Obstetrics Nursing Quiz
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Questions and Answers

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?

  • Ampicillin
  • Betamethasone
  • Nifedipine (correct)
  • Methotrexate

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?

<p>Active vaginal bleeding (C)</p> Signup and view all the answers

What is a common side effect of betamethasone administration in pregnant women?

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

What is the purpose of the rubella titer test during pregnancy?

<p>To determine immunity to rubella (B)</p> Signup and view all the answers

Which of the following nutritional recommendations is NOT advised during pregnancy?

<p>Consume excessive amounts of fluid (C)</p> Signup and view all the answers

What is a common danger sign of pregnancy?

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

What should be done if a patient actively has genital herpes during pregnancy?

<p>Start suppression medication at 36 weeks (C)</p> Signup and view all the answers

What is the recommended weight gain during the first trimester of pregnancy?

<p>2-4 pounds (A)</p> Signup and view all the answers

Which statement regarding iron supplementation is correct?

<p>Vitamin C aids in its absorption (D)</p> Signup and view all the answers

When is the glucose challenge test typically administered during pregnancy?

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

What is a sign of hyperglycemia during pregnancy?

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

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

<p>Group B Streptococci (D)</p> Signup and view all the answers

What is a recommended approach to manage nausea during pregnancy?

<p>Eat small, frequent meals every 2-3 hours (A)</p> Signup and view all the answers

What is a common symptom of trichomoniasis in women?

<p>Yellow-green vaginal discharge (C)</p> Signup and view all the answers

What is a potential complication of untreated gonorrhea during pregnancy?

<p>Neonatal sepsis (B), Premature rupture of membranes (C)</p> Signup and view all the answers

What instruction should be given prior to a chorionic villus sampling procedure?

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

What factor does NOT increase the risk of spontaneous abortion?

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

What is the purpose of a nonstress test?

<p>To monitor fetal heart rate response to movement (D)</p> Signup and view all the answers

Which treatment is NOT indicated for an ectopic pregnancy?

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

What symptom is indicative of placenta previa?

<p>Painless bright red bleeding after 20 weeks (C)</p> Signup and view all the answers

What should be avoided when taking Methotrexate for ectopic pregnancy?

<p>Alcohol (A), NSAIDs (B), Folic acid (D)</p> Signup and view all the answers

In which trimester is amniocentesis typically performed?

<p>Second and third trimesters (A)</p> Signup and view all the answers

Which of the following statements about HPV is true?

<p>It is primarily linked to genital warts and cervical cancer. (B)</p> Signup and view all the answers

Which of the following conditions indicates a need for a biophysical profile?

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

What finding might indicate a ruptured ectopic pregnancy?

<p>Abrupt unilateral stabbing pain (D)</p> Signup and view all the answers

What is typically done first when diagnosing fetal abnormalities using chorionic villus sampling?

<p>Perform an ultrasound (D)</p> Signup and view all the answers

What is a required step for ultrasound preparation?

<p>Drinking 32 oz of water to fill the bladder (B)</p> Signup and view all the answers

What is a common expected finding in a patient with placental abruption during the third trimester?

<p>Dark red vaginal bleeding (D)</p> Signup and view all the answers

Which risk factor is associated with an increased likelihood of preterm labor?

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

What nursing care should be prioritized in a client presenting with signs of preterm labor?

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

Which of the following indicates a high risk for infection following premature rupture of membranes (PROM)?

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

What is the role of Betamethasone in cases of PROM?

<p>Enhance fetal lung maturity (A)</p> Signup and view all the answers

Which sign is indicative of hypovolemic shock in a patient experiencing excessive bleeding?

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

Which nursing intervention would be essential for a patient with suspected PPROM?

<p>Daily fetal monitoring (C)</p> Signup and view all the answers

What is a nonpharmacological method of pain management during childbirth that can be effective?

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

Which of the following is a possible complication of PPROM?

<p>Increased risk of infection (D)</p> Signup and view all the answers

Which assessment finding would indicate the onset of preterm labor?

<p>Regular uterine contractions (C)</p> Signup and view all the answers

What is a risk factor for placental abruption?

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

Which symptom indicates a possible need for immediate delivery in cases of fetal compromise?

<p>Intense localized pain (C)</p> Signup and view all the answers

What does a positive Nitrazine test indicate?

<p>Presence of amniotic fluid (B)</p> Signup and view all the answers

Which is a key factor influencing pain during childbirth?

<p>Fear and anxiety levels (D)</p> Signup and view all the answers

What change is NOT typically observed in the cardiovascular system during pregnancy?

