A client experiencing a difficult labor has a vacuum extraction birth. What is expected with this type of delivery?
1. The head is delivered after eight pulls during contractions.
2. The location of the vacuum is apparent on the fetal scalp after birth.
3. A bruise is present on the occiput that does not cross the suture line.
4. Positive pressure is applied by the vacuum extraction during contractions.
2
Explanation:
1. Use of the vacuum extraction for eight contractions is too many and can create damage to the fetal head. If fetal descent does not occur with the first two pulls, the procedure should be discontinued, and cesarean birth should take place.
2. Caput in the shape of the vacuum cup is usually present immediately after birth and resolves in 2 to 3 days.
3. This is a cephalohematoma and is a complication of vacuum extraction birth.
4. Negative pressure is suction, which is needed to use the vacuum extractor to facilitate birth.
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