Nursing Medications & Care in Labor

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Questions and Answers

What is the primary purpose of the glucose challenge test during pregnancy?

To screen for kidney infections

To screen for gestational diabetes (correct)

To determine fetal gender

To confirm pregnancy

Which of the following is NOT considered a danger sign during pregnancy?

Persistent vomiting

Visual disturbances

Vaginal bleeding

Mild backache (correct)

What should a pregnant woman increase in her diet to support fetal development?

Protein and folic acid (correct)

Calcium and caffeine

Saturated fats and sugars

Alcohol and high-sugar foods

What is a recommended strategy for managing constipation during pregnancy?

Increase fiber intake (A) Signup and view all the answers

Which of the following infections is screened for during late pregnancy, at 35-37 weeks?

Group B Streptococci (B) Signup and view all the answers

What is a sign of hyperglycemia that a pregnant woman might experience?

Increased thirst (D) Signup and view all the answers

Which nutrient should be taken with iron to improve absorption?

Vitamin C (C) Signup and view all the answers

Which common dietary source should be limited during pregnancy due to its high caffeine content?

Coffee (C) Signup and view all the answers

What action is recommended for a woman who actively has genital herpes during pregnancy?

Start suppression medication at 36 weeks (A) Signup and view all the answers

What is an appropriate weight gain goal during the first trimester of pregnancy?

2-4 pounds (D) Signup and view all the answers

What is the primary purpose of administering Narcan to a patient during labor?

To reverse respiratory distress (C) Signup and view all the answers

Which condition is commonly associated with the use of epidural blocks?

Maternal hypotension (D) Signup and view all the answers

What is a characteristic of the transition phase of labor?

Intense contractions every 2-3 minutes (D) Signup and view all the answers

Which action is NOT advisable if a patient's maternal blood pressure drops after an epidural block?

Encourage the mother to sit up (A) Signup and view all the answers

What is the primary sign of the third stage of labor?

Delivery of the placenta (D) Signup and view all the answers

Which symptom indicates that a mother is experiencing a potential complication associated with labor?

Excessive vaginal bleeding (A) Signup and view all the answers

What characteristic is associated with Braxton Hicks contractions?

Irregular contractions that decrease with activity (C) Signup and view all the answers

During which stage of labor does the mother commonly experience the urge to push, signaling imminent delivery?

Second stage (A) Signup and view all the answers

What condition should be monitored postpartum to prevent complications?

Decreased uterine tone (A) Signup and view all the answers

When should a patient experiencing contractions call for the OB?

If contractions last longer than 30 seconds and are 4-6 minutes apart (D) Signup and view all the answers

What is a common sign during pregnancy that indicates increased blood volume?

Increased heart rate (D) Signup and view all the answers

Which condition can result from lying flat on the back during pregnancy?

Supine hypotensive syndrome (B) Signup and view all the answers

What physiological change occurs to the uterus by 36 weeks of pregnancy?

It pushes against the diaphragm (B) Signup and view all the answers

Which of the following is a probable sign of pregnancy?

Positive urine pregnancy test (C) Signup and view all the answers

What intervention may help alleviate constipation during pregnancy?

Stay hydrated and increase fiber (A) Signup and view all the answers

Which hormone is primarily responsible for maintaining pregnancy?

Progesterone (C) Signup and view all the answers

What is Chadwick's sign indicative of during pregnancy?

Dark blue color of cervix and vagina (A) Signup and view all the answers

What does the GTPAL acronym stand for in maternity care assessments?

Gestational, Term, Preterm, Abortions, Living (A) Signup and view all the answers

What skin change commonly occurs due to increased circulation during pregnancy?

Increased pigmentation (Chloasma) (D) Signup and view all the answers

What is a primary indicator of positive pregnancy confirmation?

Visualization of fetus via ultrasound (B) Signup and view all the answers

Which of the following statements about diastasis recti is true?

It is common after pregnancy. (A) Signup and view all the answers

What is a key symptom of supine hypotensive syndrome?

Dizziness and lightheadedness (D) Signup and view all the answers

Which factor can increase the risk of urinary tract infections during pregnancy?

Urinary stasis from relaxed muscles (C) Signup and view all the answers

What is the primary treatment for chlamydia during pregnancy?

Oral antibiotics for 3 weeks (D) Signup and view all the answers

Which of the following complications may arise from untreated gonorrhea during pregnancy?

Neonatal sepsis and blindness (A) Signup and view all the answers

What is a significant symptom of trichomoniasis in women?

Yellow-green vaginal discharge with a foul odor (D) Signup and view all the answers

Which fetal assessment method requires a full bladder prior to the procedure?

Ultrasound (C) Signup and view all the answers

What is the primary function of a biophysical profile?

Determine fetal well-being by combining ultrasound with a nonstress test (A) Signup and view all the answers

What is an expected finding in a spontaneous abortion?

Vaginal bleeding with cramping (C) Signup and view all the answers

What is the risk associated with methotrexate treatment for ectopic pregnancy?

Alcohol can decrease its effectiveness (A) Signup and view all the answers

Which condition is characterized by painless bright red bleeding after 20 weeks of pregnancy?

Placenta previa (A) Signup and view all the answers

What is the primary concern with a mother receiving the HPV vaccine during pregnancy?

