Podcast
Questions and Answers
What should be monitored when administering Nifedipine during labor?
What should be monitored when administering Nifedipine during labor?
- Hypotension in the mother (correct)
- Frequency of contractions
- Dilation of the cervix
- Increased fetal heart rate
Which of the following is NOT a contraindication for administering Magnesium Sulfate?
Which of the following is NOT a contraindication for administering Magnesium Sulfate?
- Dilation of cervix > 6 cm
- Greater than 34 weeks gestation
- Normal maternal vital signs (correct)
- Acute fetal distress
What is the primary purpose of administering Betamethasone during pregnancy?
What is the primary purpose of administering Betamethasone during pregnancy?
- To prevent uterine contractions
- To treat chorioamnionitis
- To provide maternal pain relief
- To enhance fetal lung maturity (correct)
During which trimester does fetal organ development primarily occur?
During which trimester does fetal organ development primarily occur?
What effect does using an epidural typically have on a patient during labor?
What effect does using an epidural typically have on a patient during labor?
What screening test is mandated by law during pregnancy?
What screening test is mandated by law during pregnancy?
What is the recommended daily water intake for pregnant women?
What is the recommended daily water intake for pregnant women?
Which of the following is a danger sign of pregnancy?
Which of the following is a danger sign of pregnancy?
What is the initial recommended weight gain during the first trimester of pregnancy?
What is the initial recommended weight gain during the first trimester of pregnancy?
What should be increased in a pregnant woman's diet to aid in iron absorption?
What should be increased in a pregnant woman's diet to aid in iron absorption?
Which infections are screened for during pregnancy to prevent risks to the child?
Which infections are screened for during pregnancy to prevent risks to the child?
At what stage of pregnancy is Group B Streptococcus typically tested?
At what stage of pregnancy is Group B Streptococcus typically tested?
What is a common sign of hyperglycemia during pregnancy?
What is a common sign of hyperglycemia during pregnancy?
Which dietary item should be limited to less than 200 mg per day during pregnancy?
Which dietary item should be limited to less than 200 mg per day during pregnancy?
If a pregnant woman is actively experiencing genital herpes, what is the standard recommendation?
If a pregnant woman is actively experiencing genital herpes, what is the standard recommendation?
What is the primary concern when administering opioids during labor?
What is the primary concern when administering opioids during labor?
Which nursing action is NOT appropriate when caring for a patient receiving general anesthesia?
Which nursing action is NOT appropriate when caring for a patient receiving general anesthesia?
What defines the transition phase in the first stage of labor?
What defines the transition phase in the first stage of labor?
What should be monitored in a patient who has received an epidural block?
What should be monitored in a patient who has received an epidural block?
What is a common sign of impending labor?
What is a common sign of impending labor?
During which stage of labor does the delivery of the placenta occur?
During which stage of labor does the delivery of the placenta occur?
What is an essential nursing intervention if a patient develops hypotension after an epidural block?
What is an essential nursing intervention if a patient develops hypotension after an epidural block?
Which of the following is a risk associated with spontaneous rupture of membranes?
Which of the following is a risk associated with spontaneous rupture of membranes?
What characterizes lochia rubra during the postpartum period?
What characterizes lochia rubra during the postpartum period?
Which statement about Braxton Hicks contractions is correct?
Which statement about Braxton Hicks contractions is correct?
What is a common risk factor associated with spontaneous abortion?
What is a common risk factor associated with spontaneous abortion?
Which sexually transmitted infection can cause pneumonia in newborns if not treated during pregnancy?
Which sexually transmitted infection can cause pneumonia in newborns if not treated during pregnancy?
What is the main treatment for Trichomoniasis?
What is the main treatment for Trichomoniasis?
In which trimester is chorionic villus sampling performed?
In which trimester is chorionic villus sampling performed?
What is a symptom of ectopic pregnancy that distinguishes it from other pregnancy complications?
What is a symptom of ectopic pregnancy that distinguishes it from other pregnancy complications?
What is an essential education point for clients undergoing amniocentesis?
What is an essential education point for clients undergoing amniocentesis?
Which condition can result in painless bright red bleeding after 20 weeks of pregnancy?
Which condition can result in painless bright red bleeding after 20 weeks of pregnancy?
What is the correct management strategy for a patient diagnosed with placenta previa?
What is the correct management strategy for a patient diagnosed with placenta previa?
Which test is used to assess fetal well-being by visualizing physical and physiological characteristics?
Which test is used to assess fetal well-being by visualizing physical and physiological characteristics?
Which sexually transmitted infection is associated with causing neonatal sepsis or blindness if left untreated?
Which sexually transmitted infection is associated with causing neonatal sepsis or blindness if left untreated?
How are partners treated when a pregnant individual tests positive for sexually transmitted infections?
How are partners treated when a pregnant individual tests positive for sexually transmitted infections?
