Intrapartum
On the fetal monitor you see variable decelerations. What is the cause of this finding?
It is caused by cord compression
Amenorrhea, Nausea, Breast enlargement
Presumptive Signs of Pregnancy "subjective"
The nursing instructor is teaching a class on the nutritional needs of the pregnant client. The instructor determines the session is successful when the students correctly choose which supplement as being known to prevent up to 70% of CNS birth defects?
folic acid
Major risk factors for preterm birth
Hx of previous preterm delivery (#1), mutigestation, bleeding after first timester of pregnancy
Cravings of non-food substance causing iron deficiency anemia
PICA
Contraindications to induction of labor:
What are 1)Complete previa, 2)transverse fetal lie, 3)umbilical cord prolapse, 4)previous classical cesearean delivery, 5)active genital herpes infection, 6)previous myomectomy
Pregnancy tests (both urine and blood) measure levels of which hormone to validate the existence of pregnancy?
human chorionic gonadotropin (HCG)
A pt. suspected pregnancy is confirmed. The Pt. tells the RN that she had three previous pregnancies where she delivered one infant @ 39 weeks, twins @ 34 weeks, and another infant @ 35 weeks. Using GTPAL notation, how should the RN record the Pt. Gravida and Parity?
G4/1204
Tocolytics and their mechanisms of action
1) Terbutaline 2) Magnesium Sulfate 3) Nifedipine (CCB)
A client comes to the clinic reporting swelling in the hands and feet, blurred vision, a pounding headache and nausea and vomiting. The client had a positive pregnancy test 15 weeks ago, but has had no prenatal care. This is the client’s third pregnancy, and she says that her uterus never grew this big or this fast with the previous pregnancies. Based on the client’s reason for seeking care, the nurse would collect additional data to rule out the presence of which conditions?
Molar pregnancy
2cm/0/60%
1st stage of labor - latent phase
A Pt who is 36 weeks gestation is placed in the lithotomy position when she suddenly complains of feeling breathless and light headed. Which action should the nurse take first?
Turn the Pt to a lateral position
Measures FHR (NST), muscle tone, movement, breathing, and the amount of AFL via ultrasound. 2 pt. each for a total score of 10. Score of 8-10 = reassuring. Score of 4 or less = might need to deliver the baby early or immediately.
(BPP) Biophysical Profile
Internal monitor, measures beat to beat variability.
FSE ( Fetal Scalp Electrode)
Determine the Apgar score: Pulse 112, respirations 28, blue extremities, crying after stimulation, well-flexed extremities
8