Nursing Midterm: Reproductive Health
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Questions and Answers

Which area is NOT mentioned as a focus for Kaplan exam questions?

  • Breastfeeding
  • Neonatal Resuscitation (correct)
  • Contraception
  • Postpartum Complications

What is included in the recommended preparation for the OB Kaplan Focused Review Tests?

  • Taking comprehensive quizzes.
  • Building custom tests. (correct)
  • Collaborating with peers.
  • Memorizing definitions.

What type of questions does Kaplan provide remediation for?

  • All questions missed. (correct)
  • Questions answered incorrectly.
  • Questions based on case studies.
  • Only questions related to postpartum.

Which of the following is NOT a listed content area for the midterm?

<p>Genetic Counseling (C)</p> Signup and view all the answers

Which topic is likely addressed under Newborn Care at Birth?

<p>Initial assessments and interventions (A)</p> Signup and view all the answers

What does the guide recommend doing when a question is missed on the Kaplan test?

<p>Remediate the question. (C)</p> Signup and view all the answers

What is a potential topic covered in the section regarding Pregnancy Complications?

<p>Preexisting and Gestational conditions (A)</p> Signup and view all the answers

Which area is important for understanding physiological changes in newborns?

<p>Newborn physiological Jaundice (B)</p> Signup and view all the answers

Which complication might arise during labor and delivery?

<p>Excessive bleeding (A), Infection (B), Allergic reaction to anesthesia (C)</p> Signup and view all the answers

Which anesthesia method is common during labor?

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

What is a potential risk of using Pitocin in labor management?

<p>Increased frequency of contractions (B)</p> Signup and view all the answers

What is a common reason for postpartum complications?

<p>Uterine atony (C)</p> Signup and view all the answers

Which of the following is NOT typically assessed for complications during labor?

<p>Gestational age (B)</p> Signup and view all the answers

Which of these signs may indicate a complication during labor?

<p>Decreased fetal movement (C), Elevated heart rate in the mother (D)</p> Signup and view all the answers

What should be monitored closely when using anesthesia during labor?

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

Which of the following is a common post-operative complication?

<p>Post-surgical infection (C)</p> Signup and view all the answers

What is a common side effect to monitor for when administering oxytocin?

<p>Uterine hyperstimulation (B)</p> Signup and view all the answers

Which vital sign should be checked before administering Methergine?

<p>Blood pressure (D)</p> Signup and view all the answers

Which condition is a contraindication for using Methergine?

<p>Cardiac disease (D)</p> Signup and view all the answers

What should be monitored for following the administration of Hemabate?

<p>Vaginal bleeding (D)</p> Signup and view all the answers

Which side effect is associated with Hemabate?

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

What can be a consequence of uterine hyperstimulation when using oxytocin?

<p>Decreased fetal heart rate (C)</p> Signup and view all the answers

What is a potential side effect of Methergine?

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

Which of the following is a serious adverse effect associated with Hemabate?

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

What is the primary use of Cytotec (misoprostol)?

<p>Abortion (A), Contraction of uterus (B)</p> Signup and view all the answers

Which of the following is NOT a side effect of Cervidil (dinoprostone)?

<p>Uterine hypertrophy (B)</p> Signup and view all the answers

What should be monitored when administering Cytotec?

<p>Vaginal bleeding and uterine tone (A)</p> Signup and view all the answers

Which patient history would contraindicate the use of Cervidil?

<p>History of c-section (C)</p> Signup and view all the answers

What nursing consideration is important before the insertion of Cervidil?

<p>Ensure the patient voids prior to insertion (B)</p> Signup and view all the answers

What condition is a contraindication for administering Cervidil?

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

What happens if contractions last longer than 1 minute while using Cervidil?

<p>Call the physician (C)</p> Signup and view all the answers

Which of the following side effects can occur with Cytotec?

<p>Headache, nausea, and diarrhea (C)</p> Signup and view all the answers

What should be monitored in patients on Terbutaline?

<p>Vaginal bleeding and uterine tone (C)</p> Signup and view all the answers

Which of the following conditions is a contraindication for Terbutaline use?

<p>Diabetes Mellitus (A), Asthma (B)</p> Signup and view all the answers

What are common side effects of Terbutaline?

<p>Rapid heart rate and palpitations (D)</p> Signup and view all the answers

What should be monitored for patients on Terbutaline regarding blood work?

<p>Liver function tests and blood sugar levels (B)</p> Signup and view all the answers

What is the antidote for cardiovascular effects caused by Terbutaline?

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

Which of the following is NOT listed as a contraindication for Terbutaline?

<p>Chronic obstructive pulmonary disease (D)</p> Signup and view all the answers

Which of the following is a potential risk in patients taking Terbutaline?

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

What type of medication is Terbutaline classified as?