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

What is a common result of the uterus growing during pregnancy?

<p>Pressure on the diaphragm (B)</p> Signup and view all the answers

Which of the following is NOT a probable sign of pregnancy?

<p>Fetal movements felt by the examiner (A)</p> Signup and view all the answers

What is the recommended intervention to address supine hypotensive syndrome?

<p>Avoid laying flat and lie on the left lateral side (B)</p> Signup and view all the answers

What aspect of the endocrine system is primarily affected during pregnancy?

<p>Hormones that maintain pregnancy and prepare the body for delivery (C)</p> Signup and view all the answers

Which symptom is commonly associated with gastrointestinal changes in pregnancy?

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

What is the primary purpose of the mucus plug that forms during pregnancy?

<p>To create a barrier at the cervix (D)</p> Signup and view all the answers

What is likely to occur if a pregnant person does not maintain proper hydration and physical activity?

<p>Higher likelihood of constipation and urinary stasis (A)</p> Signup and view all the answers

What does Chadwick's sign indicate during a pregnancy examination?

<p>Dark blue color of cervix and vagina (A)</p> Signup and view all the answers

What is the risk associated with the relaxation of muscles in the ureters and bladder during pregnancy?

<p>Risk for urinary stasis and UTI (D)</p> Signup and view all the answers

What is the probable consequence of a mother lying flat on her back during the later stages of pregnancy?

<p>Development of supine hypotensive syndrome (A)</p> Signup and view all the answers

Which of the following indicates a presumptive sign of pregnancy?

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

Which sign indicates the need for further evaluation in the context of a possible ectopic pregnancy?

<p>High hCG levels (D)</p> Signup and view all the answers

What is a critical nursing intervention when performing cervical ripening?

<p>Assess fetal heart rate before and after the procedure (B)</p> Signup and view all the answers

Which indication is NOT a reason for initiating artificial contractions?

<p>History of previous cesarean delivery (A)</p> Signup and view all the answers

What effect does performing amnioinfusion primarily have?

<p>Relieves fetal distress (D)</p> Signup and view all the answers

Which of the following best describes Bishop score criteria for successful labor induction?

<p>A score of 8 or higher (A)</p> Signup and view all the answers

What is the primary risk associated with continuous internal fetal monitoring?

<p>Higher rates of infection (D)</p> Signup and view all the answers

What complication can result from ineffective contractions during labor?

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

Which position is recommended to assist in optimal fetal positioning during labor?

<p>Side-lying position (A)</p> Signup and view all the answers

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

<p>Cessation of contractions (C)</p> Signup and view all the answers

Which fetal presentation typically requires a cesarean delivery?

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

What does a non-reassuring fetal heart rate indicate?

<p>Interventions are required (A)</p> Signup and view all the answers

What is a potential risk associated with vacuum-assisted delivery?

<p>Scalp lacerations in the fetus (B)</p> Signup and view all the answers

What should be the mother's position if a prolapsed umbilical cord is detected?

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

What is the desired effect of cervical ripening agents?

<p>Cervical dilation and effacement (B)</p> Signup and view all the answers

What does VEALCHOP acronym stand for in fetal heart rate monitoring?

<p>Variable decelerations, Early decelerations, Accelerations, Late decelerations, Cord compression, and Oligohydramnios (A)</p> Signup and view all the answers

Flashcards

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

Medication commonly used to treat chorioamnionitis, a common infection during pregnancy.

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

A medication commonly used to treat hypotension, a potential side effect of epidural anesthesia.

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Nifedipine

A medication used to suppress uterine contractions. Be aware of potential side effects of hypotension and do not administer with Magnesium Sulfate.

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Rubella Titer

A blood test that checks for immunity to Rubella (German measles) in pregnant women.

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VDRL/RPR

A blood test to screen for syphilis, a sexually transmitted infection. It's a legal requirement in many places.

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HIV Test

A blood test that checks for the presence of HIV antibodies in a pregnant woman.

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Urinalysis

A urine test used to confirm pregnancy, screen for gestational diabetes (GDM), gestational hypertension (GHTN), infections, and kidney problems.

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Hepatitis B Test

A blood test that checks for the presence of Hepatitis B antibodies in a pregnant woman.

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Pregnancy Weight Gain

The process of gaining weight during pregnancy. The ideal weight gain is 2-4 pounds in the first trimester and 1 pound per week in the second and third trimesters.

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Multiple Marker Screen

A blood test or urine test done during a pregnancy to screen for potential fetal abnormalities.

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Glucose Challenge Test

A blood test that checks for elevated blood glucose levels during pregnancy, indicating a potential for gestational diabetes.