What demonstrates a significant complication of untreated chlamydia during pregnancy?
What demonstrates a significant complication of untreated chlamydia during pregnancy?
What factors contribute to the need for a nonstress test during pregnancy?
What factors contribute to the need for a nonstress test during pregnancy?
What is a possible consequence of using NSAIDs in conjunction with methotrexate during treatment for ectopic pregnancy?
What is a possible consequence of using NSAIDs in conjunction with methotrexate during treatment for ectopic pregnancy?
What is the purpose of the Bishop score in labor management?
What is the purpose of the Bishop score in labor management?
What correct action should be taken if a prolapsed umbilical cord is suspected?
What correct action should be taken if a prolapsed umbilical cord is suspected?
Which method is used to artificially initiate uterine contractions?
Which method is used to artificially initiate uterine contractions?
What is one of the risks associated with continuous internal fetal monitoring?
What is one of the risks associated with continuous internal fetal monitoring?
What factor does not directly influence the 'passenger' aspect of the 5 Ps of labor?
What factor does not directly influence the 'passenger' aspect of the 5 Ps of labor?
Which of the following is an indication for performing a cesarean section?
Which of the following is an indication for performing a cesarean section?
What is the main advantage of an amnioinfusion during labor?
What is the main advantage of an amnioinfusion during labor?
What complication is associated with labor dystocia?
What complication is associated with labor dystocia?
What is an expected finding of uterine rupture?
What is an expected finding of uterine rupture?
Which position is most beneficial during labor to promote comfort and circulation?
Which position is most beneficial during labor to promote comfort and circulation?
Which labor complication involves the presence of meconium-stained amniotic fluid?
Which labor complication involves the presence of meconium-stained amniotic fluid?
What is a common nursing intervention for managing uterine tachysystole?
What is a common nursing intervention for managing uterine tachysystole?
Which of the following indicates non-reassuring fetal heart tones?
Which of the following indicates non-reassuring fetal heart tones?
What position is recommended to relieve pressure on major blood vessels during pregnancy?
What position is recommended to relieve pressure on major blood vessels during pregnancy?
What is a common cardiovascular change during pregnancy?
What is a common cardiovascular change during pregnancy?
Which sign indicates softening of the cervix during pregnancy?
Which sign indicates softening of the cervix during pregnancy?
Which gastrointestinal (GI) issue is commonly experienced during pregnancy?
Which gastrointestinal (GI) issue is commonly experienced during pregnancy?
What does an increased level of Human Chorionic Gonadotropin (hCG) indicate?
What does an increased level of Human Chorionic Gonadotropin (hCG) indicate?
What is the risk associated with relaxation of ureter and bladder muscles due to progesterone?
What is the risk associated with relaxation of ureter and bladder muscles due to progesterone?
Which of the following signs is considered presumptive evidence of pregnancy?
Which of the following signs is considered presumptive evidence of pregnancy?
What is a common skin change during pregnancy?
What is a common skin change during pregnancy?
Which intervention is recommended to prevent supine hypotensive syndrome during pregnancy?
Which intervention is recommended to prevent supine hypotensive syndrome during pregnancy?
What should be included in postpartum assessment regarding nutritional status?
What should be included in postpartum assessment regarding nutritional status?
What does Chadwick's sign indicate during pregnancy?
What does Chadwick's sign indicate during pregnancy?
What is the function of relaxin during pregnancy?
What is the function of relaxin during pregnancy?
What is a likely condition if a patient presents with dizziness and pallor while lying flat?
What is a likely condition if a patient presents with dizziness and pallor while lying flat?
Which of the following is not a common complication during pregnancy?
Which of the following is not a common complication during pregnancy?
Flashcards
Rhogam (Rh immunoglobulin)
Rhogam (Rh immunoglobulin)
A medication that is given as an intramuscular injection to prevent Rh sensitization in Rh-negative mothers. It is given during pregnancy and after delivery.
Ampicillin
Ampicillin
A medication commonly used to treat chorioamnionitis, a bacterial infection of the amniotic sac.
Betamethasone
Betamethasone
A medication used to enhance fetal lung maturity in preterm pregnancies. It is a steroid that can cause hyperglycemia in the mother.
