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 (A)</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 (A)</p> Signup and view all the answers

What screening test is mandated by law during pregnancy?

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

What is the recommended daily water intake for pregnant women?

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

Which of the following is a danger sign of pregnancy?

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

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

<p>2-4 lb (A)</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 (B)</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 (D)</p> Signup and view all the answers

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

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

What is a common sign of hyperglycemia during pregnancy?

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

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

<p>Caffeine (C)</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 (C)</p> Signup and view all the answers

What is the primary concern when administering opioids during labor?

<p>Decreased fetal heart rate variability (A)</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 (B)</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 (A)</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 (C)</p> Signup and view all the answers

What is a common sign of impending labor?

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

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

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

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

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

What characterizes lochia rubra during the postpartum period?

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

Which statement about Braxton Hicks contractions is correct?

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

What is a common risk factor associated with spontaneous abortion?

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

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

<p>Chlamydia (A)</p> Signup and view all the answers

What is the main treatment for Trichomoniasis?

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

In which trimester is chorionic villus sampling performed?

<p>In the first trimester (C)</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 (A)</p> Signup and view all the answers

What is an essential education point for clients undergoing amniocentesis?

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

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

<p>Placenta previa (C)</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 (A)</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 (A)</p> Signup and view all the answers

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

<p>Gonorrhea (A)</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 (D)</p> Signup and view all the answers

What demonstrates a significant complication of untreated chlamydia during pregnancy?

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

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

<p>Gestational diabetes (B)</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 (D)</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 (D)</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 (C)</p> Signup and view all the answers

Which method is used to artificially initiate uterine contractions?

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

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

<p>Infection risk (C)</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 (B)</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 (C)</p> Signup and view all the answers

What is the main advantage of an amnioinfusion during labor?

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

What complication is associated with labor dystocia?

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

What is an expected finding of uterine rupture?

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

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

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

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

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

What is a common nursing intervention for managing uterine tachysystole?

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

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

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

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

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

What is a common cardiovascular change during pregnancy?

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

Which sign indicates softening of the cervix during pregnancy?

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

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

<p>Heartburn (D)</p> Signup and view all the answers

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

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

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

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

What is a common skin change during pregnancy?

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

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

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

What should be included in postpartum assessment regarding nutritional status?

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

What does Chadwick's sign indicate during pregnancy?

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

What is the function of relaxin during pregnancy?

<p>Prepare the body for delivery (A)</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 (D)</p> Signup and view all the answers

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

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

Flashcards

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

A medication commonly used to treat chorioamnionitis, a bacterial infection of the amniotic sac.

Betamethasone

A medication used to enhance fetal lung maturity in preterm pregnancies. It is a steroid that can cause hyperglycemia in the mother.

Nifedipine

A medication used to suppress uterine contractions and is often used to help prevent premature labor. It can cause hypotension, so careful monitoring is important.

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Magnesium Sulfate

A crucial medication in the management of preterm labor. It helps to relax the uterus and prevent further contractions. It requires careful monitoring and has contraindications.

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Rubella Titer

A blood test that determines if a pregnant woman is immune to rubella, a viral illness that can cause serious birth defects.

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VDRL/RPR

A blood test to screen for syphilis, a sexually transmitted infection that can damage the fetus.

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Multiple Marker Screen

This blood test screens for fetal anomalies, such as chromosomal disorders like Down syndrome.

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Glucose Challenge Test

A test used to identify pregnant women with gestational diabetes, a form of diabetes that occurs only during pregnancy.

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HIV Test

This test checks for HIV infection in pregnant women, allowing for proper treatment and preventing transmission to the baby.

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Group B Strep (GBS) Culture

A test conducted during the second trimester to screen for Group B Streptococcus (GBS), a bacteria that can cause serious illness in newborns.

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Urinalysis

A urine test that confirms pregnancy and helps detect complications such as gestational diabetes, preeclampsia, infections, and kidney problems.

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Vaginal/Rectal Cultures

A test performed in early pregnancy to check for chlamydia and gonorrhea, two sexually transmitted infections that can harm the fetus.

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Weight Gain During Pregnancy

A healthy weight gain during pregnancy supports both mother and baby.

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Danger Signs of Pregnancy

This is a collection of symptoms that signal potential problems during pregnancy and require prompt medical attention.

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Opioids

A medication that reduces pain perception by interrupting nerve impulses to the brain. It is commonly used during labor and delivery to manage pain.