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Group B Strep (GBS) Screening

A blood test that checks for the presence of Group B Streptococcus (GBS) in the vagina and rectum.

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Vaginal/Rectal Cultures

A blood test that checks for the presence of Chlamydia and Gonorrhea in the vagina and rectum.

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Uterine Growth During Pregnancy

A condition during pregnancy where the uterus grows upwards and outwards, potentially causing shortness of breath as it presses against the diaphragm.

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Mucus Plug

A thick mucus plug that forms over the cervix during pregnancy, acting as a protective barrier against infection.

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Chadwick's Sign

A bluish discoloration of the cervix and vagina during pregnancy due to increased blood flow.

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Goodell's Sign

A softening of the cervix during pregnancy, often a sign of pregnancy.

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Cardiovascular Changes in Pregnancy

An increased blood volume during pregnancy leading to a higher cardiac output and increased heart rate.

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Lower Extremity Edema in Pregnancy

Swelling in the lower extremities that occurs during pregnancy due to increased blood volume and hormonal changes leading to vasodilation.

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Supine Hypotensive Syndrome

A condition where the pregnant woman experiences a drop in blood pressure when lying on her back.

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Respiratory Changes in Pregnancy

Increased respiratory rate in the third trimester of pregnancy due to the growing baby pushing against the diaphragm.

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Heartburn and Acid Reflux in Pregnancy

A common complaint during pregnancy due to the relaxation of the lower esophageal sphincter.

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Constipation in Pregnancy

A common complaint during pregnancy due to the effects of hormones and the pressure of the growing uterus.

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Diastasis Recti

The separation of abdominal muscles that can occur during pregnancy, often not returning to their original position after delivery.

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Hormonal Changes in Pregnancy

Hormones produced during pregnancy that play a crucial role in maintaining the pregnancy and preparing the body for childbirth.

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Presumptive Signs of Pregnancy

Changes in the body that indicate a woman might be pregnant, but are not conclusive.

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Probable Signs of Pregnancy

Changes in the body that make it more likely that a woman is pregnant, but are not definitive.

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Positive Signs of Pregnancy

Signs that confirm a woman is definitely pregnant, such as hearing the fetal heartbeat or seeing the fetus on an ultrasound.

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Leopold Maneuvers

Systematic palpation of the pregnant uterus to determine fetal position, presentation, and engagement.

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Fetal Presentation

The presenting part of the fetus. Examples include cephalic (head), breech (feet or sacrum), and shoulder.

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Fetal Lie

The relationship of the fetal spine to the maternal spine. Longitudinal lie is parallel, transverse lie is horizontal.

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Fetal Attitude

The fetal posture. Complete flexion presents the smallest part of the fetal skull.

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Fetal Position

The presenting part of the fetus in relation to the mother's pelvis.

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Fetal Station

The measurement of fetal descent in relation to the ischial spines.

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Primary Powers

The primary force of labor, involuntary uterine contractions.

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Secondary Powers

The secondary force of labor, voluntary maternal pushing efforts.

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Cervical Dilation

The opening of the cervix, measured in centimeters from 0 to 10.

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Cervical Effacement

The thinning of the cervix, measured from 0% to 100%. 100% effaced means it's paper thin.

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Induction of Labor

Artificial initiation of uterine contractions before spontaneous onset of labor.

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Bishop Score

A score used to evaluate cervical readiness for induction of labor. A score of 8 or higher indicates better success.

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Augmentation of Labor

Interventions to stimulate hypotonic contractions once labor has started but is progressing slowly.

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Amniotomy

Artificial rupture of membranes, a method of augmentation or induction.

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Amnioinfusion

Infusion of saline into the amniotic sac to treat oligohydramnios or cord compression.

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Chlamydia during pregnancy

A sexually transmitted infection that can cause serious complications during pregnancy, including preterm labor and postpartum endometritis. It can also lead to conjunctivitis and pneumonia in newborns. Treatment involves oral antibiotics for 3 weeks followed by retesting.

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Gonorrhea during pregnancy

A sexually transmitted infection that can cause serious complications during pregnancy, including preterm labor and postpartum endometritis. It can also cause neonatal sepsis and blindness. Treatment involves antibiotics and retesting is necessary.

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Trichomoniasis during pregnancy

A sexually transmitted infection that can cause a yellow-green vaginal discharge with a foul odor. Untreated, it can lead to pelvic inflammatory disease and fallopian tube blockage. However, the medication used for treatment (metronidazole or tinidazole) is not given during the first trimester due to potential teratogenic effects on the fetus.

