Antepartum Care
This vaccine should be given BEFORE pregnancy and avoided during pregnancy.
What is MMR?
9 cm dilation + urge to push = this stage/phase.
What is first stage, transition?
Baseline 120 with early decels = this interpretation.
What is normal/reassuring pattern?
Supine position in pregnancy causes this.
What is decreased placental perfusion?
Best first action for nausea/vomiting in pregnancy.
What is assess fluid status?
Most concerning antepartum symptom.
What is intense pelvic pain?
A positive HCG sign of pregnancy (possible, probable, positive)
What is a probable (objective) sign of pregnancy.
Multiparous patients typically experience this type of labor pattern.
What is shorter/faster labor?
FHR of 88 bpm in labor = this priority.
What is assess immediately (first patient)?
PROM increases risk for this complication.
What is infection?
Incorrect statement about labor pain (opioid) management.
What is opioids do NOT cross placenta?
First action with vaginal bleeding at 7 weeks.
What is assess amount/duration?
This lab value (Hgb 10 in 2nd trimester) is best addressed with this intervention.
What is increasing iron intake?
50% effacement means this.
What is thinning/shortening of cervix?
FHR 170 + minimal variability = first nursing action.
What is reposition patient?
Most common cause of first trimester miscarriage.
What are chromosomal abnormalities?
Oxytocin should be questioned in these 2 conditions.
What is active genital herpes OR severe hypertension?
False labor is identified by this pattern.
What is contractions vary in intensity/frequency?
Primary prevention teaching in early pregnancy focuses on this.
What are teratogens? (alcohol, smoking)
Priority action during 3rd stage of labor.
What is assessing for hemorrhage?
Contractions lasting 2 minutes on oxytocin = this action.
What is stop the infusion?
Signs of preeclampsia include these 3 key findings.
What are proteinuria, vision changes, RUQ pain?
Smoking education response should be this type.
What is therapeutic/non-judgmental counseling?
Correct BP assessment during labor.
What is check between contractions?
This supplement prevents this major fetal defect.
What are neural tube defects (folic acid)?
Second stage lasting 2 hours requires this nurse response to partner leaving.
What is encourage staying (birth is imminent)?
Early decelerations are caused by this.
What is head compression?
This patient is highest risk: 32yo, Gestational diabetes, anemia.
What is a mom with gestational diabetes?
This intervention is unsafe with PPROM.
What are frequent cervical checks?
A patient on oxytocin has prolonged contractions and fetal distress. What are your FIRST TWO actions?
Stop oxytocin & Reposition patient (left side)