Maternal Adaptations
During Pregnancy
During Pregnancy
A pregnant woman should increase her folic acid intake by how much a day?
400-800mg
What feature must be present that makes someone eclamptic?
Seizures
What is the proper position for epidural placement?
C shape
A woman has shown interest in a VBAC. What is the main risk the Dr will address.
Uterine rupture
The ideal fetal position is?
LOA or ROA
At 20 weeks’ gestation, the fundus is at what height?
20cm and at the umbilicus
What is the antidote for magnesium sulfate?
Calcium gluconate
Moderate variability is fluctuation in how many bpm from baseline?
6-25bpm
What are examples of tocolytic management for Preterm Labor?
Magnesium sulfate, Indomethacin, Nifedipine
What is the treatment for a GBS positive mother?
Penicillin or Ampicillin
A 30 year old female is currently 25 weeks pregnant. She has 5 year old twins that were born at 36 weeks gestation and a 3 year old born at 39 weeks gestation. She has no history of miscarriage or abortion. What is her GTPAL?
G3 P1103
What is the therapeutic range for magnesium?
4-7mEq/L
What is the first step of the Leopolds maneuver?
To feel for buttocks, should be soft
A woman has an amniotic fluid is measurement of about 400mL. What is the main risk to be concerned about?
Cord compression
A woman reports her last menstrual period was September 10, 2024. What is the EDD?
June 17, 2025
What foods are recommended to avoid during pregnancy?
Deli meat, premade deli salads, soft cheese, unpasteurized drinks
List signs of Magnesium toxicity.
Decreased urine output, RR <12, absent DTRs, low blood pressure
A nurse notes a Variable deceleration on the EFM strip. What intervention do you expect her to perform?
Since a Variable deceleration is related to cord compression, you can expect the nurse to reposition the mother.
It is recommended that a pregnant woman contact the provider if what regarding kick counts.
If it takes more than 2 hours to detect 10 fetal movements
If a pregnant woman is Rh-, will she receive RhoGAM and if so, when?
At 28 weeks.
If baby is born and is Rh+, give again within 72 hours of delivery.
Name at least 5 presumptive signs of pregnancy.
Breast tenderness, amenorrhea, nausea, vomiting, breast enlargement, urinary frequency, urinary enlargement
What are severe features of preeclampsia?
BP >160/100, headache, blurry vision, oliguria, pulmonary edema, epigastric pain
Category 1 EFM strip includes?
Normal baseline, Moderate variability, No worrisome decelerations
A woman with GDM has _____ insulin secretion and ______ insulin sensitivity.
Decreased, decreased
Explain the Two-Step GTT.
Drink 50g glucose solution, wait an hour, check blood glucose. If >140mg/dL have mother drink 100g glucose solution and recheck in 3 hours.