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HPV during pregnancy

A sexually transmitted infection that causes genital warts and cervical cancer. It is not recommended to receive the vaccine during pregnancy.

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Nonstress Test (NST)

A non-invasive prenatal test that monitors the fetal heart rate in response to fetal movement. It's often used to assess fetal well-being, especially in cases of decreased fetal movement, IUGR, or other high-risk conditions.

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Biophysical Profile (BPP)

A comprehensive prenatal test that assesses fetal well-being by combining a nonstress test with an ultrasound. It evaluates fetal heart rate, breathing, movement, muscle tone, and amniotic fluid volume.

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Chorionic Villus Sampling (CVS)

A procedure used to diagnose fetal chromosomal, metabolic, and DNA abnormalities. It involves sampling chorionic villi from the placenta using a catheter inserted through the cervix. Performed during the first trimester, it requires an empty bladder and involves education about potential complications like spotting, bleeding, and cramping.

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Amniocentesis

A procedure used to assess for neural tube defects or chromosomal disorders. It involves obtaining a sample of amniotic fluid using a needle inserted into the amniotic sac through the abdomen, guided by ultrasound. Performed during the second and third trimesters, it requires an empty bladder and involves education about potential complications like spotting, bleeding, and cramping.

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Spontaneous Abortion

A pregnancy loss that occurs naturally before 20 weeks of gestation. It can be caused by various factors, including chromosomal abnormalities, maternal age, and infections. It is characterized by vaginal bleeding, uterine cramping, and expulsion of the products of conception.

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Ectopic Pregnancy

A condition where the fertilized egg implants outside the uterus, typically in the fallopian tube. It can lead to severe complications if the fallopian tube ruptures. Symptoms include missed periods, abdominal pain, and vaginal bleeding. Treatment may involve methotrexate or surgical removal of the ectopic pregnancy.

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Placenta Previa

A condition in which the placenta attaches low in the uterus, covering the cervix, preventing a vaginal birth. It is often associated with painless bright red vaginal bleeding after 20 weeks of gestation. Diagnosis is made through ultrasound. Management involves bed rest and monitoring for bleeding.

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Placenta Abruption

A serious complication of pregnancy where the placenta partially or completely separates from the uterine wall, potentially leading to bleeding. It can be associated with abdominal pain, uterine tenderness, and changes in fetal heart rate. It may be treated with bed rest, hydration, and close monitoring.

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Methotrexate treatment for ectopic pregnancy

The medication used to treat ectopic pregnancy, which stops cell division and embryo enlargement. It involves certain restrictions and potential side effects that need to be addressed.

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Salpingectomy for ectopic pregnancy

A surgical procedure to remove the ectopic pregnancy and the affected fallopian tube. It is often required in cases of ruptured ectopic pregnancy, where immediate intervention is needed.

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Salpingectomy with ligation for ruptured ectopic pregnancy

A surgical procedure that involves removing the ectopic pregnancy and ligating the bleeding vessels to control bleeding. This is a critical intervention required in cases of ruptured ectopic pregnancy, requiring immediate action.

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D&C (Dilation and Curettage) post-abortion

A medical procedure where a dilation and curettage is performed to remove the products of conception in cases of spontaneous abortion where natural expulsion does not occur. It involves dilating the cervix and scraping the uterine lining to remove the remaining tissue.

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Chorioamnionitis

Infections of the amniotic sac, often caused by bacteria, which can lead to serious complications like preterm labor and premature rupture of membranes.

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Preterm Premature Rupture of Membranes (PPROM)

Premature rupture of membranes (PROM) before labor, occurring before 37 weeks of gestation.

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Premature Rupture of Membranes (PROM)

The rupture of membranes (breaking of the water) before labor begins, occurring at or after 37 weeks of gestation.

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Preterm Labor

The period of pregnancy between 20 weeks and 36 weeks, characterized by regular uterine contractions and cervical changes.

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Effleurage

A gentle, circular stroking of the abdomen during contractions, often used as part of non-pharmacological pain management during labor.

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Sacral Counterpressure

A non-pharmacological pain management technique involving applying consistent pressure to the sacral area (lower back) to help alleviate back pain during labor.

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Counterpressure

A labor pain management technique involving consistent pressure on the sacral area (lower back) during contractions.

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Fetal Pulmonary Hypoplasia

A potential complication of premature rupture of membranes, especially PPROM, resulting in decreased fetal lung development.

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Nitrazine Paper

A common assessment tool used to determine if fluid leaking from the vagina is amniotic fluid, involving a chemical reaction on a special 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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OB Exam 1 Study Guide PDF

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.

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