Preterm Labor
Pt. 32 weeks in Triage, PTL, 2-3 cm dilated. Which meds will the RN administer:
Terbutaline and Betamethasone
The incomplete return of the uterus to its pre-pregnant size and shape is referred to as __________.
Subinvolution
37 wk with severe preeclampsia. Pt. has a tonic-clonic seizure. Which would the RN avoid during the seizure? A. Placing pt. in supine position B. Holding down pt.'s head to prevent injury C. Staying with the pt and activating the emergency response team D. Timing the seizure E. Providing 8 to 10 L of oxygen
A. Placing the patient in a supine position
B. Holding down the patient’s head to prevent injury
State True or False. Previous C/S delivery is the most common risk factor for uterine rupture.
True
You are completing a head-to-toe assessment of a 32 week infant boy on the birthing unit. What would be a physical finding you would expect to see in this infant.
Lack of sole creases on his feet.
Chorioamnionitis: A. Cause is oligohydramnios B. Is strongly associated with the onset of preterm contractions C. Can cause the release of oxytocin D. All of the above
B. Is strongly associated with the onset of preterm contractions
____________is one of the primary causes of maternal mortality associated with childbearing that may be due to a small section of retained placenta.
Post Partum Hemorrhage
Severe Preeclampsia is indicated by A. Scotomata B.+4 on dipstick C. N/V D. Serum Creatinine of 1.3
A B C and D
Variable decels and prolapsed cord is suspected. Interventions to prevent fetal hypoxia:
-Call HCP
-Apply firm upward pressure to the presenting part of fetus to relieve pressure from cord
-10 L via non rebreather mask
Newborn abducts and extends arms, fingers fan out and form a "c".
Potential complications of preterm birth include A. RDS B. NEC C. IVH D. All of the above
D.All of the above
Which of the following findings is a contrainindication to the administration of Methergine: a.Tachycardia b.Bradycardia c.Hypotension d.Hypertension
d.Hypertension
Which of the following oral temperatures most clearly suggests the presence of a postpartum infection? A. 101°F at 8 hours postpartum B. 102°F immediately after birth C. 99°F at 2 weeks postpartum D. 101.2°F on the third postpartum day.
D. 101.2°F on the third postpartum day.
A temperature over 100.4°F after the first 24 hours is suggestive of a postpartum infection.
Tachypnea and retractions noted in the newborn infant. What is?
RDS
24 hr PP, uterus midline, above the umbilicus and boggy. What action should the RN prioritize?
Initiate fundal massage
Which factor would put an OB Pt.at highest risk for a postpartum infection of the uterus? A. Birth from a lithotomy position B. Rupture of membranes over 24 hours before delivery C. Birth of a 9-lb infant D. Breastfeeding the infant on demand
B. Rupture of membranes over 24 hours before delivery
Traumatic uterine ruptures can be caused by: A. prolonged labor B. Mismanagement of Pitocin C. Epidural anesthesia D. Artificial rupture of membranes
B. Mismanagement of Pitocin
___________ is defined by neurologic damage due to excessive unconjugated bilirubin deposition in the brain tissue.
Kernicterus
Mastitis is usually caused by a bacteria introduced by the infant breastfeeding? T of F
True
Which of the following signs and symptoms may indicate abruption? A. Boardlike uterus B. Abdominal cramping C .Back pain D. All of the above
D.All of the above
Severe preeclampsia occurs when A.SBP≥160 mmHg and/or DBP≥110 mmHg B. Platelets> 100,000 C. Decreased ALT, AST, LDH D. Serum creatinine >1.5 mg/dl
A.SBP≥160 mmHg and/or DBP≥110 mmHg
Major medical indications for primary C/S delivery include. A. Fetal distress and CPD B. FTP and Fetal malposition C. Multiple gestation D. Active genital Herpes (select all that apply)
ABCD
RN evaluating EFH monitor tracing. RN notes Decelerations present on monitor. Which assessment should the RN make: A. B/P, B. Gestational age of fetus, C. Deceleration/Labor CTX., D. Placement of Electronic fetal heart electrode.(select all that apply)
ABCD