Week 1
Which hormone relaxes smooth muscles and is responsible for maintaining the pregnancy?
Progesterone
What are positive signs of pregnancy?
Visualization of pregnancy on a sonogram
Auscultation of FHR
Palpation of fetal movement
Visualization of fetal movement
What does HELLP syndrome stand for?
Hemolysis
Elevated liver enzymes
Low platelets
What is the priority action after ROM?
Assess FHR
Name two sources of toxoplasmosis.
1. Cat feces
2. Undercooked meats
What is the main source of amniotic fluid?
Fetal urine
Susan is 8 weeks pregnant. Her first pregnancy resulted in the live birth of a son at
39 weeks gestation. He is currently alive and well. Susan's second pregnancy
was a miscarriage at 10 weeks gestation.
G3 P1011
What is the antidote for mag toxicity?
Calcium gluconate
Name 3 tocolytic medications.
1. Mag sulfate
2. Indomethacin
3. Nifedipine
What are the 5 concepts of Swanson's caring theory?
1. Knowing
2. Being with
3. Doing for
4. Enabling
5. Maintaining belief
Which structure carries deoxygenated blood away from the fetus to the placenta? How many are there?
2 umbilical arteries
What is normal Hgb and Hct during pregnancy?
Hgb >11
Hct >33
What is the therapeutic level for mag?
5-9 mg/dL
Why do women experience night sweats in the postpartum period?
Diaphoresis eliminates excess fluid
What infection would a baby who presents with a "blueberry muffin" rash have?
Congenital Rubella
What is the ideal L/S ratio and what does it indicate?
L/S ratio of 2:1 indicates fetal lung maturity
Calculate EDD.
A woman's LMP was October 9, 2021
EDD: July 16, 2022
What blood pressure reading indicates severe preeclampsia?
Severe preeclampsia: >160/100
During which phase of Rubin's Maternal Role Attainment would the nurse encourage the mother to share her birth story?
The dependent or "Taking-In" Phase
What should you do first before giving an injection to an infant born to an HIV positive mother?
Bathe the baby
When do the kidney's function?
9-11 weeks after conception
What are two diagnostic test for fetal anomalies?
1. Amniocentesis
2. Chorionic villi sampling
What are the criteria for preeclampsia?
BP >140/90 after 20 weeks gestation
Proteinuria or elevated BUN/Creatinine, AST/ALT, uric acid and/or low platelets
Calculate the APGAR score.
A baby has a heart rate of 95, a strong cry, is well-flexed, grimacing, with a pink body and blue extremities.
7
What substance was likely abused during the pregnancy of an infant who presents with abnormal facial features, growth deficiency, and CNS abnormalities?
Alcohol