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

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

  • 37 weeks
  • 30 weeks
  • 20 weeks
  • 24 weeks (correct)

What is the significance of reaching 4cm dilation?

  • Move to labor room
  • Qualified for admission (correct)
  • Time to prepare for cesarean section
  • Time to discharge the patient

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

  • Ripe mango
  • Indian mango (correct)
  • Papaya
  • Apple

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

<p>Post-term pregnancy (D)</p> Signup and view all the answers

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

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

When should the DUCTUS ARTERIOSUS close after birth?

<p>72 hours (B)</p> Signup and view all the answers

What is the recommended frequency for changing a retained IUD?

<p>Every 2-3 years (A)</p> Signup and view all the answers

What is a potential complication of hypothermia in premature infants?

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

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

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

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

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

'Pathologic Apnea' in premature infants refers to:

<p>Irregular breathing from lung surfactant underdevelopment (A)</p> Signup and view all the answers

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

<p>Premature birth before 37 weeks (A)</p> Signup and view all the answers

Why are premature infants prone to anemia?

<p>Lack of lung surfactant development (C)</p> Signup and view all the answers

What is the role of Isosuxiprine hydrochloride in delaying delivery?

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

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

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

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

<p>Bacterial infection - treated with antibiotics (D)</p> Signup and view all the answers

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

<p>When the cervix is 3cm dilated (C)</p> Signup and view all the answers

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

<p>Every 2-3 years (A)</p> Signup and view all the answers

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

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

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

<p>72 hours after birth (A)</p> Signup and view all the answers

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

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

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

<p>Trauma epidemiological factors (C)</p> Signup and view all the answers

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

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

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

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

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

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

'Pathologic Apnea' in premature infants refers to:

<p>'Abnormal' breathing pattern in preterm infants (D)</p> Signup and view all the answers

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

<p>With regular uterine contractions and progressive cervical changes (A)</p> Signup and view all the answers

Flashcards

When does labor start according to the DOH?

The Department of Health (DOH) considers this to be the earliest stage of labor.

What dilation signifies hospital admission?

This cervical dilation suggests the woman is ready for hospital admission.

What is a non-effacing cervix compared to?

This analogy refers to a cervix that remains unchanged during labor, similar to the firmness of the fruit.

Which condition isn't listed as a risk factor for premature labor?

A condition that usually occurs after the full term of a pregnancy, not before.

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What can premature RDS lead to?

Premature development of respiratory distress syndrome (RDS) can lead to various issues with the brain.

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When should the DUCTUS ARTERIOSUS close?

The DUCTUS ARTERIOSUS should close within this timeframe after birth.

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How often should you change a retained IUD?

This is the recommended time frame for changing a retained IUD.

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What can hypothermia cause in premature babies?

Hypothermia can lead to this metabolic problem in preterm infants.

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Which drug stops uterine contractions?

Ritodrine hydrochloride is used to prevent labor by delaying uterine contractions.

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What is a complication of a cleft palate in premature infants?

A CLEFT PALATE can lead to difficulties with eating for premature infants.

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What is 'pathologic apnea' in premature infants?

Pathologic Apnea in preterm infants is characterized by irregular breathing caused by underdeveloped lung surfactant.

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What increases the risk of pneumonia in premature babies?

Premature birth before 37 weeks increases the risk of neonatal pneumonia.

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Why are premature infants prone to anemia?

Premature infants are prone to anemia because of insufficient lung surfactant development.

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What is the effect of Isosuxiprine hydrochloride on delivery?

Isosuxiprine hydrochloride stimulates uterine contractions, making it an unsuitable medication for delaying delivery.

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What is a non-effacing cervix comparable to?

This analogy refers to a cervix that remains unchanged during labor, similar to the firmness of the fruit.

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What kind of infection can lead to premature labor?

Bacterial infections can trigger premature labor.

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At what dilation should a multigravida not be allowed to go home?

A multigravida should not be allowed to go home during labor when the cervix reaches this dilation.

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How often should you change a retained IUD?

This is the recommended time frame for changing a retained IUD.

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What causes RDS in premature infants?

Premature infants are prone to respiratory distress syndrome (RDS) due to underdeveloped lung surfactant.

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When should the DUCTUS ARTERIOSUS close?

The DUCTUS ARTERIOSUS should close within this timeframe after birth.

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What's a complication of a cleft palate in premature infants?

A CLEFT PALATE can lead to difficulties with eating for premature infants.

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What increases the risk of pneumonia in premature infants?

Trauma epidemiological factors, such as premature birth, increase the risk of neonatal pneumonia.

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What can lead to premature labor?

Infections during pregnancy can cause premature labor.

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What is a complication of hypothermia in premature babies?

Hypothermia can lead to this metabolic problem in preterm infants.

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What is the main purpose of tocolytic agents?

Tocolytic agents primarily aim to prevent uterine contractions, delaying delivery.

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What is 'pathologic apnea' in premature infants?

Pathologic Apnea in preterm infants is characterized by irregular breathing due to underdeveloped lung surfactant.

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When should a multigravida not be allowed to go home during labor?

A multigravida should not be allowed to go home during labor when regular contractions and cervical changes are evident.

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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.

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Description

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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