Podcast
Questions and Answers
What is a key contraindication for administering magnesium sulfate?
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?
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?
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?
Which drug is used to treat chorioamnionitis in pregnant women?
What should be administered to counteract the hypotensive effects of an epidural?
What should be administered to counteract the hypotensive effects of an epidural?
What is the primary benefit of administering opioids intravenously during active labor?
What is the primary benefit of administering opioids intravenously during active labor?
Which nursing action is essential when administering general anesthesia?
Which nursing action is essential when administering general anesthesia?
What might be a premonitory sign of labor indicating that the cervix is dilating?
What might be a premonitory sign of labor indicating that the cervix is dilating?
In the transition phase of labor, which of the following is true?
In the transition phase of labor, which of the following is true?
What is a common effect of an epidural block on maternal health?
What is a common effect of an epidural block on maternal health?
Which of the following is a sign of potential complications during labor?
Which of the following is a sign of potential complications during labor?
Which activity should be avoided to prevent increased uterine tone in the fourth stage of labor?
Which activity should be avoided to prevent increased uterine tone in the fourth stage of labor?
Which action should be taken when the patient shows signs of hypotension after an epidural block?
Which action should be taken when the patient shows signs of hypotension after an epidural block?
What should be closely monitored post-delivery to assess for potential hemorrhage?
What should be closely monitored post-delivery to assess for potential hemorrhage?
Which of the following describes the primary focus during the active phase of labor?
Which of the following describes the primary focus during the active phase of labor?
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?
What is the recommended position for pregnant women to avoid supine hypotensive syndrome?
What is the recommended position for pregnant women to avoid supine hypotensive syndrome?
What is the primary purpose of progesterone during pregnancy?
What is the primary purpose of progesterone during pregnancy?
Which of the following is a presumptive sign of pregnancy?
Which of the following is a presumptive sign of pregnancy?
What is a common gastrointestinal issue experienced during pregnancy?
What is a common gastrointestinal issue experienced during pregnancy?
What does Chadwick's sign indicate during pregnancy?
What does Chadwick's sign indicate during pregnancy?
What is the main concern with urinary stasis during pregnancy?
What is the main concern with urinary stasis during pregnancy?
Which intervention is recommended for managing constipation during pregnancy?
Which intervention is recommended for managing constipation during pregnancy?
What does the acronym GTPAL stand for in prenatal assessments?
What does the acronym GTPAL stand for in prenatal assessments?
What effect does pregnancy have on skin temperature?
What effect does pregnancy have on skin temperature?
What are stretch marks during pregnancy called?
What are stretch marks during pregnancy called?
What blood test is used to assess maternal-fetal blood incompatibility?
What blood test is used to assess maternal-fetal blood incompatibility?
What is diastasis recti during pregnancy?
What is diastasis recti during pregnancy?
What are common expected findings in placental abruption?
What are common expected findings in placental abruption?
Which of the following is a risk factor for preterm labor?
Which of the following is a risk factor for preterm labor?
What is the primary nursing care intervention to manage preterm labor?
What is the primary nursing care intervention to manage preterm labor?
What is a potential complication of Premature Rupture of Membranes (PROM)?
What is a potential complication of Premature Rupture of Membranes (PROM)?
What can indicate fetal distress in a patient with PROM?
What can indicate fetal distress in a patient with PROM?
Which nonpharmacological technique is used to help manage labor pain?
Which nonpharmacological technique is used to help manage labor pain?
Which medication is used to enhance fetal lung maturity?
Which medication is used to enhance fetal lung maturity?
What is the definition of PPROM?
What is the definition of PPROM?
What are the signs and symptoms of hypovolemic shock?
What are the signs and symptoms of hypovolemic shock?
What should a patient do if they experience decreased fetal movement?
What should a patient do if they experience decreased fetal movement?
Which of the following symptoms might indicate contractions during preterm labor?
Which of the following symptoms might indicate contractions during preterm labor?
During labor, what type of pain is associated with muscle contractions?
During labor, what type of pain is associated with muscle contractions?
Which nursing intervention helps mitigate anxiety during labor?
Which nursing intervention helps mitigate anxiety during labor?
What test is performed to determine if the fluid is amniotic?
What test is performed to determine if the fluid is amniotic?
What is the recommended initial screening for syphilis during pregnancy?
What is the recommended initial screening for syphilis during pregnancy?
What is a potential consequence of untreated chlamydia during pregnancy?
What is a potential consequence of untreated chlamydia during pregnancy?
Which of the following treatments is NOT safe during the first trimester for trichomoniasis?
Which of the following treatments is NOT safe during the first trimester for trichomoniasis?
What does a nonstress test primarily monitor?
What does a nonstress test primarily monitor?
What is the main purpose of chorionic villus sampling?
What is the main purpose of chorionic villus sampling?
Which of the following is a risk factor for spontaneous abortion?
Which of the following is a risk factor for spontaneous abortion?
What is the expected finding in an ectopic pregnancy if it ruptures?
What is the expected finding in an ectopic pregnancy if it ruptures?
How is placenta previa diagnosed?
How is placenta previa diagnosed?
