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Questions and Answers
What is a known contraindication for administering magnesium sulfate during labor?
What is a known contraindication for administering magnesium sulfate during labor?
What is the primary purpose of administering betamethasone during pregnancy?
What is the primary purpose of administering betamethasone during pregnancy?
During which trimester does significant maternal tissue growth occur?
During which trimester does significant maternal tissue growth occur?
Which medication may be used cautiously alongside nifedipine due to potential interference?
Which medication may be used cautiously alongside nifedipine due to potential interference?
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Which change in vital signs is expected during the third trimester?
Which change in vital signs is expected during the third trimester?
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What is the primary purpose of performing a Bishop score during labor?
What is the primary purpose of performing a Bishop score during labor?
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When is cervical ripening indicated?
When is cervical ripening indicated?
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What is a significant risk associated with continuous internal fetal monitoring?
What is a significant risk associated with continuous internal fetal monitoring?
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Which of the following describes the term 'prolapsed umbilical cord'?
Which of the following describes the term 'prolapsed umbilical cord'?
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What is the primary advantage of performing an amnioinfusion during labor?
What is the primary advantage of performing an amnioinfusion during labor?
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Which statement best describes the term 'labor dystocia'?
Which statement best describes the term 'labor dystocia'?
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What is the primary purpose of the Leopold maneuvers?
What is the primary purpose of the Leopold maneuvers?
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In what situation would a c-section be indicated due to breech presentation?
In what situation would a c-section be indicated due to breech presentation?
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What type of fetal presentation can require a cesarean section?
What type of fetal presentation can require a cesarean section?
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Which is NOT considered a typical nursing intervention during labor?
Which is NOT considered a typical nursing intervention during labor?
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What characterizes hypertonic uterine contractions?
What characterizes hypertonic uterine contractions?
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What does continuous external fetal monitoring involve?
What does continuous external fetal monitoring involve?
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Which method is typically used to artificially initiate uterine contractions?
Which method is typically used to artificially initiate uterine contractions?
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Which screening test is mandated by law during pregnancy to check for syphilis?
Which screening test is mandated by law during pregnancy to check for syphilis?
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What is the primary purpose of a glucose challenge test during pregnancy?
What is the primary purpose of a glucose challenge test during pregnancy?
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Which of the following is NOT considered a danger sign of pregnancy?
Which of the following is NOT considered a danger sign of pregnancy?
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During which trimester should a pregnant woman aim for a weight gain of approximately 2-4 lbs?
During which trimester should a pregnant woman aim for a weight gain of approximately 2-4 lbs?
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What dietary recommendation is advised to enhance iron absorption during pregnancy?
What dietary recommendation is advised to enhance iron absorption during pregnancy?
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Which complications can be alleviated by increasing fiber intake and physical activity?
Which complications can be alleviated by increasing fiber intake and physical activity?
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What should a pregnant woman limit regarding caffeine intake to maintain health?
What should a pregnant woman limit regarding caffeine intake to maintain health?
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What is the recommended treatment for a pregnant woman who actively has genital herpes to prevent transmission to the newborn?
What is the recommended treatment for a pregnant woman who actively has genital herpes to prevent transmission to the newborn?
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Which of the following infections is screened for at 35-37 weeks of pregnancy?
Which of the following infections is screened for at 35-37 weeks of pregnancy?
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What is an indicated sign of hyperglycemia during pregnancy?
What is an indicated sign of hyperglycemia during pregnancy?
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Which risk factor is associated with placental abruption?
Which risk factor is associated with placental abruption?
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What is the primary focus of nursing care in cases of PROM?
What is the primary focus of nursing care in cases of PROM?
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Which symptom would most likely indicate uterine contractions during preterm labor?
Which symptom would most likely indicate uterine contractions during preterm labor?
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What indicates a need for immediate delivery in a patient experiencing symptoms of placental abruption?
What indicates a need for immediate delivery in a patient experiencing symptoms of placental abruption?
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Which of the following is NOT a common complication associated with PPROM?
Which of the following is NOT a common complication associated with PPROM?
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Which medication is used to enhance fetal lung maturity?
Which medication is used to enhance fetal lung maturity?
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What is a common assessment finding in PROM?
What is a common assessment finding in PROM?
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How can nurses best support a patient experiencing preterm labor?
How can nurses best support a patient experiencing preterm labor?
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What change indicates the presence of Chadwick's sign during pregnancy?
What change indicates the presence of Chadwick's sign during pregnancy?
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What symptom is indicative of fetal distress?
What symptom is indicative of fetal distress?
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What should a pregnant woman do to avoid supine hypotensive syndrome?
What should a pregnant woman do to avoid supine hypotensive syndrome?
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What is an effective nonpharmacological method for pain management during labor?
What is an effective nonpharmacological method for pain management during labor?
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Which risk factor increases the likelihood of preterm labor?
Which risk factor increases the likelihood of preterm labor?
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Which condition is characterized by the relaxation of muscles in the ureters and bladder, increasing the risk for urinary stasis during pregnancy?
Which condition is characterized by the relaxation of muscles in the ureters and bladder, increasing the risk for urinary stasis during pregnancy?
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What common complaint in the gastrointestinal system during pregnancy can interfere with the quality of life for many women?
What common complaint in the gastrointestinal system during pregnancy can interfere with the quality of life for many women?
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What does the nitrazine paper test for?
What does the nitrazine paper test for?
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What is a key consideration when managing pain during childbirth?
What is a key consideration when managing pain during childbirth?
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What is the term for the stretch marks that appear on the abdomen and thighs during pregnancy?
What is the term for the stretch marks that appear on the abdomen and thighs during pregnancy?
