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Questions and Answers
What is the primary purpose of Rhogam administration during pregnancy?
What is the primary purpose of Rhogam administration during pregnancy?
- To enhance fetal lung maturity.
- To prevent hemolytic disease in a Rh-positive baby. (correct)
- To suppress uterine contractions.
- To treat maternal hypotension.
Which medication may cause hypotension and should not be administered with magnesium sulfate?
Which medication may cause hypotension and should not be administered with magnesium sulfate?
- Ampicillin
- Betamethasone
- Nifedipine (correct)
- Methotrexate
What vital sign change is expected during the second trimester of pregnancy?
What vital sign change is expected during the second trimester of pregnancy?
- Decreased diastolic blood pressure (correct)
- Increased respiratory rate
- Decreased heart rate
- Increased systolic blood pressure
What is a primary contraindication for administering magnesium sulfate?
What is a primary contraindication for administering magnesium sulfate?
What is a common side effect of betamethasone administration in pregnant women?
What is a common side effect of betamethasone administration in pregnant women?
What is the purpose of the rubella titer test during pregnancy?
What is the purpose of the rubella titer test during pregnancy?
Which of the following nutritional recommendations is NOT advised during pregnancy?
Which of the following nutritional recommendations is NOT advised during pregnancy?
What is a common danger sign of pregnancy?
What is a common danger sign of pregnancy?
What should be done if a patient actively has genital herpes during pregnancy?
What should be done if a patient actively has genital herpes during pregnancy?
What is the recommended weight gain during the first trimester of pregnancy?
What is the recommended weight gain during the first trimester of pregnancy?
Which statement regarding iron supplementation is correct?
Which statement regarding iron supplementation is correct?
When is the glucose challenge test typically administered during pregnancy?
When is the glucose challenge test typically administered during pregnancy?
What is a sign of hyperglycemia during pregnancy?
What is a sign of hyperglycemia during pregnancy?
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?
What is a recommended approach to manage nausea during pregnancy?
What is a recommended approach to manage nausea during pregnancy?
What is a common symptom of trichomoniasis in women?
What is a common symptom of trichomoniasis in women?
What is a potential complication of untreated gonorrhea during pregnancy?
What is a potential complication of untreated gonorrhea during pregnancy?
What instruction should be given prior to a chorionic villus sampling procedure?
What instruction should be given prior to a chorionic villus sampling procedure?
What factor does NOT increase the risk of spontaneous abortion?
What factor does NOT increase the risk of spontaneous abortion?
What is the purpose of a nonstress test?
What is the purpose of a nonstress test?
Which treatment is NOT indicated for an ectopic pregnancy?
Which treatment is NOT indicated for an ectopic pregnancy?
What symptom is indicative of placenta previa?
What symptom is indicative of placenta previa?
What should be avoided when taking Methotrexate for ectopic pregnancy?
What should be avoided when taking Methotrexate for ectopic pregnancy?
In which trimester is amniocentesis typically performed?
In which trimester is amniocentesis typically performed?
Which of the following statements about HPV is true?
Which of the following statements about HPV is true?
Which of the following conditions indicates a need for a biophysical profile?
Which of the following conditions indicates a need for a biophysical profile?
What finding might indicate a ruptured ectopic pregnancy?
What finding might indicate a ruptured ectopic pregnancy?
What is typically done first when diagnosing fetal abnormalities using chorionic villus sampling?
What is typically done first when diagnosing fetal abnormalities using chorionic villus sampling?
What is a required step for ultrasound preparation?
What is a required step for ultrasound preparation?
What is a common expected finding in a patient with placental abruption during the third trimester?
What is a common expected finding in a patient with placental abruption during the third trimester?
Which risk factor is associated with an increased likelihood of preterm labor?
Which risk factor is associated with an increased likelihood of preterm labor?
What nursing care should be prioritized in a client presenting with signs of preterm labor?
What nursing care should be prioritized in a client presenting with signs of preterm labor?
Which of the following indicates a high risk for infection following premature rupture of membranes (PROM)?
Which of the following indicates a high risk for infection following premature rupture of membranes (PROM)?
What is the role of Betamethasone in cases of PROM?
What is the role of Betamethasone in cases of PROM?
