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</p> Signup and view all the answers

    Which topic is likely addressed under Newborn Care at Birth?

    <p>Initial assessments and interventions</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.</p> Signup and view all the answers

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

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

    Which area is important for understanding physiological changes in newborns?

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

    Which complication might arise during labor and delivery?

    <p>Excessive bleeding</p> Signup and view all the answers

    Which anesthesia method is common during labor?

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

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

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

    What is a common reason for postpartum complications?

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

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

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

    Which of these signs may indicate a complication during labor?

    <p>Decreased fetal movement</p> Signup and view all the answers

    What should be monitored closely when using anesthesia during labor?

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

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

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

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

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

    Which vital sign should be checked before administering Methergine?

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

    Which condition is a contraindication for using Methergine?

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

    What should be monitored for following the administration of Hemabate?

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

    Which side effect is associated with Hemabate?

    <p>Flushing</p> Signup and view all the answers

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

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

    What is a potential side effect of Methergine?

    <p>Dizziness</p> Signup and view all the answers

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

    <p>Bradycardia</p> Signup and view all the answers

    What is the primary use of Cytotec (misoprostol)?

    <p>Abortion</p> Signup and view all the answers

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

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

    What should be monitored when administering Cytotec?

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

    Which patient history would contraindicate the use of Cervidil?

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

    What condition is a contraindication for administering Cervidil?

    <p>Asthma</p> Signup and view all the answers

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

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

    Which of the following side effects can occur with Cytotec?

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

    What should be monitored in patients on Terbutaline?

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

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

    <p>Diabetes Mellitus</p> Signup and view all the answers

    What are common side effects of Terbutaline?

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

    What is the antidote for cardiovascular effects caused by Terbutaline?

    <p>Propranolol</p> Signup and view all the answers

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

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

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

    <p>Hyperglycemia</p> Signup and view all the answers

    What type of medication is Terbutaline classified as?

    <p>Beta-adrenergic mimetic</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.</p> Signup and view all the answers

    Which assessment is important for monitoring fetal development?

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

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

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

    What is typically included in genetic screening during pregnancy?

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

    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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