Gynecology Medications Quiz
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Questions and Answers

What is a key contraindication for administering magnesium sulfate?

  • Low fetal heart rate
  • Mild hypertension
  • Maternal diabetes
  • Acute fetal distress (correct)

What is the primary purpose of administering Betamethasone during pregnancy?

  • To treat maternal hypertension
  • To enhance fetal lung maturity (correct)
  • To prevent chorioamnionitis
  • To alleviate maternal fatigue

In which trimester do physical changes become more noticeable due to rapid maternal tissue growth?

  • First trimester
  • Second trimester (correct)
  • Third trimester
  • Pre-pregnancy stage

Which drug is used to treat chorioamnionitis in pregnant women?

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

What should be administered to counteract the hypotensive effects of an epidural?

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

What is the primary benefit of administering opioids intravenously during active labor?

<p>It results in quicker action to alleviate pain. (D)</p> Signup and view all the answers

Which nursing action is essential when administering general anesthesia?

<p>Monitor maternal vital signs and fetal heart rate patterns. (C)</p> Signup and view all the answers

What might be a premonitory sign of labor indicating that the cervix is dilating?

<p>Lightening. (B)</p> Signup and view all the answers

In the transition phase of labor, which of the following is true?

<p>The urge to push is emphasized as dilation reaches 8-10 cm. (B)</p> Signup and view all the answers

What is a common effect of an epidural block on maternal health?

<p>Can cause maternal hypertension. (B), Leads to decreased fetal heart rate. (C)</p> Signup and view all the answers

Which of the following is a sign of potential complications during labor?

<p>Meconium-stained amniotic fluid. (D)</p> Signup and view all the answers

Which activity should be avoided to prevent increased uterine tone in the fourth stage of labor?

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

Which action should be taken when the patient shows signs of hypotension after an epidural block?

<p>Position the patient on her left lateral side and provide fluids. (B)</p> Signup and view all the answers

What should be closely monitored post-delivery to assess for potential hemorrhage?

<p>Uterine tone and fundus firmness. (B)</p> Signup and view all the answers

Which of the following describes the primary focus during the active phase of labor?

<p>Managing pain effectively and monitoring contractions. (A)</p> Signup and view all the answers

What is a common cardiovascular change during pregnancy?

<p>Increased heart rate by 10-20 bpm (A)</p> Signup and view all the answers

Which sign indicates softening of the cervix during pregnancy?

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

What is the recommended position for pregnant women to avoid supine hypotensive syndrome?

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

What is the primary purpose of progesterone during pregnancy?

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

Which of the following is a presumptive sign of pregnancy?

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

What is a common gastrointestinal issue experienced during pregnancy?

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

What does Chadwick's sign indicate during pregnancy?

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

What is the main concern with urinary stasis during pregnancy?

<p>Increased risk for urinary tract infections (C)</p> Signup and view all the answers

Which intervention is recommended for managing constipation during pregnancy?

<p>Stay hydrated and increase physical activity (C)</p> Signup and view all the answers

What does the acronym GTPAL stand for in prenatal assessments?

<p>Gestational week, Term births, Preterm births, Abortions, Living children (B)</p> Signup and view all the answers

What effect does pregnancy have on skin temperature?

<p>Increased skin temperature and sweating (B)</p> Signup and view all the answers

What are stretch marks during pregnancy called?

<p>Striae gravidarum (B)</p> Signup and view all the answers

What blood test is used to assess maternal-fetal blood incompatibility?

<p>Blood type and Rh factor test (D)</p> Signup and view all the answers

What is diastasis recti during pregnancy?

<p>Separation of abdominal muscles (D)</p> Signup and view all the answers

What are common expected findings in placental abruption?

<p>Intense localized pain with a board-like abdomen (D)</p> Signup and view all the answers

Which of the following is a risk factor for preterm labor?