What education is necessary prior to chorionic villus sampling?
What education is necessary prior to chorionic villus sampling?
What is a common complication associated with amniocentesis?
What is a common complication associated with amniocentesis?
What is one of the main risks associated with continuous internal fetal monitoring?
What is one of the main risks associated with continuous internal fetal monitoring?
What is a typical symptom of trichomoniasis in women?
What is a typical symptom of trichomoniasis in women?
Which of the following indicates a successful induction of labor using the Bishop score?
Which of the following indicates a successful induction of labor using the Bishop score?
Which of the following is NOT a sign of placenta abruption?
Which of the following is NOT a sign of placenta abruption?
What must be done after the treatment of syphilis?
What must be done after the treatment of syphilis?
Which maternal position is recommended to promote comfort and circulation during labor?
Which maternal position is recommended to promote comfort and circulation during labor?
Which condition requires surgical intervention due to rupture?
Which condition requires surgical intervention due to rupture?
What is the advantage of using amnioinfusion during labor?
What is the advantage of using amnioinfusion during labor?
What complication can arise from a prolonged rupture of membranes (ROM)?
What complication can arise from a prolonged rupture of membranes (ROM)?
What factor can contribute to the development of labor dystocia?
What factor can contribute to the development of labor dystocia?
What does a non-reassuring fetal heart rate indicate during labor?
What does a non-reassuring fetal heart rate indicate during labor?
Which of the following is a common indication for performing a cesarean section?
Which of the following is a common indication for performing a cesarean section?
Which statement about breech presentation is true?
Which statement about breech presentation is true?
What should be monitored if performing cervical ripening?
What should be monitored if performing cervical ripening?
Which of the following describes a consequence of uterine rupture during labor?
Which of the following describes a consequence of uterine rupture during labor?
What nursing intervention is appropriate for managing a prolapsed umbilical cord?
What nursing intervention is appropriate for managing a prolapsed umbilical cord?
Which factor does not affect the labor process?
Which factor does not affect the labor process?
Flashcards
Rhogam
Rhogam
A medication used to prevent Rh incompatibility, given to Rh-negative mothers during pregnancy and after delivery.
Nifedipine
Nifedipine
Medication used to suppress contractions, but can cause hypotension. It shouldn't be given with magnesium sulfate.
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
Betamethasone
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Ampicillin
Ampicillin
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Fundal Height at 36 Weeks
Fundal Height at 36 Weeks
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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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Diastasis Recti
Diastasis Recti
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Progesterone
Progesterone
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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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GTPAL
GTPAL
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Anemia in Pregnancy
Anemia in Pregnancy
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Estimated Delivery Date
Estimated Delivery Date
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Gravida
Gravida
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Complete Blood Count in Pregnancy
Complete Blood Count in Pregnancy
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PROM (Premature Rupture of Membranes)
PROM (Premature Rupture of Membranes)
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PPROM (Preterm Premature Rupture of Membranes)
PPROM (Preterm Premature Rupture of Membranes)
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Placental Abruption
Placental Abruption
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Chorioamnionitis
Chorioamnionitis
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Tocolytic Therapy
Tocolytic Therapy
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Preterm Labor
Preterm Labor
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Preterm Contractions
Preterm Contractions
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Effleurage
Effleurage
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Sacral Counterpressure
Sacral Counterpressure
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Breathing Techniques
Breathing Techniques
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Fern Test
Fern Test
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Nitrazine Paper Test
Nitrazine Paper Test
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Hypnotherapy
Hypnotherapy
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Epidural Anesthesia
Epidural Anesthesia
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Fetal Lung Hypoplasia
Fetal Lung Hypoplasia
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Anesthesia
Anesthesia
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Epidural Block
Epidural Block
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Spinal Block
Spinal Block
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General Anesthesia
General Anesthesia
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Narcan (Naloxone)
Narcan (Naloxone)
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Stage 2 of Labor
Stage 2 of Labor
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Stage 4 of Labor
Stage 4 of Labor
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Spontaneous Rupture of Membranes (SROM)
Spontaneous Rupture of Membranes (SROM)
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Cord Prolapse
Cord Prolapse
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Ephedrine
Ephedrine
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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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Nonstress test (NST)
Nonstress test (NST)
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Biophysical profile (BPP)
Biophysical profile (BPP)
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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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Leopold's Maneuvers
Leopold's Maneuvers
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Breech Presentation
Breech Presentation
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Longitudinal Lie
Longitudinal Lie
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Transverse Lie
Transverse Lie
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Station
Station
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Primary Powers
Primary Powers
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Secondary Powers
Secondary Powers
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Hypertonic Uterus
Hypertonic Uterus
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Hypotonic Uterus
Hypotonic Uterus
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Prolapsed Umbilical Cord
Prolapsed Umbilical Cord
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Labor Dystocia
Labor Dystocia
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Uterine Rupture
Uterine Rupture
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Meconium-Stained Amniotic Fluid
Meconium-Stained Amniotic Fluid
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Precipitous Labor
Precipitous Labor
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Amniotic Fluid Embolism
Amniotic Fluid Embolism
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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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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.