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What defines a positive sign of pregnancy?
What defines a positive sign of pregnancy?
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Which of the following is an expected finding in placental abruption?
Which of the following is an expected finding in placental abruption?
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Which of the following hormonal changes helps maintain pregnancy and prepares the body for delivery?
Which of the following hormonal changes helps maintain pregnancy and prepares the body for delivery?
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What is the purpose of performing a complete blood count (CBC) during antepartum assessment?
What is the purpose of performing a complete blood count (CBC) during antepartum assessment?
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What is a likely risk associated with the increased blood volume in pregnant women?
What is a likely risk associated with the increased blood volume in pregnant women?
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What factor is involved in the assessment of gestational age during prenatal visits?
What factor is involved in the assessment of gestational age during prenatal visits?
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Which of the following is a sign that may lead to the examination suspecting pregnancy?
Which of the following is a sign that may lead to the examination suspecting pregnancy?
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During which trimester do increased respiratory rates commonly occur due to pressure from the growing fetus?
During which trimester do increased respiratory rates commonly occur due to pressure from the growing fetus?
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What helps relieve pressure on major blood vessels during pregnancy?
What helps relieve pressure on major blood vessels during pregnancy?
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What should be included in education for pregnant patients to prevent weight-related complications?
What should be included in education for pregnant patients to prevent weight-related complications?
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What is a common complication of untreated chlamydia during pregnancy?
What is a common complication of untreated chlamydia during pregnancy?
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What should a patient be educated about prior to chorionic villus sampling?
What should a patient be educated about prior to chorionic villus sampling?
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Which infection is NOT recommended to be treated with antibiotics during the first trimester due to teratogenic effects?
Which infection is NOT recommended to be treated with antibiotics during the first trimester due to teratogenic effects?
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What is the expected finding in ectopic pregnancy?
What is the expected finding in ectopic pregnancy?
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What is the primary purpose of a nonstress test during pregnancy?
What is the primary purpose of a nonstress test during pregnancy?
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What condition may present with bright red painless bleeding after 20 weeks of pregnancy?
What condition may present with bright red painless bleeding after 20 weeks of pregnancy?
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What is the recommended treatment for gonorrhea during pregnancy?
What is the recommended treatment for gonorrhea during pregnancy?
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What pregnancy complication is associated with vaginal cramping and bleeding?
What pregnancy complication is associated with vaginal cramping and bleeding?
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What is a possible complication of amniocentesis?
What is a possible complication of amniocentesis?
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Which of the following should be avoided while taking methotrexate for an ectopic pregnancy?
Which of the following should be avoided while taking methotrexate for an ectopic pregnancy?
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What is the function of the biophysical profile during pregnancy?
What is the function of the biophysical profile during pregnancy?
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What symptom is most notable for trichomoniasis in women?
What symptom is most notable for trichomoniasis in women?
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What is an expected finding in spontaneous abortion?
What is an expected finding in spontaneous abortion?
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What is NOT a risk factor for placenta previa?
What is NOT a risk factor for placenta previa?
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Study Notes
Antepartum & Intrapartum Nursing Care (100 points)
- Dosage Calculation: assessed with 3 items
- Gynecologic Exam: assessed with 1 item
- Contraception: assessed with 2 items
- Pregnancy & Antepartum Nursing Care: assessed with 7 items
- Nutrition for Childbearing: assessed with 4 items
- Infections During Pregnancy: assessed with 2 items
- Fetal Assessment: assessed with 2 items
- Hemorrhagic Conditions: assessed with 4 items
- Preterm Labor & PROM/PPROM: assessed with 6 items
- Process of Birth/ Factors Affecting Labor: assessed with 7 items
- Pain Management During Childbirth: assessed with 3 items
- Intrapartum Fetal Surveillance: assessed with 4 items
- Nursing Care During Labor: assessed with 4 items
- Labor Complications: assessed with 1 item
Medications
-
Rhogam: Blood product, 2 RN CHECK
- Injection given after baby is born
- Mother 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
- Dilation of cervix >6 cm
- Greater than 34 weeks
- Acute fetal distress
- Chorioamnionitis
-
Nifedipine: Suppresses contractions, but may cause hypotension.
- Give education about hypotension; do not give with magnesium sulfate
Gyne Exam
- Contraception: assessed with 2 items
-
Pregnancy and Antepartum:
- 1st trimester (week 1-13): no obvious changes, pregnancy more noticeable later
- 2nd trimester (week 14-27): rapid physical changes in abdomen and breasts, possible discomfort in mobility, skin, balance, back or legs
- 3rd trimester (week 28-42): fetal tissue growth, increase in vital signs (HR, RR) and slight decrease in BP
Other notable topics from the document include:
- Assessment, Analysis, Planning, Intervention, Evaluation: Nursing process steps to critical thinking/clinical judgement. Multiple systems assessed.
- Management of Care: Multifaceted, broad aspect of care management.
- Safety and Infection Control: A key element of care management
- Health Promotion and Maintenance: Essential in any aspect of care
- Psychosocial Integrity: Assessing emotional well-being within childbirth
- Basic Care and Comfort: Fundamental in patient care.
- Pharmacological: assessment and therapy.
- Reduction of Risk Potential: Assessment and mitigation of risks to maternal and fetal well-being.
- Physiological Adaptation: Assessing and supporting ongoing physical changes.
- Risk factors, complications, and expected findings: relevant to specific conditions during pregnancy
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Description
This quiz assesses your knowledge in antepartum and intrapartum nursing care. It covers various topics including dosage calculations, gynecologic exams, fetal assessments, and pain management during childbirth. Prepare to test your understanding of the essential nursing practices necessary for effective maternal care.