Nifedipine
Nifedipine
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Magnesium Sulfate
Magnesium Sulfate
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Rubella Titer
Rubella Titer
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VDRL/RPR
VDRL/RPR
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Multiple Marker Screen
Multiple Marker Screen
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Glucose Challenge Test
Glucose Challenge Test
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HIV Test
HIV Test
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Group B Strep (GBS) Culture
Group B Strep (GBS) Culture
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Urinalysis
Urinalysis
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Vaginal/Rectal Cultures
Vaginal/Rectal Cultures
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Weight Gain During Pregnancy
Weight Gain During Pregnancy
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Danger Signs of Pregnancy
Danger Signs of Pregnancy
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Opioids
Opioids
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Spinal Block
Spinal Block
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Epidural Block
Epidural Block
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Stage 1 of Labor
Stage 1 of Labor
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Stage 2 of Labor
Stage 2 of Labor
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Stage 3 of Labor
Stage 3 of Labor
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Stage 4 of Labor
Stage 4 of Labor
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Latent Phase
Latent Phase
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Active Phase
Active Phase
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Transition Phase
Transition Phase
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Physiological Changes in Pregnancy
Physiological Changes in Pregnancy
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Chadwick's Sign
Chadwick's Sign
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Goodell's Sign
Goodell's Sign
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Supine Hypotensive Syndrome
Supine Hypotensive Syndrome
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Chloasma
Chloasma
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Linea Nigra
Linea Nigra
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Striae Gravidarum
Striae Gravidarum
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Diastasis Recti
Diastasis Recti
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Progesterone
Progesterone
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Relaxin
Relaxin
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Presumptive Signs of Pregnancy
Presumptive Signs of Pregnancy
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Probable Signs of Pregnancy
Probable Signs of Pregnancy
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Positive Signs of Pregnancy
Positive Signs of Pregnancy
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Pregnancy Test
Pregnancy Test
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Human Chorionic Gonadotropin (hCG)
Human Chorionic Gonadotropin (hCG)
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Leopold Maneuvers
Leopold Maneuvers
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Fetal Presentation
Fetal Presentation
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Fetal Lie
Fetal Lie
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Fetal Attitude
Fetal Attitude
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Fetal Position
Fetal Position
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Fetal Station
Fetal Station
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Primary Powers of Labor
Primary Powers of Labor
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Secondary Powers of Labor
Secondary Powers of Labor
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Bishop Score
Bishop Score
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Augmentation of Labor
Augmentation of Labor
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Amniotomy
Amniotomy
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Amnioinfusion
Amnioinfusion
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Cesarean Section (C-section)
Cesarean Section (C-section)
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Vaginal Birth After Cesarean (VBAC)
Vaginal Birth After Cesarean (VBAC)
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Uterine Rupture
Uterine Rupture
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Syphilis
Syphilis
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Chlamydia
Chlamydia
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Gonorrhea
Gonorrhea
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Trichomoniasis
Trichomoniasis
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HPV
HPV
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Ultrasound
Ultrasound
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Nonstress Test (NST)
Nonstress Test (NST)
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Biophysical Profile
Biophysical Profile
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Chorionic Villus Sampling (CVS)
Chorionic Villus Sampling (CVS)
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Amniocentesis
Amniocentesis
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Spontaneous Abortion
Spontaneous Abortion
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Ectopic Pregnancy
Ectopic Pregnancy
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Placenta Previa
Placenta Previa
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Placenta Abruption
Placenta Abruption
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Intrauterine Growth Restriction (IUGR)
Intrauterine Growth Restriction (IUGR)
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Gestational Hypertension (GHTN)
Gestational Hypertension (GHTN)
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Gestational Diabetes Mellitus (GDM)
Gestational Diabetes Mellitus (GDM)
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Study Notes
Medications
- Rhogam: Blood product, 2 RN CHECK.
- Injection given after baby is born.
- Mom receives another dose.
- Methotrexate: Suppresses contractions, but may cause hypotension.
- Give education about hypotension.
- Do not give with magnesium sulfate.
- Magnesium Sulfate: Must have no contraindications.
- Calcium gluconate is the antidote.
- Active vaginal bleeding:
- Cervical dilation over 6 cm.
- More than 34 weeks.
- Acute fetal distress.
- Chorioamnionitis.
Antepartum & Intrapartum Nursing Care
- Dosage Calculation (50 points): Testing for knowledge in this area.
- Gynecologic Exam (1 point): Testing for knowledge in this area.
- Contraception (2 points): Testing for knowledge in this area.
- Pregnancy & Antepartum Nursing Care (7 points): Testing for knowledge in this area.
- Nutrition for Childbearing (4 points): Testing for knowledge in this area.
- Infections During Pregnancy (2 points): Testing for knowledge in this area.
- Fetal Assessment (2 points): Testing for knowledge in this area.
- Hemorrhagic conditions (4 points): Testing for knowledge in this area.
- Preterm Labor & PROM/PPROM (6 points): Testing for knowledge in this area.
- Process of Birth/ Factors Affecting Labor (7 points): Testing for knowledge in this area.
- Pain Management During Childbirth (3 points): Testing for knowledge in this area.
- Intrapartum Fetal Surveillance (4 points): Testing for knowledge in this area.
- Nursing Care During Labor (4 points): Testing for knowledge in this area.
- Labor Complications (1 point): Testing for knowledge in this area.