Which sign is indicative of hypovolemic shock in a patient experiencing excessive bleeding?
Which sign is indicative of hypovolemic shock in a patient experiencing excessive bleeding?
Which nursing intervention would be essential for a patient with suspected PPROM?
Which nursing intervention would be essential for a patient with suspected PPROM?
What is a nonpharmacological method of pain management during childbirth that can be effective?
What is a nonpharmacological method of pain management during childbirth that can be effective?
Which of the following is a possible complication of PPROM?
Which of the following is a possible complication of PPROM?
Which assessment finding would indicate the onset of preterm labor?
Which assessment finding would indicate the onset of preterm labor?
What is a risk factor for placental abruption?
What is a risk factor for placental abruption?
Which symptom indicates a possible need for immediate delivery in cases of fetal compromise?
Which symptom indicates a possible need for immediate delivery in cases of fetal compromise?
What does a positive Nitrazine test indicate?
What does a positive Nitrazine test indicate?
Which is a key factor influencing pain during childbirth?
Which is a key factor influencing pain during childbirth?
What change is NOT typically observed in the cardiovascular system during pregnancy?
What change is NOT typically observed in the cardiovascular system during pregnancy?
What is a common result of the uterus growing during pregnancy?
What is a common result of the uterus growing during pregnancy?
Which of the following is NOT a probable sign of pregnancy?
Which of the following is NOT a probable sign of pregnancy?
What is the recommended intervention to address supine hypotensive syndrome?
What is the recommended intervention to address supine hypotensive syndrome?
What aspect of the endocrine system is primarily affected during pregnancy?
What aspect of the endocrine system is primarily affected during pregnancy?
Which symptom is commonly associated with gastrointestinal changes in pregnancy?
Which symptom is commonly associated with gastrointestinal changes in pregnancy?
What is the primary purpose of the mucus plug that forms during pregnancy?
What is the primary purpose of the mucus plug that forms during pregnancy?
What is likely to occur if a pregnant person does not maintain proper hydration and physical activity?
What is likely to occur if a pregnant person does not maintain proper hydration and physical activity?
What does Chadwick's sign indicate during a pregnancy examination?
What does Chadwick's sign indicate during a pregnancy examination?
What is the risk associated with the relaxation of muscles in the ureters and bladder during pregnancy?
What is the risk associated with the relaxation of muscles in the ureters and bladder during pregnancy?
What is the probable consequence of a mother lying flat on her back during the later stages of pregnancy?
What is the probable consequence of a mother lying flat on her back during the later stages of pregnancy?
Which of the following indicates a presumptive sign of pregnancy?
Which of the following indicates a presumptive sign of pregnancy?
Which sign indicates the need for further evaluation in the context of a possible ectopic pregnancy?
Which sign indicates the need for further evaluation in the context of a possible ectopic pregnancy?
What is a critical nursing intervention when performing cervical ripening?
What is a critical nursing intervention when performing cervical ripening?
Which indication is NOT a reason for initiating artificial contractions?
Which indication is NOT a reason for initiating artificial contractions?
What effect does performing amnioinfusion primarily have?
What effect does performing amnioinfusion primarily have?
Which of the following best describes Bishop score criteria for successful labor induction?
Which of the following best describes Bishop score criteria for successful labor induction?
What is the primary risk associated with continuous internal fetal monitoring?
What is the primary risk associated with continuous internal fetal monitoring?
What complication can result from ineffective contractions during labor?
What complication can result from ineffective contractions during labor?
Which position is recommended to assist in optimal fetal positioning during labor?
Which position is recommended to assist in optimal fetal positioning during labor?
What is the expected finding in a patient experiencing uterine rupture?
What is the expected finding in a patient experiencing uterine rupture?
Which fetal presentation typically requires a cesarean delivery?
Which fetal presentation typically requires a cesarean delivery?
What does a non-reassuring fetal heart rate indicate?
What does a non-reassuring fetal heart rate indicate?
What is a potential risk associated with vacuum-assisted delivery?
What is a potential risk associated with vacuum-assisted delivery?
What should be the mother's position if a prolapsed umbilical cord is detected?
What should be the mother's position if a prolapsed umbilical cord is detected?
