SAS 10NUR 145

1.E

The Predisposing Factors:

-Premature rupture of membranes

-Fetal presentation other than cephalic

-Placenta previa

-Intrauterine tumors preventing the presenting part from engaging

-A small fetus

-CPD preventing firm engagement

-Hydramnios

-Multiple gestation

Oligohydramnios is not belong to Predisposing factors

2.C

The assessment findings for Cord Prolapse are the cord may be felt as the presenting part on an initial
vaginal examination during labor,Ultrasound evidence of prolapse of umbilical cord and The cord may be
visible at the vulva. Late deceleration pattern becomes apparent are not belong to the assessment of
Cord Prolapse.

3.B

Never replace the cord back into the vagina to avoid kinking and knotting obstructing blood flow

4.A

Fetal Risks:
-hypoxia,
-fractures to the clavicle,

-injury to neck and head

5.D

Fetal head is too large to pass through the bony pelvis is true regarding Cephalopelvic Disproportion

6.B

Ratio: INLET CONTRACTION- It is the narrowing of the anteroposterior diameter of the pelvis to < 11 cm,
or the transverse diameter to 12 cm or less.

7.D

PLACENTA SUCCENTURIATA
•It has 1 or more accessory lobes connected to the main placenta

•The small lobes may be retained in the uterus leading to hemorrhage and therefore must be removed
• The placenta appears torn at the edge

8.C

PLACENTA CIRCUMVALLATA
• The fetal side of the placenta is covered to some extent by the chorion

•The placenta is cup-shaped with raised margins with the whitish opaque chorion covering the
periphery

9.A

BATTLEDORE PLACENTA
•The cord is inserted marginally rather than centrally giving the appearance of a tennis racket

10.B

VELAMENTOUS INSERTION OF THE CORD

• The cord, instead of entering the placenta directly, separates into small vessels that reach the placenta
by spreading cross a fold of amnion
• Usually found with multiple gestation & is associated with anomalies

LESSON WRAP-UP (5 minutes)

*10

AL STRATEGY: CAT: Student Response Cards