<p>Previous multiple pregnancies (D)</p> Signup and view all the answers

What is the primary nursing care intervention to manage preterm labor?

<p>Administer tocolytics to delay labor (B)</p> Signup and view all the answers

What is a potential complication of Premature Rupture of Membranes (PROM)?

<p>Infection leading to chorioamnionitis (B)</p> Signup and view all the answers

What can indicate fetal distress in a patient with PROM?

<p>Abrupt FHR variable or prolonged deceleration (D)</p> Signup and view all the answers

Which nonpharmacological technique is used to help manage labor pain?

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

Which medication is used to enhance fetal lung maturity?

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

What is the definition of PPROM?

<p>Rupture of membranes before labor prior to full term (A)</p> Signup and view all the answers

What are the signs and symptoms of hypovolemic shock?

<p>High heart rate, low blood pressure, and pallor (A)</p> Signup and view all the answers

What should a patient do if they experience decreased fetal movement?

<p>Notify the nurse immediately (D)</p> Signup and view all the answers

Which of the following symptoms might indicate contractions during preterm labor?

<p>Dull lower abdominal pain and pelvic pressure (B)</p> Signup and view all the answers

During labor, what type of pain is associated with muscle contractions?

<p>Muscle contractions as the cervix is dilating (D)</p> Signup and view all the answers

Which nursing intervention helps mitigate anxiety during labor?

<p>Educate on procedures and labor progress (B)</p> Signup and view all the answers

What test is performed to determine if the fluid is amniotic?

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

What is the recommended initial screening for syphilis during pregnancy?

<p>Blood test (B)</p> Signup and view all the answers

What is a potential consequence of untreated chlamydia during pregnancy?

<p>Pneumonia in newborn (B)</p> Signup and view all the answers

Which of the following treatments is NOT safe during the first trimester for trichomoniasis?

<p>Tinidazole (A), Metronidazole (C)</p> Signup and view all the answers

What does a nonstress test primarily monitor?

<p>Fetal heart rate response to movement (A)</p> Signup and view all the answers

What is the main purpose of chorionic villus sampling?

<p>Diagnose chromosomal abnormalities (D)</p> Signup and view all the answers

Which of the following is a risk factor for spontaneous abortion?

<p>Maternal malnutrition (B)</p> Signup and view all the answers

What is the expected finding in an ectopic pregnancy if it ruptures?

<p>Severe lower abdominal stabbing pain (A)</p> Signup and view all the answers

How is placenta previa diagnosed?

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

What education is necessary prior to chorionic villus sampling?

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

What is a common complication associated with amniocentesis?

<p>Premature rupture of membranes (C)</p> Signup and view all the answers

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

<p>Increased risk for infection (B)</p> Signup and view all the answers

What is a typical symptom of trichomoniasis in women?

<p>Yellow-green vaginal discharge (B)</p> Signup and view all the answers

Which of the following indicates a successful induction of labor using the Bishop score?

<p>Score of 8 or higher (C)</p> Signup and view all the answers

Which of the following is NOT a sign of placenta abruption?

<p>Painless bright red bleeding (C)</p> Signup and view all the answers

What must be done after the treatment of syphilis?

<p>Retesting for syphilis (D)</p> Signup and view all the answers

Which maternal position is recommended to promote comfort and circulation during labor?

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

Which condition requires surgical intervention due to rupture?

<p>Ectopic pregnancy (B)</p> Signup and view all the answers

What is the advantage of using amnioinfusion during labor?

<p>Addresses oligohydramnios or cord compression (D)</p> Signup and view all the answers

What complication can arise from a prolonged rupture of membranes (ROM)?

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

What factor can contribute to the development of labor dystocia?

<p>Ineffective contractions (B)</p> Signup and view all the answers

What does a non-reassuring fetal heart rate indicate during labor?

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

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

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

Which statement about breech presentation is true?

<p>Best practice is cesarean section (B)</p> Signup and view all the answers

What should be monitored if performing cervical ripening?