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Spinal Block

A type of anesthesia that numbs the lower half of the body, allowing pain relief during labor and delivery. It's injected into the spinal canal.

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Epidural Block

A type of anesthesia that numbs the lower half of the body, allowing pain relief during labor and delivery. It's injected into the space surrounding the spinal cord.

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Stage 1 of Labor

The longest stage of labor, where the cervix dilates from 0 to 10 centimeters. It is divided into three phases: latent, active, and transition.

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Stage 2 of Labor

The stage of labor where the baby is pushed out of the birth canal after the cervix is fully dilated.

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Stage 3 of Labor

The stage of labor where the placenta is delivered after the baby is born.

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Stage 4 of Labor

A period of recovery after childbirth, lasting approximately 1-4 hours. During this stage, vital signs, uterine contraction, and vaginal bleeding are closely monitored.

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Latent Phase

This is the first phase of labor, lasting up to 3 centimeters of dilation with irregular mild contractions every 5-10 minutes. It's a less intense phase where the mother may stay at home.

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Active Phase

The second phase of labor, lasting from 3 to 7 centimeters of dilation with more frequent and intense contractions. The mother begins to feel more pain, and it's time to go to the hospital.

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Transition Phase

The final phase of labor, lasting from 8 to 10 centimeters of dilation, with very strong contractions occuring every 2-3 minutes. The mother will feel a strong urge to push, and it's the transition into the next stage of labor.

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Physiological Changes in Pregnancy

A term that refers to the changes that occur in the body systems during pregnancy.

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Chadwick's Sign

A dark blue color of the cervix and vagina during pregnancy, caused by increased blood flow.

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Goodell's Sign

A softening of the cervix during pregnancy, due to increased blood flow and hormonal changes.

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Supine Hypotensive Syndrome

A condition where a pregnant woman experiences a sudden drop in blood pressure when lying on her back. This is due to compression of the inferior vena cava by the uterus.

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Chloasma

A temporary increase in pigmentation on the face during pregnancy, often referred to as the 'pregnancy mask'.

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Linea Nigra

A dark line of pigmentation that extends from the umbilicus to the pubic area during pregnancy.

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Striae Gravidarum

Stretch marks that mostly form on the abdomen and thighs during pregnancy caused by rapid skin expansion.

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Diastasis Recti

Separation of the abdominal muscles during pregnancy, which may or may not resolve after birth.

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Progesterone

A hormone produced during pregnancy that maintains the pregnancy and prepares the body for delivery. It's essential for thickening the uterine lining to support the growing fetus.

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Relaxin

A hormone produced during pregnancy that plays a crucial role in preparing the body for delivery. It relaxes the muscles in the uterus, cervix, and ligaments.

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Presumptive Signs of Pregnancy

Changes in the body that make a woman suspect she might be pregnant. Not considered a definitive sign.

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Probable Signs of Pregnancy

Changes in the body that make an examiner suspect a woman is pregnant. Not considered a definitive sign.

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Positive Signs of Pregnancy

Signs that can confirm pregnancy with certainty. These signs clearly indicate the presence of a pregnancy.

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Pregnancy Test

A laboratory test used to detect the presence of hCG (human chorionic gonadotropin), a hormone produced during pregnancy.

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Human Chorionic Gonadotropin (hCG)

A hormone produced during pregnancy that is used to confirm pregnancy. Its levels can indicate the presence of multiple fetuses, an ectopic pregnancy, or possible genetic abnormalities.

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Leopold Maneuvers

A systematic palpation of the gravid uterus to determine fetal position, presentation, and engagement.

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Fetal Presentation

The body part of the fetus that is presenting at the cervix. Common presentations include cephalic (head), breech (feet/sacrum), and shoulder.

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Fetal Lie

The relationship of the fetal spine to the mother's spine. Longitudinal lie (fetal spine parallel to maternal spine) is ideal for vaginal delivery. Transverse lie (fetal spine horizontal to maternal spine) requires c-section delivery.

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Fetal Attitude

The fetal posture, including flexion and extension of fetal body parts. Complete flexion presents the smallest part of the fetal skull, facilitating vaginal delivery.

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Fetal Position

The presenting part of the fetus in relation to the mother's pelvis. It is described using a system of letters and numbers to indicate fetal position.

