Practice Quiz

CPM Certified Professional Midwife

Category - Labor, Birth, and Immediate Postpartum

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A multiparous client whose labor is being conducted with anesthesia is in the second stage of labor. She is unable to deliver 2 hours after reaching the second stage of labor. Forceps delivery is ordered. Which of the following is the priority action of the midwife before the procedure?
  1. Attempt the procedure with or without maternal verbal consent
  2. Verify the presentation of the fetus.
  3. Choose which type of forceps is most appropriate for the client.
  4. Administer regional anesthesia before the procedure.
Explanation
Answer: B - The priority action of the midwifeis to verify the presentation of the fetus. This is achieved by x - ray pelvimetry. Maternal verbal consent is obtained before the procedure. Choosing the type of forceps to be used is an appropriate intervention, but it is not the priority action of the midwife. Rather, the priority action is to obtain information about the presentation of the fetus before the procedure. In certain cases, pudendal block is administered to achieve pelvic relaxation.
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