<p>Fetal heart rate and uterine activity (A)</p> Signup and view all the answers

Which of the following describes a consequence of uterine rupture during labor?

<p>Life-threatening emergency (A)</p> Signup and view all the answers

What nursing intervention is appropriate for managing a prolapsed umbilical cord?

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

Which factor does not affect the labor process?

<p>Presence of the grandfather at the birth (C)</p> Signup and view all the answers

Flashcards

Rhogam

A medication used to prevent Rh incompatibility, given to Rh-negative mothers during pregnancy and after delivery.

Nifedipine

Medication used to suppress contractions, but can cause hypotension. It shouldn't be given with magnesium sulfate.

Magnesium Sulfate

Medication used to suppress contractions, but has contraindications like active vaginal bleeding, dilation > 6 cm, > 34 weeks, fetal distress, and chorioamnionitis. Its antidote is calcium gluconate.

Betamethasone

Steroid medication used to enhance fetal lung maturity if preterm delivery is anticipated. Can increase maternal blood sugar levels due to its steroid nature.

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Ampicillin

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

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Fundal Height at 36 Weeks

The fundus of the uterus, the top portion, reaches the xiphoid process (bottom of the breastbone) around week 36 of pregnancy, causing shortness of breath.

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Chadwick's Sign

A bluish discoloration of the cervix and vagina due to increased blood flow during pregnancy. It's a probable sign of pregnancy.

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Goodell's Sign

Softening of the cervix during pregnancy, another probable sign of pregnancy.

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Supine Hypotensive Syndrome

A drop in blood pressure when a pregnant woman lies on her back. This occurs because the uterus compresses the vena cava, reducing blood flow to the heart.

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Diastasis Recti

Separation of the abdominal muscles during pregnancy. Often doesn't fully close after delivery.

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Progesterone

The hormone that plays a critical role in maintaining pregnancy, helping to thicken the uterine lining and preventing contractions.

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Presumptive Signs of Pregnancy

Pregnancy changes that make the woman suspect she is pregnant, such as missed periods, fatigue, nausea, and breast changes.

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Probable Signs of Pregnancy

Pregnancy changes that make the doctor think the woman is pregnant. These can include an enlarged uterus, positive pregnancy test, and Braxton Hicks contractions.

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Positive Signs of Pregnancy

Signs of pregnancy that confirm the woman is pregnant. These include auscultation of fetal heart sounds (hearing the baby's heartbeat), visualization of the fetus on ultrasound, or feeling the baby's movement.

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Pregnancy Test

A pregnancy test based on the level of hCG (Human Chorionic Gonadotropin) in the blood or urine.

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GTPAL

The acronym GTPAL stands for Gravida, Term, Preterm, Abortions, Living children. It's used to track a woman's obstetric history.

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Anemia in Pregnancy

Anemia during pregnancy can be identified through a complete blood count (CBC).

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Estimated Delivery Date

The estimated delivery date is calculated by adding 7 days to the first day of the last menstrual period and subtracting 3 months.

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Gravida

The term 'Gravida' refers to the total number of pregnancies a woman has had, including the current one.

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Complete Blood Count in Pregnancy

Anemia in pregnancy can be identified through a complete blood count (CBC).

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PROM (Premature Rupture of Membranes)

The premature rupture of membranes (PROM) before the onset of labor, occurring after 37 weeks of gestation.

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PPROM (Preterm Premature Rupture of Membranes)

The premature rupture of membranes (PROM) before the onset of labor, occurring before 37 weeks of gestation.

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Placental Abruption

A serious condition where the placenta detaches from the uterine wall before delivery, potentially leading to fetal distress and maternal hemorrhage. It is marked by intense localized pain, a board-like abdomen, dark red vaginal bleeding, and fetal distress.

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Chorioamnionitis

A bacterial infection of the amniotic sac that poses a risk to both mother and baby. It is a frequent complication of PROM and PPROM.

