GANIBAN, GIL RAPHAEL L.

BSN210
MODULE ON THE ABNORMALITIES IN THE THIRD STAGE OF LABOR

Self-Assessment Questions:
Multiple Choice:
You are the nurse assigned in the Delivery room. You are going to take care of a woman who
has delivered her
baby.
1. During the third stage of labor you note a gush of blood and the uterus changes shape
from an oval shape to
an ovoid shape. This indicates.
D. B and C

2. The physician asks you deliver the placenta manually. Which actions will you take?
C. Pull gently the cord, other hand presses the uterus upward to prevent inversion

3. The mother has delivered the placenta; you noted that the shiny surface of the placenta
was first delivered.
What delivery mechanism is this known?
C. Schultze mechanism, baby

4. If the dirty surface of the placenta is the presenting part, this is known as:
A. Duncan mechanism, maternal

5. As part of your nursing responsibilities is to weigh the placenta. Basing on your previous
knowledge its weight
is ----- if the baby’s birthweight is 7lbs.
A. 1 lb

6. A placental fragments or membranes retained in the uterus maybe suspected

immediately after the birth of
the placenta when:
D. A and C

7. Failure of the placenta to separate and deliver in the absence of bleeding, may indicate:
B. A placenta accreta, increta and percreta

8. This is a condition where the cord is at the edge of the placenta:

B. Placenta Velamentosa

9. -10 Name two nursing diagnosis related to retained placenta.

9. Postpartum Hemorrhage as retained placental fragments
10. Deficient Fluid Volume