Paedintermediate
Match each intrapartum intervention during a trial of labor after cesarean (TOLAC) to its specific clinical rationale: Interventions: 1. Continuous electronic fetal monitoring 2. Insertion of two wide-bore intravenous cannulae 3. Type and cross-matching of packed red blood cells 4. Monitoring urine for hematuria Rationales: A. Detect the earliest and most common indicator of uterine rupture B. Ensure capacity for rapid crystalloid infusion and volume resuscitation C. Guarantee immediate availability of compatible blood in case of major hemorrhage D. Screen for lower urinary tract extension of uterine scar disruption
Answer
1 - A, 2 - B, 3 - C, 4 - D
Explanation
These measures support surveillance and readiness during labour after CS. The slides list each as part of management. **Key takeaway:** Monitoring and preparation occur together. **Glossary:** **Vascular access**: a route into the bloodstream, such as an IV cannula.
Related Questions
- Explain the lecture's definition of CS and distinguish it from hysterotomy.(basic)
- The surgical removal of a fetus via an incision through the abdominal and uterine walls prior to the period of fetal viability (traditionally before 28 weeks of gestation) is defined as a ______.(basic)
- Place the following steps in the correct chronological order when responding to suspected uterine rupture during a trial of labor after cesarean (TOLAC):(advanced)
- In obstetrics, surgical delivery of a fetus through an abdominal and uterine incision prior to the age of fetal viability is termed a hysterotomy rather than a cesarean section.(basic)
- Arrange the procedural steps of a standard cesarean delivery in the correct chronological order from first to last.(intermediate)
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