Antepartum Care
A probable sign of pregnancy that occurs when there is a blueish tint to the Cervix.
Chadwick's sign
A one hour glucose tolerance test requires additional testing if the patient's glucose level is over _____
130/135 (depending on where you look)
Variable decels are caused by this
Cord compression
The drop is this hormone is one of the major hormonal contributors to the onset of labor
progesterone
The nurse is preparing a prophylactic dose of Antibiotic, Ancef 2g IVP prior to incision x one dose. On hand the nurse has a vial that reads Ancef 5g/5mL. How many mLs will the nurse draw up to administer?
2 mL
A patient states that her LMP was 5/1/25. Please estimate her due date:
2/8/26
Bleeding following an amniocentesis:
a) Is normal and expected
b) Is concerning but not urgent
c) Requires the patient to reach out to her provider
C
Early Decels are caused by this
Head Compression
A fluid bolus is administered prior to an epidural to prevent this complication
hypotension
True or False
A woman may deliver vaginally if she has tested positive for GBS?
True (Ideally, with antibiotics during labor)
Administration of this medication IV for preeclampsia requires frequent assessment for respiratory depression and reduced deep tendon reflexes
Magnesium (MgSO4)
This prenatal screening test (20-22 weeks) requires the patient to have a full bladder.
Ultrasound
Accelerations are caused by this
A healthy SNS/CNS
Six or more contractions in a ten minute period is called___________-
tachysystole
Fetal tachycardia is often a sign of what condition in the mom?
Fever/Infection.
Urinary frequency that is not accompanied by burning, fever, or flank pain is a common complaint during which two trimesters of pregnancy?
first and third trimesters
Mom is tested at the first prenatal visit for this bacteria and again in the final weeks of pregnancy
GBS
Variable Decelerations are dips in FHR that decrease ____bpm for _____seconds or more
15/15
The nurse is recovering a woman who just underwent a primary cesarean section. The physician orders read 500mL of LR over 2 hours. The nurse does not have an available infusion pump. The tubing that the nurse is working with is 15gtt/mL. What is the drip rate (drops per minute) for this infusion?
(round to whole number)
63 gtt/min
A pregnant woman diagnosed with severe preeclampsia is prescribed magnesium sulfate IV to prevent seizures. The physician orders a loading dose of 4 grams of magnesium sulfate to be infused over 30 minutes, followed by a maintenance dose of 2 grams per hour. The pharmacy provides a premixed bag of magnesium sulfate 40 grams in 1000 mL of 0.9% normal saline.
Calculate the infusion rate in mL/hour for the loading dose.
200mL/hr
Loading Dose Calculation:
Dose ordered: 4 grams over 30 minutes.
Concentration: 40 grams in 1000 mL = 40 mg/mL (since 1 gram = 1000 mg, 40 grams = 40,000 mg ÷ 1000 mL = 40 mg/mL).
Amount needed: 4 grams = 4000 mg.
Volume for 4000 mg: 4000 mg ÷ 40 mg/mL = 100 mL.
Time: 30 minutes = 0.5 hours.
Infusion rate: 100 mL ÷ 0.5 hours = 200 mL/hour.
Folic acid is protective against _____ ______ ______ in the fetus and should be increased prior to conception and continue through the pregnancy
Neural Tube Defects
TORCH stands for
Toxoplasmosis, Other, Rubella, Cytomegalovirus, and Herpes
Late Decelerations are caused by
uteroplacental insufficiency
A patient who is 60 percent effaced, 6 cm dilated, with fetus @ 1+ station is in:
1) The Latent Phase of 1st Stage of Labor
2) The 3rd stage of Labor
3) The Active Phase 1st Stage of Labor
4) The Fourth Stage of Labor
3 - Active
The physician orders a loading dose of 4 grams of magnesium sulfate to be infused over 30 minutes, followed by a maintenance dose of 2 grams per hour. The pharmacy provides a premixed bag of magnesium sulfate 40 grams in 1000 mL of 0.9% normal saline.
Calculate the infusion rate in mL/hour for the maintenance dose.
Answer: The infusion rate for the maintenance dose is 50 mL/hour.
Maintenance Dose Calculation:
Dose ordered: 2 grams/hour.
Amount needed: 2 grams = 2000 mg.
Volume for 2000 mg: 2000 mg ÷ 40 mg/mL = 50 mL.
Infusion rate: 50 mL/hour.