Maternal Newborn Meds
Ophthalmic erythromycin is given to the newborn to prevent what?
How is it given?
Ophthalmia neonatorum/Neonatal blindness.
Administer the prescribed dose using a single-use tube of ointment across each lower conjunctival sac.
The most common cause of maternal intrapartum death is
A.Preterm labor
B.Hemorrhage
C.Embolism
D.Hypertension
B.Hemorrhage
State True or False The patellar is usually the first DTR to become hyperreactive in preeclampsia.
True
True/False
Fundal pressure is necessary during a shoulder dystocia
False: Suprapubic pressure may be necessary in conjunction with McRobert's maneuver
State True or False. Fundal pressure is necessary during a shoulder dystocia emergency.
False
RhoGam is given to RH negative pregnant clients around 22 weeks gestation and within 48 hours after delivery.
False
RhoGam is usually given to RH negative pregnant clients 26-28 weeks gestation and within 48 hours after delivery.
A small number of Rh-negative women may be exposed to Rh-positive blood cells from the fetus in the last few months of pregnancy and may make antibodies against these cells. RhoGam given at 28 weeks of pregnancy destroys these Rh-positive cells in the woman's body.
Mild pre-eclampsia is indicated by what two factors?
BP >140/90 (2 readings 4-6 hours apart)
Proteinuria
Manual support of the presenting part can be discontinued when
A. The presenting part is lifted off the fingers during the cesarean delivery
B. The patient is moved to the OR table
C. General anesthesia is initiated
D. The cesarean skin incision is made
A.The presenting part is lifted off the fingers during the cesarean delivery
Methylergonovine maleate (Methergine) is contraindicated for which client?
a) BP 148/92
b) Pulse 55 bpm
c) Temp 99.3 F
d) RR 16/min
The classic differentiating symptoms between placenta previa and placenta abruptio is:
A.Vaginal bleeding
B.Abdominal pain
C.Uterine contractions
D.Uterine tone
B.Abdominal pain
Thrombocytopenia, increased LFTs, and decreased Hct during pregnancy may indicate
A.Essential hypertension
B.HELLP syndrome
C.Eclampsia
D.Preeclampsia
B.HELLP syndrome
Late decelerations indicate inadequate placental perfusion to the fetus. The following conditions may lead to this:
a. Placental abruption
b. Placenta previa
c. Meconium stained amniotic fluid
d. Chorioamnionitis
e. All of the above
e. All of the above
HELLP stands for what?
Hemolysis (break down of red blood cells)
Elevated liver enzymes
Low platelets
The nurse must use caution when infusing oxytocin (Pitocin). Which of the following indicate the nurse should stop the infusion?
a. Contractions lasting up to 90 seconds
b. Maternal discomfort during contraction increases
c. FHR with baseline 115 with early decelerations
d. FHR 175 with moderate variability
d. Fetal Tachycardia indicates the infusion should be stopped.
The best delivery route for the preeclamptic patient is:
A. Vaginal with forceps and local anesthesia
B. Cesarean with general anesthesia
C. Determined by maternal and fetal condition
D. Vaginal with epidural anesthesia
C.Determined by maternal and fetal condition
The bed position most helpful in a cord prolapse emergency is (select all that apply):
A. Semi-Fowler’s
B. Deep Trendelenburg
C. High Fowler’s
D. Hands and Knees
B. Deep Trendelenburg and D. Hands and Knees
The most significant intrapartum factors associated with the development of shoulder dystocia are:
A. Prolonged first stage labor and early SROM
B. Postterm pregnancy and labor induction
C. Prolonged second stage labor and slow descent
D.Fetal macrosomia and prolonged second stage
D. Fetal macrosomia and prolonged second stage
Which of the following statements about corticosteroids NOT correct?
A. Betamethasone is given every 12 hours ×4 doses.
B. Steroids are given to the mother in preterm labor to stimulate fetal maturation
C. Steroids stimulate type 2 pneumocytes to produce surfactant
D. Maternal steroids are administered between 24 and 37 weeks.
A.Betamethasone is given every 12 hours ×4 doses.
The most reliable signs of impending seizure activity include
A. Headache and visual changes
B. Hypertension and tachycardia
C. Epigastric and RUQ pain
D. Peripheral edema
A.Headache and visual changes
A(an) ____________________ should be considered if a sudden loss in station is detected and is considered a medical emergency.
uterine rupture
Describe the late premature infant.
Possible answers:
Minimal subcutaneous fat
Presence of lanugo
Diminished or absent reflexes
Irregular/weak respirations
Testes may be undescended
Weak cry
Vernix caseosa present (diminished to nonexistent on the post term newborn)