Antepartum & Intrapartum Nursing Quiz
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Questions and Answers

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?

  • 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?

  • 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?

    <p>First trimester</p> Signup and view all the answers

    What effect does using an epidural typically have on a patient during labor?

    <p>Hypotension in the mother</p> Signup and view all the answers

    What screening test is mandated by law during pregnancy?

    <p>VDRL/RPR for syphilis</p> Signup and view all the answers

    What is the recommended daily water intake for pregnant women?

    <p>80 oz</p> Signup and view all the answers

    Which of the following is a danger sign of pregnancy?

    <p>Leakage of fluid from the vagina</p> Signup and view all the answers

    What is the initial recommended weight gain during the first trimester of pregnancy?

    <p>2-4 lb</p> Signup and view all the answers

    What should be increased in a pregnant woman's diet to aid in iron absorption?

    <p>Vitamin C</p> Signup and view all the answers

    Which infections are screened for during pregnancy to prevent risks to the child?

    <p>HIV, Hep B, and Rubella</p> Signup and view all the answers

    At what stage of pregnancy is Group B Streptococcus typically tested?

    <p>At 35-37 weeks</p> Signup and view all the answers

    What is a common sign of hyperglycemia during pregnancy?

    <p>Increased thirst</p> Signup and view all the answers

    Which dietary item should be limited to less than 200 mg per day during pregnancy?

    <p>Caffeine</p> Signup and view all the answers

    If a pregnant woman is actively experiencing genital herpes, what is the standard recommendation?

    <p>C-section to avoid transmission</p> Signup and view all the answers

    What is the primary concern when administering opioids during labor?

    <p>Decreased fetal heart rate variability</p> Signup and view all the answers

    Which nursing action is NOT appropriate when caring for a patient receiving general anesthesia?

    <p>Administer Narcan immediately after delivery</p> Signup and view all the answers

    What defines the transition phase in the first stage of labor?

    <p>Intense contractions every 2-3 minutes</p> Signup and view all the answers

    What should be monitored in a patient who has received an epidural block?

    <p>Maternal hypertension and fetal bradycardia</p> Signup and view all the answers

    What is a common sign of impending labor?

    <p>Increased energy level known as nesting</p> Signup and view all the answers

    During which stage of labor does the delivery of the placenta occur?

    <p>Stage 3</p> Signup and view all the answers

    What is an essential nursing intervention if a patient develops hypotension after an epidural block?

    <p>Position the patient on their left lateral side</p> Signup and view all the answers

    Which of the following is a risk associated with spontaneous rupture of membranes?

    <p>Cord prolapse</p> Signup and view all the answers

    What characterizes lochia rubra during the postpartum period?

    <p>Bright red, mixed with small clots</p> Signup and view all the answers

    Which statement about Braxton Hicks contractions is correct?

    <p>They can lessen with physical activity.</p> Signup and view all the answers

    What is a common risk factor associated with spontaneous abortion?

    <p>Advanced maternal age</p> Signup and view all the answers

    Which sexually transmitted infection can cause pneumonia in newborns if not treated during pregnancy?

    <p>Chlamydia</p> Signup and view all the answers

    What is the main treatment for Trichomoniasis?

    <p>Metronidazole or tinidazole</p> Signup and view all the answers

    In which trimester is chorionic villus sampling performed?

    <p>In the first trimester</p> Signup and view all the answers

    What is a symptom of ectopic pregnancy that distinguishes it from other pregnancy complications?

    <p>Abrupt unilateral stabbing pain</p> Signup and view all the answers

    What is an essential education point for clients undergoing amniocentesis?

    <p>Empty your bladder before the procedure</p> Signup and view all the answers

    Which condition can result in painless bright red bleeding after 20 weeks of pregnancy?

    <p>Placenta previa</p> Signup and view all the answers

    What is the correct management strategy for a patient diagnosed with placenta previa?

    <p>Conservation management with rest</p> Signup and view all the answers

    Which test is used to assess fetal well-being by visualizing physical and physiological characteristics?

    <p>Biophysical profile</p> Signup and view all the answers

    Which sexually transmitted infection is associated with causing neonatal sepsis or blindness if left untreated?