Should not be given during pregnancy due to unknown effects (B) Signup and view all the answers

Which assessment technique is used to diagnose fetal chromosomal abnormalities?

Chorionic villus sampling (D) Signup and view all the answers

What symptoms may indicate a ruptured ectopic pregnancy?

Sudden unilateral stabbing pain in lower abdomen (C) Signup and view all the answers

What is the main goal of conservation management for placenta previa?

Stopping the bleeding and bed rest (A) Signup and view all the answers

What key symptom should a woman report post-spontaneous abortion?

Heavy bright red vaginal bleeding (C) Signup and view all the answers

What is a common complication of untreated trichomoniasis?

Preterm labor (B) Signup and view all the answers

Which method is used to artificially initiate uterine contractions before spontaneous labor?

Nipple stimulation (B) Signup and view all the answers

What is a potential advantage of continuous internal fetal monitoring?

Ability to monitor fetal heart rate more accurately (C) Signup and view all the answers

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

Score of 8 (A) Signup and view all the answers

What complication can arise from amniotomy?

Risk for infection (A) Signup and view all the answers

What is the primary purpose of performing cervical ripening?

To promote softening of the cervix (D) Signup and view all the answers

Which risk factor is associated with labor dystocia?

Large fetus (B) Signup and view all the answers

What is one expected finding in a patient experiencing a uterine rupture?

Cessation of contractions (D) Signup and view all the answers

Which fetal presentation is optimal for vaginal delivery?

Cephalic presentation (C) Signup and view all the answers

What condition indicates the need for an emergent cesarean section?

Non-reassuring fetal heart rate (C) Signup and view all the answers

Which of the following is NOT a component of the 5 P's related to labor?

Progress (A) Signup and view all the answers

What is a key nursing intervention for managing labor dystocia?

Applying counterpressure on the sacral area (A) Signup and view all the answers

What fetal heart rate pattern indicates reassurance?

Normal baseline variability (B) Signup and view all the answers

Which of the following conditions can lead to a prolapsed umbilical cord?

Fetal malpresentation (B) Signup and view all the answers

What is the most common complication associated with PPROM?

Chorioamnionitis (B) Signup and view all the answers

Which of the following is NOT a risk factor for preterm labor?

Regular exercise (C) Signup and view all the answers

Which assessment finding is associated with placental abruption?

Intense localized pain with a board-like abdomen (C) Signup and view all the answers

What does the Nitrazine paper test indicate when it turns blue?

Presence of amniotic fluid (B) Signup and view all the answers

What is the primary goal of nursing care for a patient in preterm labor?

Stop contractions (C) Signup and view all the answers

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

Notify the nurse (D) Signup and view all the answers

Which drug is used to enhance fetal lung maturity?

Betamethasone (D) Signup and view all the answers

What symptom is indicative of uterine contractions in preterm labor?

Regular uterine contractions (D) Signup and view all the answers

Which of the following is a nonpharmacological method for managing pain during labor?

Breathing techniques (C) Signup and view all the answers

What are the signs of hypovolemic shock?

High heart rate, low blood pressure, sweating (A) Signup and view all the answers

What should a patient with PROM be monitored for?

Signs of infection and fetal distress (B) Signup and view all the answers

Which of the following factors is associated with increased pain during labor?

Fear and anxiety (D) Signup and view all the answers

Which of the following is a key expected finding associated with placental abruption?

Dark red vaginal bleeding (A) Signup and view all the answers

What should NOT be done with a patient who has PPROM?

Encourage vigorous exercise (A) Signup and view all the answers

Study Notes

Medications

RhoGAM: blood product, 2 RN check, given after birth, mom gets another dose after baby is born
Methotrexate: suppresses contractions, may cause hypotension (hypotensive education), not given with magnesium sulfate. Magnesium sulfate needs no contraindications and calcium gluconate is the antidote
Active vaginal bleeding, dilation of cervix >6 cm, >34 weeks, acute fetal distress, chorioamnionitis

Antepartum & Intrapartum Nursing Care

Dosage Calculation (3 items)
Gynecologic Exam (1 item)
Contraception (2 items)
Pregnancy & Antepartum Nursing Care (7 items)
Nutrition for Childbearing (4 items)
Infections During Pregnancy (2 items)
Fetal Assessment (2 items)
Hemorrhagic Conditions (4 items)
Preterm Labor & PROM/PPROM (6 items)
Process of Birth/ Factors Affecting Labor (7 items)
Pain Management During Childbirth (3 items)
Intrapartum Fetal Surveillance (4 items)
Nursing Care During Labor (4 items)
Labor Complications (1 item)

Gyne Exam

First trimester (week 1-13): no obvious physical changes, pregnancy more noticeable
Second trimester (week 14-27): rapid physical changing in abdomen and breast, may affect mobility, skin, balance, back or leg discomfort, and fatigue.
Third trimester (week 28-42): fetal tissue growth, changes in vital signs (HR, RR, BP)

Pregnancy & Antepartum

Physical changes of pregnancy are noticeable in later trimesters
Risk of negative body image and/or fatigue

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Description

This quiz covers essential medications used during labor such as RhoGAM and Methotrexate, along with crucial nursing care practices for both antepartum and intrapartum stages. It includes topics like dosage calculations, fetal assessment, pain management during childbirth, and more. Perfect for nursing students preparing for exams.