What is the desired effect of cervical ripening agents?
What is the desired effect of cervical ripening agents?
What does VEALCHOP acronym stand for in fetal heart rate monitoring?
What does VEALCHOP acronym stand for in fetal heart rate monitoring?
Flashcards
Betamethasone
Betamethasone
Medication used during pregnancy to enhance fetal lung maturity. It's a steroid that can cause hyperglycemia in the mother. It takes 3 days to achieve full effect.
Ampicillin
Ampicillin
Medication commonly used to treat chorioamnionitis, a common infection during pregnancy.
Magnesium Sulfate
Magnesium Sulfate
A crucial medication given during pregnancy to prevent preterm labor and help the baby's lungs mature. However, it has specific contraindications. The antidote for Magnesium Sulfate is Calcium Gluconate.
Ephedrine
Ephedrine
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Nifedipine
Nifedipine
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Rubella Titer
Rubella Titer
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VDRL/RPR
VDRL/RPR
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HIV Test
HIV Test
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Urinalysis
Urinalysis
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Hepatitis B Test
Hepatitis B Test
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Pregnancy Weight Gain
Pregnancy Weight Gain
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Multiple Marker Screen
Multiple Marker Screen
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Glucose Challenge Test
Glucose Challenge Test
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Group B Strep (GBS) Screening
Group B Strep (GBS) Screening
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Vaginal/Rectal Cultures
Vaginal/Rectal Cultures
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Uterine Growth During Pregnancy
Uterine Growth During Pregnancy
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Mucus Plug
Mucus Plug
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Chadwick's Sign
Chadwick's Sign
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Goodell's Sign
Goodell's Sign
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Cardiovascular Changes in Pregnancy
Cardiovascular Changes in Pregnancy
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Lower Extremity Edema in Pregnancy
Lower Extremity Edema in Pregnancy
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Supine Hypotensive Syndrome
Supine Hypotensive Syndrome
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Respiratory Changes in Pregnancy
Respiratory Changes in Pregnancy
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Heartburn and Acid Reflux in Pregnancy
Heartburn and Acid Reflux in Pregnancy
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Constipation in Pregnancy
Constipation in Pregnancy
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Diastasis Recti
Diastasis Recti
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Hormonal Changes in Pregnancy
Hormonal Changes in Pregnancy
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Presumptive Signs of Pregnancy
Presumptive Signs of Pregnancy
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Probable Signs of Pregnancy
Probable Signs of Pregnancy
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Positive Signs of Pregnancy
Positive Signs of Pregnancy
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Leopold Maneuvers
Leopold Maneuvers
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Fetal Presentation
Fetal Presentation
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Fetal Lie
Fetal Lie
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Fetal Attitude
Fetal Attitude
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Fetal Position
Fetal Position
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Fetal Station
Fetal Station
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Primary Powers
Primary Powers
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Secondary Powers
Secondary Powers
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Cervical Dilation
Cervical Dilation
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Cervical Effacement
Cervical Effacement
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Induction of Labor
Induction of Labor
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Bishop Score
Bishop Score
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Augmentation of Labor
Augmentation of Labor
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Amniotomy
Amniotomy
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Amnioinfusion
Amnioinfusion
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Chlamydia during pregnancy
Chlamydia during pregnancy
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Gonorrhea during pregnancy
Gonorrhea during pregnancy
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Trichomoniasis during pregnancy
Trichomoniasis during pregnancy
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HPV during pregnancy
HPV during pregnancy
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Nonstress Test (NST)
Nonstress Test (NST)
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Biophysical Profile (BPP)
Biophysical Profile (BPP)
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Chorionic Villus Sampling (CVS)
Chorionic Villus Sampling (CVS)
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Amniocentesis
Amniocentesis
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Spontaneous Abortion
Spontaneous Abortion
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Ectopic Pregnancy
Ectopic Pregnancy
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Placenta Previa
Placenta Previa
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Placenta Abruption
Placenta Abruption
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Methotrexate treatment for ectopic pregnancy
Methotrexate treatment for ectopic pregnancy
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Salpingectomy for ectopic pregnancy
Salpingectomy for ectopic pregnancy
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Salpingectomy with ligation for ruptured ectopic pregnancy
Salpingectomy with ligation for ruptured ectopic pregnancy
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D&C (Dilation and Curettage) post-abortion
D&C (Dilation and Curettage) post-abortion
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Chorioamnionitis
Chorioamnionitis
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Preterm Premature Rupture of Membranes (PPROM)
Preterm Premature Rupture of Membranes (PPROM)
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Premature Rupture of Membranes (PROM)
Premature Rupture of Membranes (PROM)
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Preterm Labor
Preterm Labor
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Effleurage
Effleurage
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Sacral Counterpressure
Sacral Counterpressure
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Counterpressure
Counterpressure
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Fetal Pulmonary Hypoplasia
Fetal Pulmonary Hypoplasia
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Nitrazine Paper
Nitrazine Paper
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Study Notes
Medications
- Rhogam: Blood product, 2 RN CHECK.