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Tocolytic Therapy

The use of medications, such as nifedipine and magnesium sulfate, to stop labor contractions when preterm labor occurs.

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Preterm Labor

Uterine contractions and cervical changes that occur between 20 and 36 weeks of gestation. It poses a significant risk to both mother and baby.

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Preterm Contractions

Labor contractions that occur before week 37 of pregnancy, often accompanied by pain, pelvic pressure, and cervical dilation.

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Effleurage

A method of pain management during pregnancy and childbirth that involves light, gentle circular stroking of the abdomen in rhythm with breathing during contractions.

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Sacral Counterpressure

A technique used to relieve low back pain during pregnancy and childbirth by applying consistent pressure to the sacrum with the heel of the hand.

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Breathing Techniques

Breathing techniques used as a non-pharmacological pain management method during pregnancy and childbirth. It involves controlled, deep inhales and exhales to help manage discomfort.

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Fern Test

A test used to determine if fluid leaking from the vagina is amniotic fluid. The fluid is placed on a slide and examined for a fern-like pattern under a microscope.

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Nitrazine Paper Test

A test used to determine if fluid leaking from the vagina is amniotic fluid. Nitrazine paper turns blue when exposed to amniotic fluid, which is slightly alkaline.

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Hypnotherapy

A non-pharmacological pain management technique that focuses on relaxation and breathing exercises, often guided by a trained professional.

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Epidural Anesthesia

A type of pain management used during pregnancy and childbirth that involves injecting an anesthetic into the spinal fluid, resulting in numbness and pain relief.

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Fetal Lung Hypoplasia

A common complication of preterm labor that often results from premature rupture of membranes (PROM or PPROM). It can potentially hinder fetal lung development.

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Anesthesia

A type of anesthesia that eliminates pain perception by blocking nerve impulses to the brain. This type of anesthesia can be administered epidurally, spinally, or as a general anesthetic.

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Epidural Block

Anesthesia that is administered into the epidural space surrounding the spinal cord. It provides pain relief in the lower body and is commonly used during labor and delivery.

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Spinal Block

Anesthesia that is injected directly into the spinal fluid. It provides a more complete block of sensation, often used for surgeries like cesarean sections.

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General Anesthesia

A type of anesthesia that makes a patient unconscious. It is typically used for complex surgical procedures or when other methods of anesthesia are not possible.

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Narcan (Naloxone)

A drug used to reduce the effects of opioid overdose or respiratory depression. It quickly reverses the effects of opioids by blocking their action at the receptor sites.

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Stage 2 of Labor

The stage of labor that starts with the initial cervical dilatation and ends with the baby's birth.

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Stage 4 of Labor

The stage of labor that starts with the expulsion of the placenta and ends with the stabilization of the mother's physiological status.

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Spontaneous Rupture of Membranes (SROM)

A condition that occurs when the amniotic sac breaks, resulting in a sudden gush or steady leakage of fluid.

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Cord Prolapse

A life-threatening complication that occurs when the umbilical cord slips down into the vagina before the baby's head.

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Ephedrine

A medication used to treat maternal hypotension during labor, often caused by epidural or spinal anesthesia, and is also used to manage postpartum bleeding.

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Chlamydia

A sexually transmitted infection (STI) that can cause serious complications during pregnancy if untreated, including premature rupture of membranes (PROM), preterm labor, and postpartum endometritis. It can also lead to conjunctivitis and pneumonia in newborns. Treatment involves oral antibiotics for three weeks, followed by retesting and testing of partners.

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Gonorrhea

A sexually transmitted infection (STI) that can lead to serious complications during pregnancy and for the newborn, including premature rupture of membranes (PROM), preterm labor, postpartum endometritis, neonatal sepsis, and blindness. It requires treatment with antibiotics during pregnancy. Partners must also be tested.