<p>Beta-adrenergic mimetic (D)</p> Signup and view all the answers

What should be done if there are symptoms of cramping and bleeding during pregnancy?

<p>Seek medical attention immediately. (D)</p> Signup and view all the answers

Which assessment is important for monitoring fetal development?

<p>Conducting routine ultrasound examinations. (A)</p> Signup and view all the answers

What is a common indicator of a high-risk pregnancy?

<p>History of chronic health conditions. (A)</p> Signup and view all the answers

What is typically included in genetic screening during pregnancy?

<p>Testing for specific hereditary conditions. (D)</p> Signup and view all the answers

Which of the following is a key consideration in family planning and infertility?

<p>Ensuring all pregnancies are planned. (B)</p> Signup and view all the answers

Flashcards

Kaplan Midterm Questions

Five questions on the midterm from the Kaplan Focused Review Tests.

Breastfeeding

The act of providing nourishment to a newborn infant through breast milk.

Labor and Birth

The process of childbirth, including stages and complications.

Postpartum Complications

Problems that occur after childbirth.

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Fetal Monitoring

Tracking the health and development of a fetus during pregnancy.

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Prenatal Care

Medical care received during pregnancy.

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Newborn Physiological Jaundice

A common condition where a newborn's skin turns yellow.

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Postpartum

The period after childbirth, encompassing physical and emotional recovery.

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Pitocin Indication

Medical use of Pitocin, a synthetic oxytocin, to induce or strengthen labor contractions.

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Labor Complications

Problems occurring during childbirth, affecting the mother or baby.

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Assessment in Labor

Evaluation of the mother and fetus's condition during childbirth.

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Intervention in Labor

Medical approaches to manage or address difficulties during childbirth.

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Anesthesia/Analgesia in Labor

Medications, either anesthesia or analgesia, used to provide pain relief or numbness during childbirth.

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Use Assessment

Evaluations determining the necessity and suitability of treatment interventions.

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Intervention

Medical actions taken to help manage complications.

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Labor Induction/Augmentation

Stimulating or accelerating uterine contractions during labor to expedite delivery.

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Uterine Hyperstimulation

Excessive uterine contractions that can be dangerous to both the mother and baby during labor.

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Oxytocin

Medication that stimulates uterine contractions during labor.

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Postpartum Hemorrhage (PPH)

Excessive bleeding after childbirth.

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Methergine Contraindications

Do not administer if blood pressure is above 140/90, or if pre-existing high blood pressure or heart problems exist.

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Methergine Side Effects

Potential side effects include hypertension, dizziness, flushing, and nausea/vomiting.

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Hemabate Side Effects

Potential side effects include nausea, vomiting, diarrhea, flushing, headache, and bradycardia (slow heartbeat).

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Hemabate Contraindications

Avoid use in patients with pre-existing conditions like high blood pressure, preeclampsia, or heart disease.

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Terbutaline

A beta-mimetic medication used to relax uterine muscles and prevent preterm labor. It works by stimulating beta-adrenergic receptors.

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Terbutaline Side Effects

Common side effects include rapid heart rate, palpitations, anxiety, headache, dizziness, nausea, vomiting, and diarrhea.

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Terbutaline Monitoring

Closely monitor input and output, creatinine, BUN, liver function tests, blood pressure (especially in patients on hypertension medications), blood glucose levels, and potassium levels.

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Terbutaline Contraindications

Contraindicated in patients with cardiac disease, eclampsia, diabetes mellitus, hyperthyroidism, and migraine.

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Terbutaline Antidote

Propranolol can be used as an antidote in case of cardiovascular adverse effects.

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Asthma and Terbutaline

Terbutaline is contraindicated in patients with asthma because it can worsen respiratory symptoms.

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HTN & Asthma

Patients with both hypertension and asthma need careful monitoring. Terbutaline is contraindicated in both conditions.

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Postpartum Monitoring

After delivery, monitor for vaginal bleeding and uterine tone.

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Call MD for Cramping

Contact a doctor immediately if experiencing severe cramping, pain, increased bleeding, or other concerning symptoms during pregnancy.

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Fetal Development

The process of a baby growing and developing inside the mother's womb from conception to birth.

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Assessment of Fetal Status

Evaluating the health and well-being of the baby during pregnancy.

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Genetic Screening

Tests to detect potential genetic disorders in the fetus.

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Family Planning

Making decisions about when and how to have children.

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Cytotec (Misoprostol)

Medication used to induce labor by contracting the uterus. It can also be used for abortion.

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Cervidil (Dinoprostone)

Medication used to ripen the cervix and induce labor. It can also be used for abortion.

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Cervidil Side Effects

Common side effects include warmth in the vagina, headache, nausea, vomiting, diarrhea, fever, hypotension, uterine tachysystole with or without abnormal fetal heart rate and patterns, and fetal passage of meconium.