- Im injection.
- Mother gets another dose after baby is born.
- Methotrexate: Suppresses contractions but may cause hypotension. (Give hypotensive education; do not give with mag sulfate).
- Mag Sulfate: must have no contraindications; antidote is calcium gluconate.
- Active vaginal bleeding
- Dilation of cervix > 6 cm
- Greater than 34 weeks
- Acute fetal distress
- Chorioamnionitis
- Nifedipine: Suppresses contractions but may cause hypotension.
Gynecological Exam
- Gynecologic Exam: 1 point
- Contraception: 2 points
- Pregnancy & Antepartum Nursing Care: 7 points
- Nutrition for Childbearing: 4 points
- Infections During Pregnancy 2 points
- Fetal Assessment: 2 points
- Hemorrhagic Conditions: 4 points
- Preterm Labor & PROM/PPROM: 6 points
- Process of Birth/ Factors Affecting Labor: 7 points
- Pain Management During Childbirth: 3 points
- Intrapartum Fetal Surveillance: 4 points
- Nursing Care During Labor: 4 points
- Labor Complications: 1 point
- Antepartum & Intrapartum Nursing Care (Total): 50 points
Other
- Betamethasone: Enhances fetal lung maturity, may cause hyperglycemia in mother.
- Ampicillin: Commonly used to treat chorioamnionitis.
- Epidural: Causes hypotension; Ephedrine is used to treat.
- Contraception: 1st trimester (weeks 1-13): fetal organ development; Physical changes are not obvious, pregnancy is more noticeable. 2nd trimester (weeks 14-27): rapid physical changes in abdomen and breasts; May affect mobility, skin, balance, back, or leg discomfort; Risk of negative body image. 3rd trimester (weeks 28-42): fetal tissue growth; Changes in vital signs (HR increases, RR slightly increases, BP may decrease); Side-lying position relieves pressure on major blood vessels; Reproductive changes (uterus grows, fundus at xiphoid process, SOB).
- Gyne Exam: Physical changes.
- Pregnancy and Antepartum: Physical changes.
- Musculoskeletal: Posture, gait, and balance changed; Risk of falls and sprains; Sway back; Waddling gate; Diastasis recti (separation of abdominal muscles).
- Endocrine: Hormones' role in pregnancy and delivery; Human Chorionic Gonadotropin (hCG); Progesterone; Estrogen; Human Chorionic Somatomammotropin (hCS); Relaxin.
- Confirmation of pregnancy: Presumptive changes (amenorrhea, fatigue, nausea & vomiting, urinary frequency, breast changes, hyperpigmentation, quickening, uterine enlargement); Probable changes (uterine enlargement, cervical softening, changes in uterine consistency, Braxton Hicks contractions, positive pregnancy test, palpation of fetal outline, ballottement).
- Antepartum assessment, care, and education: Need baseline vitals; Establish GTPAL (term is 37 weeks); Estimated delivery date; Routine Labs (CBC, blood type & Rh factor, VDRL/RPR, rubella titer, hepatitis B, HIV).
- Infections during pregnancy: HIV, Hep B, Rubella, HSV, Group B Strep (screened at 35-38 weeks), Syphilis, Chlamydia, Trichomoniasis, HPV.
- Fetal assessment: Ultrasound (full bladder), transabdominal (1st trimester), transvaginal (2nd and 3rd trimester), Nonstress test, Biophysical profile.
