________________________
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 2. Which of the following would contribute to the pain felt by the mother during tachysystole labor?
a. Cephalopelvic disproportion
b. Malpresentation
c. Anoxia
d. Malposition

ANSWER: ________
RATIO:___________________________________________________________________________________________
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3. A 25-year old woman named Josefina is in the delivery room has been diagnosed to have hypotonic labor. The
nurse would confirm the diagnosis with the presence of which of the following characteristics?
a. Contractions has more than 90 seconds duration
b. Frequency of contractions are less than 2 minutes
c. The number of contractions is usually infrequent which is not more than 2 or 3 occurring in a 10-mute
period
d. Strong and frequent contractions

ANSWER: ________
RATIO:___________________________________________________________________________________________
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4. Which of the following cases would strongly contribute to the hypotonic labor of the mother?
a. Nulliparity
b. Polyhydramnios
c. Small for gestational age fetus
d. Grand multiparity

ANSWER: ________
RATIO:___________________________________________________________________________________________
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5. In order for the nurse to prevent the occurrence of hypotonic labor, the nurse should avoid excessive use of which
of the following medications?
a. Oxytocin
b. Methergine
c. Sedatives
d. Analgesic

ANSWER: ________
RATIO:___________________________________________________________________________________________
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6. During hypotonic labor the fetus may be in distress. When the obstetrician has performed amniotomy, which of
the following is the nurse going to do?
a. Observe for the odor of the amniotic fluid
b. Determine the amount of amniotic fluid present
c. Observe for the color of the amniotic fluid
d. Check for the presence of blood in the amniotic fluid

ANSWER: ________
RATIO:___________________________________________________________________________________________
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 7. When assessing the mother who is undergoing hypotonic labor the nurse must assess signs of infection if the
labor is already prolonged. Which of the following would indicate that the mother has an infection?
a. Fetal bradycardia
b. Presence of meconium in the amniotic fluid
c. Fever and chills
d. Distended bladder

ANSWER: ________
RATIO:___________________________________________________________________________________________
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8. If induction of labor is unsuccessful and full dilatation has not occurred when the mother has hypotonic labor the
next step that the nurse is going to expect for the obstetrician to do is
a. Prep the mother for caesarean section
b. Use assistive tools such as forceps
c. Help the mother in the labor through vacuum extraction
d. Perform an episiotomy

ANSWER: ________
RATIO:___________________________________________________________________________________________
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9. During an ultrasonography the physician has noticed that the baby’s hips and knees are flexed so that the baby is
sitting cross-legged, with feet beside the bottom. What is being presented in this situation?
a. Frank breech
b. Incomplete breech
c. Complete breech
d. Footling breech

ANSWER: ________
RATIO:___________________________________________________________________________________________
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10. Which of the following conditions must the nurse alert to the obstetrician when performing a delivery?
a. Cord prolapse
b. Rupture of membranes
c. Crowning of head
d. External rotation of the head

ANSWER: ________
RATIO:___________________________________________________________________________________________
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11. When the fetus is in a breech presentation, the nurse must perform which of the following procedures early in
labor?
a. Ritgen’s maneuver
b. Episiotomy
c. External cephalic version
d. Fundal push

ANSWER: ________
RATIO:___________________________________________________________________________________________
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 12. Vaginal breech delivery is done by a skilled health care provider and is safe and feasible under the following
conditions EXCEPT
a. Adequate clinical pelvimetry
b. Complete or frank breech
c. Had a previous caesarean section for cephalopelvic disproportion 2 years ago
d. Fetus has a flexed head

ANSWER: ________
RATIO:___________________________________________________________________________________________
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13. During ultrasonography the obstetrician has found out that the fetus is in a complete breech presentation on the
28th week age of gestation. The doctor will attempt to perform external version at what week?
a. 37 weeks
b. 32 weeks
c. 38 weeks
d. 30 weeks

ANSWER: ________
RATIO:___________________________________________________________________________________________
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14. Caesarean section will be performed if the type of breech presented is
a. Complete breech
b. Frank breech
c. Double footling breech
d. None of the above

ANSWER: ________
RATIO:___________________________________________________________________________________________
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15. In a transverse type of position, the presenting part is usually
a. One of the shoulders
b. An iliac crest
c. A hand
d. Any of the above

ANSWER: ________
RATIO:___________________________________________________________________________________________
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16. This type of presentation is caused by hyper-extension of the fetal head so that neither the occiput nor the
sinciput is palpable on vaginal examination
a. Sinciput
b. Occiput
c. Transverse
d. Face

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ANSWER: ________
RATIO:___________________________________________________________________________________________
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17. Which of the following is true with regards to face chin-anterior position type of malpresention?
a. Descent and delivery of the head may occur
b. The fully extended head is blocked by the sacrum which prevents descent and labor is arrested
c. Labor progress is slowed with slowed descent of the fetal head
d. Fetus lies horizontally in the pelvis so that the longest fetal axis is perpendicular to that of the mother

ANSWER: ________
RATIO:___________________________________________________________________________________________
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18. Which of the following medical procedures is avoided during a face presentation?
a. Augmentation of labor with oxytocin
b. Caesarean section
c. Delivery by forceps
d. Vacuum extraction

ANSWER: ________
RATIO:___________________________________________________________________________________________
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19. When assessing for the well-being of the fetus the nurse must monitor which of the following if the fetus is
malpresented?
a. Vital signs of the mother
b. Fetal heart beat
c. Maternal contractions
d. Maternal respirations

ANSWER: ________
RATIO:___________________________________________________________________________________________
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20. Kiara the mother who is already prolonged in labor says to the nurse, “This is hopeless; I really can’t do it
anymore. I’m so much frustrated.” Which of the following nursing responses is most therapeutic
a. “The doctor is doing everything she can in order to help you get past this labor.”
b. “Would you opt to be placed in a caesarean section instead?”
c. “It must be hard for you to be experiencing this. But let’s think positive and be patient, you can still do
this.”
d. “We’ll see other options that we can do in order to augment this labor that you are experiencing.”

ANSWER: ________
RATIO:___________________________________________________________________________________________
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RATIONALIZATION ACTIVITY (THIS WILL BE DONE DURING THE FACE TO FACE INTERACTION)
The instructor will now rationalize the answers to the students. You can now ask questions and debate among yourselves.
Write the correct answer and correct/additional ratio in the space provided.
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LESSON WRAP-UP (10 minutes)

You will now mark (encircle) the session you have finished today in the tracker below. This is simply a visual to help you
track how much work you have accomplished and how much work there is left to do.

You are done with the session! Let’s track your progress.

AL Strategy: CAT 3-2-1 / EXIT TICKET/PASS

1. The instructor will instruct the students to record three things he or she learned from the lesson.
2. The students will record two things that they found interesting and that they like to learn more or if they still have
something to clarify about the topic.
3. After answering the question, station yourself at the door and collect the “exit pass” as students depart from the room.
Respond to students’ answer during the next class meeting or as soon as possible

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