NUR 4445 Intrapartum Complications

NUR 4445 Intrapartum Complications
1. What is macrosomia?What are the risk factors for macrosomia (6)?
Answer
- Baby weighing e 4,000 g (8 lb 8 oz) at birth.
- Risk factors associated with macrosomia
· Obesity, diabetes, pelvic abnormalities, post-date pregnancy, short stature, previ- ous shoulder
dystocia
2. What are the maternal complications associated with macrosomia (5)?
Answer
- Cephalopelvic disproportion (CPD)
- Dysfunctional labor
- Prolonged labor
- Soft tissue laceration during vaginal birth
- Postpartum hemorrhage
3. What are the fetal complications associated with macrosomia (9)?
Answer
- Shoul- der dystocia (head is born but anterior shoulder cannot pass through cervix, if
unresolved can lead to death)
- Brachial plexus injury
- Fractured clavicle
- Asphyxia
- Hypoglycemia
- Meconium aspiration
- Hyperbilirubinemia
- Obesity
- Diabetes
4. What does nursing assessment in preparation for delivery look like in macrosomia (4)?
Answer

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