Gyne Exam
- Contraception: Assessing methods for birth control during pregnancy
- Pregnancy and Antepartum: Physical and physiological changes during pregnancy
Gynecological Exam, Contraception, and Pregnancy
- First trimester (weeks 1–13): Fetal organ development, no obvious changes
- Second trimester (weeks 14–27): Significant maternal tissue growth, affecting abdomen, breasts, and possible back pain, fatigue.
- Third trimester (weeks 28–42): Continued fetal development resulting in changes to vital signs.
Betamethasone
- Enhances fetal lung maturity.
- May cause hyperglycemia in mother (due to being a steroid)
- Takes 3 days to fully effect.
Ampicillin
- Commonly used to treat chorioamnionitis.
Epidural
- Can cause hypotension.
- Ephedrine used to treat hypotension in the mother
Other
- Further assessments: Assessment of vitals, blood/urine tests, and needs of family for pregnancy planning.
- GTPAL (Gravida, Term, Preterm, Abortions, Living): Method for assessing obstetrical history.
- Estimated delivery date: Calculation based off last menstrual period
Routine Labs
- CBC (Complete blood count): Detects infection and anemia.
- Blood types and rh factor: Identifies any incompatibilities between mother and baby.
- VDRL/RPR: Syphilis screening
- Rubella titer: Immunity to rubella
- Hepatitis B: Screening for hepatitis B carrier status
- HIV: Testing for HIV infection.
- Urinalysis: Screening for gestational diabetes and other infections.
- Vaginal/rectal cultures: Identifying chlamydia, gonorrhea, and group B Streptococcus (GBS).
- Multiple marker screen: Screening for fetal chromosomal abnormalities, metabolic disorders, and DNA abnormalities
- Glucose challenge test: Screening for gestational diabetes
Danger Signs of Pregnancy
- Vaginal bleeding
- Leakage of fluid from the vagina
Nutrition During Pregnancy
- First Trimester: Weight gain should be 2-4 pounds.
- Second and Third Trimesters: Weight gain should be approximately 1 pound per week.
- Increased calories & protein: Important for both mother and baby.
- Folic acid: Green leafy vegetables.
- Iron: Red meats, beans, peanuts, and foods rich in vitamin C to enhance absorption
- Calcium: Milk and yogurt
- Limit caffeine: Less than 200 mg/day
- Don't take calcium & caffeine with iron
Infections During Pregnancy
- HIV, Hep B, Rubella, HSV, etc. Specific infections that need to be screened for and managed during pregnancy
Fetal Assessment
- Ultrasound: Used for diagnoses of fetal abnormalities.
- Nonstress test: Fetal response to movement for evaluation before the end of pregnancy.
- Contractions: Checking for complications, etc.
Hemorrhagic Conditions
- Spontaneous Abortion: Pregnancy ends before 20 weeks.
- Risk Factors: Advanced maternal age, chronic maternal infections, substance abuse, and trauma
- Expected Findings: Vaginal bleeding and uterine cramping
- Vaginal Bleeding: Report
- Uterine cramping
Intrapartum Fetal Surveillance
- Leopold maneuvers: used to determine fetal position for fetal monitoring.
- Continuous external fetal monitoring: Assessing the fetus via mother's abdomen.
- Continuous internal fetal monitoring: For accurate fetal heart rate monitoring.
- Electronic fetal monitoring: A tool for monitoring maternal and fetal status
Stages of Birth
- Stage 1: Begins with onset of labor and ends with full dilation of cervix
- Stage 2: Full dilation to birth
- Stage 3: Starts with birth and ends with expulsion of placenta
- Stage 4: Recovery stage for mother.
Labor Complications
- Prolapsed umbilical cord: Umbilical cord is compressed during labor.
- High station (-3) Fetal head is high.
- Breech presentation: Baby is born feet or butt first.
- Spontaneous rupture of membranes (SROM): Rupture of the water bag before the onset of labor.
Uterine Rupture
- Sharp abdominal pain: Could be a uterine rupture.
- Muscular wall of the uterus tears: Rare but life-threatening.
Amniotic fluid embolism
- Amniotic fluid enters maternal circulation: Respiratory distress and circulatory collapse
Other
- Episiotomy: Surgical incision in the perineum to enlarge the vaginal opening for delivery.
- C-section: Cesarean section, surgical procedure for delivering a baby through the mother's abdomen.
- Vaginal Birth After Cesarean (VBAC) A vaginal delivery after a prior C-section.
- Factors affecting labor: Passage (birth canal), passenger (fetus and placenta), powers (contractions), position (maternal), psyche (emotional state of the woman).
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Description
Test your knowledge on medications and nursing care related to antepartum and intrapartum phases. This quiz covers critical topics including medication safety, dosage calculations, and essential care practices for pregnancy and childbirth. Prepare to enhance your understanding of these vital nursing concepts.