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Trichomoniasis

A sexually transmitted infection (STI) that can cause pelvic inflammatory disease (PID) and fallopian tube blockage if left untreated. Its most notable symptom in women is a yellow-green or fluorescent green vaginal discharge with a foul odor. Treatment involves oral medications like metronidazole or tinidazole, but these medications are not given during the first trimester due to potential harm to the fetus.

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HPV

A viral STI that can cause genital warts and cervical cancer. While usually not a complication during pregnancy, it is important to avoid the HPV vaccine during pregnancy.

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Nonstress test (NST)

A prenatal test used to assess fetal well-being by monitoring the fetal heart rate (FHR) response to fetal movement. The test is used to detect potential complications or problems that may arise during pregnancy, such as decreased fetal movement, intrauterine growth restriction (IUGR), and postterm pregnancy. The results are interpreted based on the baby's heart rate changes in relation to the baby's movements.

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Biophysical profile (BPP)

A prenatal test used to assess the fetal well-being by examining physical and physiological characteristics of the baby using ultrasound. It includes a nonstress test (NST) and a detailed ultrasound. It assigns a score from 0 to 10, with a score of 4 or lower indicating a potential problem with the baby.

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Chorionic villus sampling (CVS)

A prenatal test that examines the baby's chromosomes, metabolism, and DNA for potential genetic disorders. It is done in the first trimester and involves inserting a thin catheter through the cervix to collect a sample of fetal tissue. It requires a completely empty bladder before the procedure.

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Amniocentesis

A prenatal test used to assess for neural tube defects or chromosomal disorders. It involves inserting a needle through the abdomen into the amniotic sac, using ultrasound guidance. It is performed in the second or third trimester and requires a completely empty bladder before the procedure.

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Spontaneous abortion

A condition where the pregnancy ends naturally before 20 weeks gestation.

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Ectopic pregnancy

The implantation of a fertilized egg outside of the uterus, usually in the fallopian tube. It is considered a medical emergency and must be treated promptly to prevent life-threatening complications.

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Placenta previa

A condition that occurs when the placenta attaches too low in the uterus, covering the cervix. It can cause painless vaginal bleeding in the second or third trimester. Vaginal birth is often not possible with placenta previa. This condition requires careful monitoring and management.

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Leopold's Maneuvers

The systematic palpation of the pregnant uterus to determine the position, presentation, and engagement of the fetus.

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Breech Presentation

A type of fetal presentation where the baby's buttocks or feet are presenting at the cervix.

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Longitudinal Lie

A type of fetal lie where the baby's spine is parallel to the mother's spine.

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Transverse Lie

A type of fetal lie where the baby's spine is perpendicular to the mother's spine.

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Station

The measurement of fetal descent in relation to the maternal ischial spines, used to determine how far the baby has moved down the birth canal.

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Primary Powers

Involuntary uterine contractions that cause effacement and dilation of the cervix, the primary force of labor.

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Secondary Powers

Voluntary maternal pushing efforts that help expel the baby during the second stage of labor.

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Hypertonic Uterus

Uterine contractions happening too frequently, with strong intensity, but inadequate relaxation, can cause fetal distress.

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Hypotonic Uterus

Uterine contractions that are weak, inefficient, or absent, delaying labor progress.

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Prolapsed Umbilical Cord

A complication where the umbilical cord precedes the presenting part of the fetus, compressing the cord and reducing fetal blood flow.

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Labor Dystocia

Labor that is difficult or abnormal, due to various factors affecting the 5 Ps of labor.

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Uterine Rupture

A tear in the muscular wall of the uterus, a rare but serious complication that requires immediate intervention.

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Meconium-Stained Amniotic Fluid

Passage of meconium (baby's first stool) into the amniotic fluid, a sign of fetal distress and hypoxia.

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Precipitous Labor

Labor that progresses rapidly, lasting 3 hours or less from onset of contractions to delivery.

