What benefit is NOT associated with skin-to-skin contact?

Correct Answer: D

Rationale: Skin-to-skin contact between a parent and a baby has numerous benefits, making it a crucial practice in newborn care. Option A, improved bonding between parent and baby, is a well-documented benefit of skin-to-skin contact. This physical closeness promotes feelings of security, comfort, and attachment, which are essential for the emotional well-being of both the parent and the baby. Option B, enhanced thermoregulation for the newborn, is another significant benefit of skin-to-skin contact. The warmth provided by the parent's body helps regulate the baby's temperature, preventing hypothermia and promoting physiological stability. Option C, decreased risk of neonatal infections, is also a valid benefit of skin-to-skin contact. The transfer of beneficial skin microbes from the parent to the baby strengthens the baby's immune system, reducing the likelihood of infections. Option D, accelerated uterine involution for the birthing person, is the correct answer as it is NOT associated with skin-to-skin contact. Uterine involution refers to the process of the uterus returning to its pre-pregnancy size after childbirth, and this process is primarily influenced by hormonal changes and breastfeeding, not skin-to-skin contact. In conclusion, skin-to-skin contact offers numerous benefits for both the parent and the newborn, including improved bonding, enhanced thermoregulation, and decreased risk of infections. However, it is important to note that it is not directly linked to the accelerated uterine involution of the birthing person.

Correct Answer: C

Rationale: Uterine tachysystole is defined as excessively frequent uterine contractions, which can lead to a decrease in perfusion to the placenta and subsequently result in fetal hypoxia. When the uterus contracts too often or too strongly, it can reduce the amount of oxygen and nutrients reaching the fetus, leading to fetal distress and hypoxia. Choice A, Category I fetal heart rate tracing, is incorrect because this refers to a normal fetal heart rate pattern indicating fetal well-being. It is not a complication of uterine tachysystole, but rather a sign of a healthy fetus. Choice B, placenta previa, is incorrect because this condition involves the placenta partially or completely covering the cervix, leading to potential bleeding during pregnancy. It is not directly related to uterine tachysystole. Choice D, prolapsed cord, is incorrect because this occurs when the umbilical cord slips through the cervix ahead of the baby, potentially cutting off the baby's oxygen supply. While this is a serious complication during labor, it is not directly caused by uterine tachysystole. In summary, the correct answer is fetal hypoxia because uterine tachysystole can lead to reduced oxygen supply to the fetus, resulting in fetal distress and hypoxia. The other choices are incorrect as they do not directly result from uterine tachysystole.

Correct Answer: A

Rationale: A precipitous labor is defined as a labor that lasts less than 3 hours from the onset of contractions to delivery. This rapid labor process can lead to various complications for the newborn, including respiratory distress. Choice A: Respiratory distress is a common neonatal complication of precipitous labor because the rapid delivery does not allow for the normal process of fluid being squeezed out of the baby's lungs as it passes through the birth canal. This can result in the baby having difficulty breathing after birth. Choice B: Low birth weight is not typically associated with precipitous labor. The speed of labor does not necessarily impact the baby's weight at birth, as this is more influenced by factors such as maternal nutrition and health during pregnancy. Choice C: Prelabor rupture of membranes refers to the breaking of the amniotic sac before labor begins. While this can lead to complications such as infection, it is not specifically linked to precipitous labor. Choice D: Placenta previa is a condition where the placenta partially or completely covers the cervix, which can cause bleeding during pregnancy and delivery. This is not directly related to the speed of labor, so it is not a neonatal complication of precipitous labor. In conclusion, the correct answer is A because respiratory distress is a common neonatal complication of precipitous labor due to the lack of time for proper fluid clearance in the baby's lungs during delivery.

Correct Answer: B

Rationale: Preeclampsia is a serious condition that can occur during pregnancy, characterized by high blood pressure and signs of damage to other organ systems. Magnesium sulfate is the medication of choice for managing preeclampsia because it helps prevent seizures (eclampsia) and can lower blood pressure. Option A, ampicillin, is an antibiotic used to treat bacterial infections, not preeclampsia. It would not address the underlying issue of high blood pressure in preeclampsia. Option C, nalbuphine hydrochloride (Nubain), is an opioid pain medication used for pain relief during labor, it does not treat preeclampsia or its associated symptoms. Option D, sodium bicarbonate, is used to treat acidosis or certain types of poisoning, not preeclampsia. It would not address the high blood pressure or prevent seizures associated with preeclampsia. In conclusion, magnesium sulfate is the correct medication for preeclampsia as it helps prevent seizures and manage high blood pressure, which are critical in the management of this condition.

Correct Answer: C

Rationale: Multiple gestation refers to the presence of more than one fetus in the uterus, such as twins or triplets. One complication that can arise from multiple gestation is uterine dystocia. Uterine dystocia is a condition in which the uterus is unable to contract effectively during labor, leading to difficulties in the progression of labor and potentially increasing the risk of complications for both the mother and the babies. Choice A, tachysystole, refers to excessively frequent contractions of the uterus. While tachysystole can be a complication of labor, it is not specifically associated with multiple gestation. In fact, tachysystole is more commonly seen in cases of induced or augmented labor, rather than in cases of multiple gestation. Choice B, postterm birth, refers to a pregnancy that extends beyond 42 weeks gestation. While multiple gestation can increase the risk of preterm birth (delivery before 37 weeks), it is not typically associated with postterm birth. Postterm birth is more commonly seen in singleton pregnancies and is not a direct complication of multiple gestation. Choice D, early decelerations, refers to a pattern seen on fetal heart rate monitoring during labor. Early decelerations are typically associated with head compression during contractions and are not specifically linked to multiple gestation. While fetal heart rate patterns should be closely monitored during labor, early decelerations are not a direct complication of multiple gestation. In conclusion, the correct answer is C, uterine dystocia, as this is a potential complication that can arise specifically from multiple gestation. Choices A, B, and D are incorrect as they are not directly associated with multiple gestation or are more commonly seen in other pregnancy scenarios.