- Chorionic villus sampling: Diagnoses fetal chromosomal, metabolic, and DNA abnormalities.
- Amniocentesis: Assess for neural tube defects or chromosomal disorders (done in 2nd and 3rd trimester); Education prior - Empty bladder; Education after - spotting/bleeding like a period, clots/tissue passage, cramping, leaking fluid, temperature of 100.4. Complications include amniotic fluid embolism, maternal or fetal hemorrhage, maternal or fetal infection, and miscarriage.
- Hemorrhagic conditions of early pregnancy: Spontaneous abortion (pregnancy ends before 20 weeks). Risk factors: chromosome abnormalities, advanced maternal age, premature cervical dilation, chronic maternal infections, maternal malnutrition, substance use, trauma or injury.
- Ectopic pregnancy: Implantation of ovum outside uterus; Risk factors: STI, tubal surgery, IUDs, multiple induced pregnancies.
- Bleeding: Missed period, abdominal pain, vaginal bleeding; RUPTURE; Abrupt unilateral stabbing pain in lower abdomen with or without vaginal bleeding.
- Management: Methotrexate, surgical (salpingectomy), ligation of bleeding vessels.
- Hemorrhagic conditions of late pregnancy: Placenta previa; Risk factors: advanced maternal age, multiparas, previous c-section, prior placena previa, multifetal pregnancy, smoking.
- PROM / PPROM & preterm labor: Uterine contractions - weeks 20-36; Risk factors: Infections (UTI, STIs, HIV, HSV, chorioamnionitis), prior preterm birth, multifetal pregnancy.
- Labor complications: Prolapsed umbilical cord, high station (-3), breech or transverse lie, SGA. Expected findings: FHR shows prolonged decelerations after ROM, visual/palpable umbilical cord through vagina, lack of progress in dilation, effacement, or fetal descent, ineffective pushing, persistent occiput posterior presentation, hypotonic uterus.
- Nursing actions: Monitor maternal VS's & FHR, ensure client NPO, apply SCDs, assess client post-delivery for decreased uterine tone. Premonitory signs of labor: lightening, increased energy level, bloody show, Braxton hicks. Processes of birth: cervical dilation and effacement, length of labor, assessment, risks. Stages of birth: stage 1 (longest), stage 2 (pushing), stage 3 (placenta), stage 4(recovery). Factors affecting labor: passage, passenger, powers, position, psyche.
- Post-term labor: Indications; Increase readiness for labor (softening of cervix); interventions; Complications; Risks (infection, cord compression).
- Operative Delivery: Indications (maternal exhaustion, fetal distress); Vacuum-assisted (risks: scalp lacerations, fetal cephalohematoma, maternal vaginal trauma); Forceps-assisted (risks: maternal vaginal trauma, facial nerve palsy, facial bruising).
- Episiotomy: Manual cutting of perineum; Shortens second stage of delivery; Prevents cerebral hemorrhage (fragile preterm fetuses); Facilitates birth of a large infant.
- C-section: Indications (Breech presentation, non-reassuring fetal heart tones, placenta previa, placental abruption, previous c-section, umbilical cord prolapse); High-risk pregnancy.
- Vaginal Birth after c-section (VBAC): criteria to deliver vaginally; reason for previous c-section (dysfunctional labor, breech, or abnormal FHR pattern).
- Factors affecting labor: Passage (birth canal - size and shape); Passenger (fetus, placenta – size of head, presentation, lie, attitude, position); Powers (contractions - frequency, duration, intensity; maternal pushing efforts); Position (maternal posture); Psyche (feelings, fears).
- Powers (contractions): Primary (involuntary utering contractions), Secondary (voluntary maternal pushing).
- Hypertonic uterus: Excessively frequent, strong intensity, inadequate relaxation; Interventions; Risk factors; Expected findings; Nursing care (prepare for emergency c-section); Other complications (meconium-stained amniotic fluid, hypoxia).
- Amniotic fluid emboli: Related to hypertonic uterine dysfunction.
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Description
Test your knowledge on important obstetric concepts such as Rhogam administration, medication contraindications, vital signs during pregnancy, and side effects of betamethasone. This quiz covers key information relevant to nursing practice in the field of obstetrics.