    <p>Gonorrhea</p> Signup and view all the answers

    How are partners treated when a pregnant individual tests positive for sexually transmitted infections?

    <p>They must be tested</p> Signup and view all the answers

    What demonstrates a significant complication of untreated chlamydia during pregnancy?

    <p>PROM and preterm labor</p> Signup and view all the answers

    What factors contribute to the need for a nonstress test during pregnancy?

    <p>Gestational diabetes</p> Signup and view all the answers

    What is a possible consequence of using NSAIDs in conjunction with methotrexate during treatment for ectopic pregnancy?

    <p>Toxic response</p> Signup and view all the answers

    What is the purpose of the Bishop score in labor management?

    <p>To predict the success of labor induction</p> Signup and view all the answers

    What correct action should be taken if a prolapsed umbilical cord is suspected?

    <p>Administer oxygen and reposition the mother</p> Signup and view all the answers

    Which method is used to artificially initiate uterine contractions?

    <p>Oxytocin infusion</p> Signup and view all the answers

    What is one of the risks associated with continuous internal fetal monitoring?

    <p>Infection risk</p> Signup and view all the answers

    What factor does not directly influence the 'passenger' aspect of the 5 Ps of labor?

    <p>Maternal position</p> Signup and view all the answers

    Which of the following is an indication for performing a cesarean section?

    <p>Breech presentation of the fetus</p> Signup and view all the answers

    What is the main advantage of an amnioinfusion during labor?

    <p>To relieve cord compression</p> Signup and view all the answers

    What complication is associated with labor dystocia?

    <p>Persistent occiput posterior presentation</p> Signup and view all the answers

    What is an expected finding of uterine rupture?

    <p>Cessation of contractions</p> Signup and view all the answers

    Which position is most beneficial during labor to promote comfort and circulation?

    <p>Lateral position</p> Signup and view all the answers

    Which labor complication involves the presence of meconium-stained amniotic fluid?

    <p>Fetal distress</p> Signup and view all the answers

    What is a common nursing intervention for managing uterine tachysystole?

    <p>Administer analgesics</p> Signup and view all the answers

    Which of the following indicates non-reassuring fetal heart tones?

    <p>Variable decelerations</p> Signup and view all the answers

    What position is recommended to relieve pressure on major blood vessels during pregnancy?

    <p>Left lateral position</p> Signup and view all the answers

    What is a common cardiovascular change during pregnancy?

    <p>Lower extremity edema</p> Signup and view all the answers

    Which sign indicates softening of the cervix during pregnancy?

    <p>Goodell's sign</p> Signup and view all the answers

    Which gastrointestinal (GI) issue is commonly experienced during pregnancy?

    <p>Heartburn</p> Signup and view all the answers

    What does an increased level of Human Chorionic Gonadotropin (hCG) indicate?

    <p>Both B and C</p> Signup and view all the answers

    What is the risk associated with relaxation of ureter and bladder muscles due to progesterone?

    <p>Urinary stasis</p> Signup and view all the answers

    Which of the following signs is considered presumptive evidence of pregnancy?

    <p>Breast changes</p> Signup and view all the answers

    What is a common skin change during pregnancy?

    <p>Linea nigra</p> Signup and view all the answers

    Which intervention is recommended to prevent supine hypotensive syndrome during pregnancy?

    <p>Laying on the left side</p> Signup and view all the answers

    What should be included in postpartum assessment regarding nutritional status?

    <p>Evaluate fiber intake and hydration status</p> Signup and view all the answers

    What does Chadwick's sign indicate during pregnancy?

    <p>Dark blue coloration of the cervix and vagina</p> Signup and view all the answers

    What is the function of relaxin during pregnancy?

    <p>Prepare the body for delivery</p> Signup and view all the answers

    What is a likely condition if a patient presents with dizziness and pallor while lying flat?

    <p>Supine hypotensive syndrome</p> Signup and view all the answers

    Which of the following is not a common complication during pregnancy?

    <p>Chronic kidney disease</p> Signup and view all the answers

    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.

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