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Fetal Station

The measurement of fetal descent determined by comparing the presenting part of the fetus to the level of the maternal ischial spines. Positive station indicates pushing is possible. Station is assessed through vaginal examination.

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Primary Powers of Labor

Involuntary uterine contractions that cause effacement and dilation of the cervix.

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Secondary Powers of Labor

Voluntary maternal pushing efforts that occur during the second stage of labor.

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Bishop Score

A score of 8 or higher on the Bishop score indicates a favorable cervix and a higher likelihood of successful induction of labor.

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Augmentation of Labor

Augmentation of labor is the intervention to stimulate hypotonic contractions once labor has started but is progressing slowly. Methods include artificial rupture of membranes (AROM) and Pitocin administration.

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Amniotomy

The artificial rupture of membranes (AROM) is performed using an amniohook to release amniotic fluid. Benefits include decreased duration of labor, but risks include infection and cord compression.

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Amnioinfusion

A procedure where saline is infused into the amniotic sac to address oligohydramnios (low amniotic fluid) and cord compression. It aims to increase fluid volume and prevent variable decelerations.

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Cesarean Section (C-section)

C-section involves an abdominal incision in the lower uterine segment for delivery. It is indicated for various complications, including placental abruption, breech presentation, and fetal distress.

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Vaginal Birth After Cesarean (VBAC)

Vaginal delivery following a previous c-section is possible if certain criteria are met, including 1-2 low transverse cesarean births, no other uterine scars, and no prior uterine rupture.

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Uterine Rupture

A life-threatening complication where the muscular wall of the uterus tears. It is often associated with prior c-sections, overdistention of the uterus, and hypertonic contractions.

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Syphilis

A sexually transmitted infection caused by the bacterium Treponema pallidum. It can be treated with antibiotics, and partners must be tested.

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Chlamydia

A sexually transmitted infection caused by the bacterium Chlamydia trachomatis. It can be treated with antibiotics, and partners must be tested.

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Gonorrhea

A sexually transmitted infection caused by the bacterium Neisseria gonorrhoeae. It can be treated with antibiotics.

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Trichomoniasis

A sexually transmitted infection caused by the parasite Trichomonas vaginalis. It is typically treated with oral antibiotics like metronidazole or tinidazole.

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HPV

A sexually transmitted infection caused by the human papillomavirus (HPV). There is a vaccine available to prevent it, but it should not be given during pregnancy.

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Ultrasound

A medical imaging technique that uses sound waves to create images of the baby in the womb. It is essential for assessing fetal growth and development, as well as identifying potential complications.

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Nonstress Test (NST)

A test that monitors the fetal heart rate in response to fetal movements. It is used to assess fetal well-being, especially when there are concerns about potential complications.

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Biophysical Profile

A comprehensive fetal assessment that combines a nonstress test with an ultrasound to evaluate fetal well-being. It is commonly used to detect potential complications and assess overall fetal health.

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Chorionic Villus Sampling (CVS)

A prenatal diagnostic test that involves taking a sample of the chorionic villi, a tissue that surrounds the fetus. It is used to assess chromosomal, metabolic, and DNA abnormalities.

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Amniocentesis

A prenatal diagnostic test that involves taking a sample of amniotic fluid, the fluid surrounding the fetus. It is used to assess chromosomal disorders and neural tube defects.

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Spontaneous Abortion

The loss of a pregnancy before 20 weeks of gestation. It is known as a miscarriage.

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Ectopic Pregnancy

A pregnancy that occurs outside of the uterus, most commonly in the fallopian tube. It can be a serious medical condition.

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Placenta Previa

A condition that occurs during pregnancy where the placenta attaches low in the uterus, covering the cervix. This prevents a vaginal delivery, and a cesarean section is often necessary.

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Placenta Abruption

A condition that occurs during pregnancy where the placenta partially or completely detaches from the uterine wall. It can cause bleeding, and in severe cases, can lead to premature labor and delivery.

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Intrauterine Growth Restriction (IUGR)

A condition that occurs during pregnancy where the baby is not growing at the expected rate.

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Gestational Hypertension (GHTN)

A condition developed during pregnancy characterized by high blood pressure. It can increase the risk of complications for both the mother and the baby.

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Gestational Diabetes Mellitus (GDM)

A condition developed during pregnancy characterized by high blood sugar levels. It can increase the risk of complications for both the mother and the baby.

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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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OB Exam 1 Study Guide PDF

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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