Contractions
Emergencies
Fetal Heart Rate
Induction of Labor
It's a Mix
100
What is hypertonic uterine dysfunction?
Occurs in early labor.
Contractions are too frequent, painful & are not dilating the cervix
100
What is the "turtle sign" indicative of?
Shoulder dystocia
100
Name of the FHR test that should be performed prior to an external cephalic version?
NST
100
What does a Bishop Score of < 8 mean?
Cervix is not suitable for induction of labor.
100
Name the tests used to determine the presence of amniotic fluid when a woman states she is leaking.
Amnisure
Ferning
Nitrazine paper
200
What measures contraction strength using Montevideo Units as its primary purpose for use?
IUPC
200
Name the symptoms of magnesium sulfate toxicity.
Absent DTR's
Change in LOC
Oliguria
RR < 12/minute
200
What type of fetal monitoring should a woman receiving Oxytocin be on?
Continuous EFM
200
A patient is on Oxytocin to augment labor and has uterine tachysystole. You've stopped the Oxytocin & given an IVF bolus. What is the next intervention you should perform?
Turn on left side
200
You're sending your patient home from triage whose cervix exam is closed & thick. What is your priority discharge instruction education for her?
Return if water breaks
300
What could you assess in a patient who is having regular contractions, but the fetus isn't descending into the pelvis?
Bladder
300
What is McRoberts Maneuver and what is it used for?
Flexing knees & hips to abdomen to open pelvic outlet. Used for shoulder dystocia.
300
What type of FHR deceleration drops after the peak of a contraction & remains down for 3 minutes?
Prolonged
300
Your patient had an amniotomy. What are your priority assessments following this?
1. FHR
2. Characteristics of fluid
300
What fetal part is presenting if the fetus is in a longitudinal lie, with the head in the pelvis & in a position of general flexion?
Occiput (vertex)
400
What are you determining by measuring the beginning of a contraction to the end of one?
Duration
400
Your pregnant patient is in DIC. On route to the OR, what medication do you anticipate having to give & why?
Heparin. To slow the clotting cascade so patient has enough clotting factors for the surgery.
400
What action do you need to take immediately if your patient has a Reactive NST?
Nothing
400
Your multiparous patient is dilated to 7cm at 10:00 am. What time would you expect her to be 10 cm by?
12:00pm
400
What fetal position is this?
Left occiput posterior
500
Name the 4 most common tocolytic medications.
Terbutaline
Nifedipine
Indomethacin
Magnesium Sulfate
500
What is suprapubic pressure in childbirth used for?
Relieve shoulder dystocia. Involves pushing the anterior shoulder under the pubic bone.
500
There is a FHR of 160 bpm, maternal BP of 160/110 mmHg & a platelet count of 129,000. What specifically do you suspect (2 words)?
Severe preeclampsia
500
What are contraindications for an amniotomy procedure?
High fetal station (unengaged)
Unstable mother/fetus
Non-cephalic presentation
500
What is the purpose of an amnioinfusion procedure?
Correct variable decelerations after water has been broken