NCM 109: Nursing Care of the Pregnant Client - Preterm Labor Definitions

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27 Questions

At what week does the Department of Health (DOH) specify that labor starts according to the given text?

24 weeks

What is the significance of reaching 4cm dilation?

Qualified for admission

What is comparable to a non-effacing cervix according to the given text?

Indian mango

Which condition is NOT listed as a risk factor for preterm labor in the given text?

Post-term pregnancy

Which condition can result from the premature development of RDS (Respiratory Distress Syndrome)?

Neurological Disorders

When should the DUCTUS ARTERIOSUS close after birth?

72 hours

What is the recommended frequency for changing a retained IUD?

Every 2-3 years

What is a potential complication of hypothermia in premature infants?

Metabolic Acidosis

Which drug is used to delay delivery and prevent uterine contractions?

Ritodrine hydrochloride

What is the consequence of premature infants having a CLEFT PALATE?

Feeding Difficulties

'Pathologic Apnea' in premature infants refers to:

Irregular breathing from lung surfactant underdevelopment

Which factor increases the risk of neonatal pneumonia in premature infants?

Premature birth before 37 weeks

Why are premature infants prone to anemia?

Lack of lung surfactant development

What is the role of Isosuxiprine hydrochloride in delaying delivery?

Stimulates uterine contractions

What is the comparable condition to a non-effacing cervix according to the given text?

Indian mango

What is a potential maternal infection that can lead to premature labor according to the text?

Bacterial infection - treated with antibiotics

At what point should a multigravida not be allowed to go home during labor, according to the given text?

When the cervix is 3cm dilated

What is the recommended interval for changing a retained IUD, according to the given text?

Every 2-3 years

Why are premature infants prone to respiratory distress syndrome (RDS), according to the given text?

Underdeveloped lung surfactant

What is the typical time frame for the closure of DUCTUS ARTERIOSUS after birth, as mentioned in the text?

72 hours after birth

What is the potential consequence of premature infants having a cleft palate, based on the given text?

Feeding difficulties

Which factor increases the risk of neonatal pneumonia in premature infants, according to the text?

Trauma epidemiological factors

What is a potential maternal infection that can lead to premature labor, as indicated in the given text?

Infections

What is a potential complication of hypothermia in premature infants, based on the text?

Metabolic acidosis

What is the primary purpose of tocolytic agents in delaying delivery, according to the provided information?

Prevent uterine contractions

'Pathologic Apnea' in premature infants refers to:

'Abnormal' breathing pattern in preterm infants

At what point should a multigravida not be allowed to go home during labor, according to the given text?

With regular uterine contractions and progressive cervical changes

Study Notes

Labor and Delivery

  • Labor starts at 37 weeks according to the Department of Health (DOH).
  • Reaching 4cm dilation is significant because it indicates active labor.

Cervical Effacement

  • A non-effacing cervix is comparable to a finger.

Risk Factors for Preterm Labor

  • The following conditions are NOT listed as risk factors for preterm labor: none are mentioned.

Respiratory Distress Syndrome (RDS)

  • Premature development of RDS can result in bronchopulmonary dysplasia.
  • Premature infants are prone to RDS due to immature lung development.

Ductus Arteriosus

  • The Ductus Arteriosus should close within the first 24 hours after birth.

Intrauterine Device (IUD)

  • The recommended frequency for changing a retained IUD is every 24 hours.

Complications of Premature Birth

  • Hypothermia can lead to respiratory distress in premature infants.
  • Premature infants with a cleft palate are at risk of feeding difficulties.
  • Pathologic Apnea in premature infants refers to apnea that lasts for 20 seconds or more.
  • Premature infants are prone to anemia due to insufficient production of red blood cells.
  • Premature infants are at risk of neonatal pneumonia due to an immature immune system.

Tocolytic Agents

  • Tocolytic agents, such as Isosuxiprine hydrochloride, are used to delay delivery and prevent uterine contractions.
  • The primary purpose of tocolytic agents is to delay delivery.

Labor Management

  • A multigravida should not be allowed to go home during labor if they are 4cm or more dilated.
  • Maternal infections, such as chorioamnionitis, can lead to premature labor.

Test your knowledge of preterm labor definitions and criteria for admission in NCM 109: Nursing Care of the Pregnant Client. This quiz covers the characteristics of preterm labor, including dilation and effacement of the cervix.

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