Tocolytics and Fetal Lung Maturity Quiz

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Questions and Answers

What factors might lead to early delivery in pregnancy?

  • Placenta previa, preeclampsia, IUGR
  • Physical deviations of the uterus or cervix
  • Polyhydramnios, fibroids
  • All of the above (correct)

Which condition may necessitate early delivery for the best outcomes?

  • Both A and B (correct)
  • Physical distention of the uterus
  • Fetal perfusion issues
  • Maternal illness

What influences the decision between inducing labor or scheduling a Cesarean Section?

  • The mother's preference
  • The gestational age of the baby
  • The provider's judgment based on the situation's acuity (correct)
  • The presence of fibroids in the uterus

What might a provider do after completing the fFN test?

<p>Order a vaginal ultrasound for cervical status (B)</p> Signup and view all the answers

How is the fern test conducted in assessing amniotic fluid?

<p>By allowing the fluid to dry on a microscope slide (A)</p> Signup and view all the answers

What is the significance of nurses using nitrozene paper in assessing leaking fluid?

<p>To distinguish amniotic fluid from vaginal secretions or urine (B)</p> Signup and view all the answers

Why might cervical evaluation using fingers or ultrasound probes be limited?

<p>To avoid ascending infections (B)</p> Signup and view all the answers

What is the primary goal when PTL is diagnosed without PPROM?

<p>Stop contractions before cervical change occurs (A)</p> Signup and view all the answers

Which drug is mentioned as the current drug of choice for long-term management of PTL?

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

What is the primary side effect of Terbutaline when used to stop uterine contractions?

<p>Tachycardia of mother and baby (D)</p> Signup and view all the answers

What is the primary side effect of magnesium sulfate according to the text?

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

What is the criteria for diagnosing diabetes without performing the 3-hour GTT?

<p>Fasting blood glucose reading of 200 or greater (A)</p> Signup and view all the answers

What does the fasting blood glucose level determine?

<p>If the person can be controlled through diet or requires pharmacological management (C)</p> Signup and view all the answers

How is diabetes diagnosed during the 3-hour GTT?

<p>If two out of the four blood draws show elevated values (A)</p> Signup and view all the answers

What surveillance measures are taken for fetal well-being in gestational diabetes?

<p>Daily kick counts and non-stress tests (D)</p> Signup and view all the answers

Flashcards

Causes of Early Delivery

Many factors can lead to early delivery, including various maternal and fetal conditions.

Conditions Requiring Early Delivery

Certain conditions, such as specific maternal or fetal health crises, may necessitate early delivery for the best possible outcomes for both mother and baby.

Delivery Method Decision

The provider's judgment, based on the specific circumstances and urgency of the situation, heavily influences the decision between inducing labor and performing a Cesarean Section.

Post-fFN Test Action

After completing the fFN test, a provider might order a vaginal ultrasound to assess the cervical status, helping to determine the risk of preterm labor.

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Fern Test Method

The fern test is conducted by allowing a sample of the fluid in question to dry on a microscope slide and then examining it for a characteristic fern-like pattern, indicative of amniotic fluid.

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Nitrazine Paper Use

Nurses use nitrazine paper to assess leaking fluid to distinguish amniotic fluid (which is alkaline) from vaginal secretions or urine (which are more acidic).

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Cervical Evaluation Limitations

Cervical evaluation using fingers or ultrasound probes might be limited to avoid introducing ascending infections.

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PTL Management Goal

When PTL is diagnosed without PPROM, the primary goal is to halt contractions before any cervical change occurs.

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Preferred PTL Drug

Procardia (Nifedipine) is mentioned as a drug of choice for the long-term management of PTL.

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Terbutaline Side Effect

A primary side effect of Terbutaline, when used to stop uterine contractions, is tachycardia in both the mother and the baby.

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Magnesium Sulfate Side Effect

According to the text, a primary side effect of magnesium sulfate is hot flushing.

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Diabetes Diagnosis Criterion

A fasting blood glucose reading of 200 mg/dL or greater meets the criteria for diagnosing diabetes without performing the 3-hour GTT.

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Fasting Glucose Significance

The fasting blood glucose level helps determine whether the person can manage their diabetes through diet alone or if they require pharmacological intervention.

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GTT Diabetes Diagnosis

Diabetes is diagnosed during the 3-hour GTT if two out of the four blood draws show elevated glucose values.

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Fetal Well-being Monitoring

In gestational diabetes, surveillance measures for fetal well-being include daily kick counts and non-stress tests.

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