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Cytotec Side Effects

Common side effects include headache, nausea, vomiting, diarrhea, fever, and chills.

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Contraindications for Cervidil

Cervidil is not recommended for patients with a history of Caesarian section. It should also be used cautiously in patients with asthma, glaucoma, hypotension, or hypertension.

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Monitoring for Cytotec

Monitor patients for vaginal bleeding and uterine tone.

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Nursing Considerations for Cervidil

Assess the mother and fetus prior to administration, check the Bishop score, have the patient void prior to insertion, and avoid using Cervidil in patients with asthma, glaucoma, hypotension, or hypertension.

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Cervidil: Long Contractions

If contractions last more than 1 minute, call the doctor.

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Study Notes

Kaplan Content

  • There are 5 Kaplan questions on the midterm.
  • Use the Kaplan Focused Review Tests to build your own tests and focus on remediating missed questions.
  • Kaplan provides remediation for missed questions.
  • Content Areas for Kaplan Questions: Reproductive.

Breastfeeding

  • Nurses should instruct expectant parents about breastfeeding advantages.
  • Nurses should intervene if a parent makes a statement suggesting that a baby will grow faster or sleep more with breast milk.
  • The nurse should discuss the nutritional needs of a breastfeeding client compared to a pregnant client.
  • The nutritional needs for lactation include more calories, but the same amount of protein, calcium, and fluids as a pregnant client.
  • Nurses should advise new parents about the safety of drinking alcohol while breastfeeding. Alcohol has a depressant effect on the baby.

Contraception

  • Nurses should advise clients to leave a diaphragm in place for 6 hours after intercourse.

Labor and Birth

  • Clients who are 4cm dilated and 60% effaced should be informed that the cervix is 4 cm wide and the cervical canal is 60% shorter than normal.

Newborn Care at Birth

  • Nurses should assess infants born via vaginal delivery, immediately checking for crying, movement of all extremities, respirations, and pulse rate.
  • One minute after birth, the baby may have slightly cyanotic extremities, while five minutes later, extremities should be pink.
  • At one and five minutes, the APGAR score should be 9 and 10 respectively.

Postpartum

  • Nurses should observe a client for any signs of bleeding after ambulation.
  • The client should be assessed for pooling of lochia.
  • The nurse should assess the newborn's fundus which should be approximately 1 cm above the umbilicus 12 hours after delivery.
  • The fundus should be firm and globular.
  • The nurse should monitor the client for maternal complications, particularly changes in blood pressure.
  • Nurses should observe the lochia flow after normal vaginal delivery.

Pregnancy: Fetal Complications

  • The nurse should monitor a client with meconium-stained amniotic fluid for fetal distress and perinatal asphyxia.

Pregnancy: Prenatal Care

  • Clients should be advised to apply cold compresses and wear supportive bras for breast tenderness during the 7th pregnancy month.
  • The nurse should be prepared to discuss the appropriate amount of exercise during pregnancy with the client.

Normal Pregnancy:

  • Gravidity is the number of pregnancies.
  • Parity is the number of deliveries reaching viability (20 weeks).
  • Twins count as one delivery.
  • Physical changes to the body include: breast changes, amenorrhea, nausea and vomiting, urinary frequency, fatigue, quickening.

Normal Labor & Delivery & Postpartum

  • Nursing assessment should include checking the time of rupture, the color of fluid, and a nitrazine paper test for accurate documentation.
  • Checking for ferning patterns via microscopy, in addition to color assessment can provide useful clinical information about amniotic fluid.
  • Uterine contractions' frequency and duration should also be documented.

Fetal Heart Rate (FHR) Monitoring

  • Short-term fetal FHR variability, interpreted as regular beat-to-beat changes, is less clinically significant than long-term variability.

Fetal Disorders

  • Fetal disorders include IUGR (intrauterine growth restriction) and Rh disease.

NO VAGINAL EXAMS (hemorrhage)

  • The patient may need stable management such as bed rest, fetal assessment, emotional support, and checking of H&H.
  • The patient may have tocolytics(Magnesium sulfate) to stop the contractions.
  • The patient will also be given blood products and IV fluids to minimize post-partum bleeding.
  • The nurse should manage any abnormal placental adherence or prematurity detected in the infant.

Indications for a cesarean section

  • Indications for a Cesarean section should be based on signs such as fetal distress, insufficient progress, and previous complications.

Additional Information

  • Additional notes related to fetal assessments and management, amniocentesis, high-risk pregnancies, and other conditions.
  • Important information about medications, and patient care is included.

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Related Documents

N222 OB Midterm Study Guide PDF

Description

This quiz focuses on key concepts in reproductive health nursing, including breastfeeding education, contraceptive advice, and nutritional needs during lactation. Nurses will be tested on their knowledge of safe practices and recommendations for expectant parents. Prepare to deepen your understanding and application of nursing principles in reproductive health.

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