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Amniotic Fluid Embolism

A rare and life-threatening complication where amniotic fluid enters the maternal circulation, causing respiratory distress and circulatory collapse.

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Study Notes

Medications

  • RhoGAM: Blood product, 2 RN CHECK; Injection given after baby is born; Mother also gets another dose.
  • Methotrexate: Suppresses contractions, but may cause hypotension; Hypotensive education; Do not give with magnesium sulfate; Magnesium sulfate contraindication must be addressed with antidote calcium gluconate.
  • Nifedipine: Active vaginal bleeding; Dilation of cervix greater than 6 cm; Greater than 34 weeks; Acute fetal distress; Chorioamnionitis.

Gynecology Exam

  • Contraception: Covered in the exam.
  • Pregnancy and Antepartum: First trimester: (Weeks 1-13) fetal organ development, no noticeable changes until later in pregnancy. Second trimester (Weeks 14-27): Maternal tissue growth, and rapid physical changes in the abdomen and breasts; discomfort may occur in the back, legs, or skin. Third trimester (Weeks 28-42): Fetal tissue growth, and changes in vital signs (heart rate, respirations, blood pressure.)

Infections During Pregnancy

  • HIV: Tested during pregnancy.
  • Hep B: Screened during pregnancy.
  • Rubella: Screened for during pregnancy.
  • HSV: Necessary screening and medication provided if active.
  • Group B Strep: Screened at 35-38 weeks.
  • Syphilis: Screened during pregnancy with blood test.
  • Chlamydia: Screening during pregnancy, and antibiotics needed.
  • Gonorrhea: Screening during pregnancy, and antibiotics needed.
  • Trichomoniasis: Yellow-green or fluorescent green vaginal discharge, and foul odor. Treatment with medication (Metronidazole or tinidazole) is not given during the first trimester due to potential teratogenic effects.
  • HPV: Causes genital warts, and cervical cancer; Vaccination is not recommended during pregnancy.

Fetal Assessment

  • Ultrasound: Full bladder recommended, Transabdominal (first trimester), or transvaginal (second and third trimester); used to monitor fetal development, fetal positioning, and contractions.

Hemorrhagic Conditions of Early Pregnancy

  • Spontaneous Abortion: Natural ending of pregnancy before 20 weeks; Risk factors include chromosome abnormalities, advanced maternal age, premature cervical dilation, maternal malnutrition, substance use, and trauma.
  • Premature Rupture of Membranes (PROM): Rupture of amniotic sac before labor; complications include infection and risk of complications to baby.

Hemorrhagic Conditions of Late Pregnancy

  • Placenta Previa: Placenta attaches low in the uterus covering the cervix, cannot have a vaginal delivery; Risk factors include advanced maternal age, multiparas, prior c-section/uterine surgeries, or multifetal pregnancies.

Labor Complications

  • Prolapsed Umbilical Cord: Cord is compressed when passing through the birth canal; fetal circulation is compromised.
  • Labor Dystocia: Abnormal labor; Risk factors include large baby size, small pelvis, abnormal positioning, or poor uterine contractions.

Nursing care during labor

  • Pain management: Opioids (IM or IV) for early labor, but IV is better; Non-pharmacological care like breathing techniques, effleurage, sacral counterpressure. Specific conditions like Hypertonic uterine conditions.

Processes of Birth

  • Premonitory Signs of Labor: Lightening (descent into pelvis); Increased energy, or nesting instinct; Bloody show, or rupture of membranes, Braxton Hicks contractions.
  • Assessment of ruptured membranes: Time, amount, color, and odor.
  • Stages of labor: First (latent and active), Second (pushing), Third (placenta delivery), and Fourth (recovery)

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OB Exam 1 Study Guide PDF

Description

Test your knowledge on essential medications used in gynecology, including RhoGAM, Methotrexate, and Nifedipine. This quiz covers indications, contraindications, and vital education for safe administration. Prepare for your gynecology exam with these key concepts.

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