Medications
Antepartum
Intrapartum
Postpartum
Assessment
100

Studies in have demonstrated fetal abnormalities or there is evidence of fetal risk, and the risk of the use of the drug in pregnant women clearly outweighs any possible benefit. The drug is contraindicated in women who are or may become pregnant.

What is Pregnancy Category X?

100

The nurse is performing an assessment on a client who is at 38 wks. and notes that the FHR is 180 bpm. The appropriate nursing action is to do this.

What is Notify the HCP. ...Rationale: Fetal heart rate depends on gestational age and ranges from 160 to 170 beats/min in the first trimester 

Slows with fetal growth to 120 to 160 beats/min near or at term. At or near term, if the fetal heart rate is less than 120 or more than 160 beats/min with the uterus at rest, the fetus may be in distress. Because the FHR is increased from the reference range, the nurse should notify the physician. Although the nurse documents the findings, based on the information in the question, the physician needs to be notified.

100

Advance Maternal Age (AMA) pregnancy with a history of hypertension often requires which Unit to be present when infant is born

What is the Neonatal Intensive Care Unit?

100
The first two hours after birth.
What is Stage 4 of Labor?
100

Pad that lies over the anterior surface of the symphysis pubis.

What is the Mons Pubis?

200

A client on Magnesium Sulfate should be monitored for this type of neurological adverse reaction.

What is a seizure?

200
The physician has documented that the fetus is at -1 station. The nurse determines that fetal presenting part to be this location.
What is 1 cm above the Ischia spine.
200
This would be the 1st action for a 20 y/o G1P0 at 39wks who is in active labor showing variable fetal heart rate decelerations.
What is Change the maternal position
200
Exercises that can assist the woman in regaining muscle tone after birth.
What are Kegel exercises?
200
Dome-shaped top of the uterus.
What is the Fundus?
300

This medication is commonly used to induce clotting in newborns

What is Vitamin K

300
The nurse Assesses this 1st after an amniotomy has been performed.
What is The FHR pattern
300

During a forceps delivery, the nurse would monitor the client closely for the risk of this major complication.

What is Uterine rupture

300
Vaccine given to postpartum women whose antibody titer is 1:8 or whose enzyme immunoassay level is less than 0.8. It is used to prevent nonimmune women from contracting this TORCH infection during subsequent pregnancies.
What is rubella?
300

The nurse assesses the umbilicus to determine if it is midline

What is Uterine Atony?

400

The physician has ordered an IV infusion of Pitocin for the client in labor. The nurse ensures that this is implemented before initiating the infusion.

What is Continuous electronic fetal monitoring

400
The nurse notes that the client began her last menses on March 7, 2008. Using Nagele's rule, the nurse estimates the due date to be this.
What is December 14, 2008.
400

A labor room nurse assists with the administration of an epidural regional block. The nurse monitors this for the major side effect associated with this type of regional anesthesia.

What is Monitoring maternal BP?

400
This is an indication of a paralytic ileus 36 hours after a C-section
What are absent bowel sounds?
400
Biochemical marker in maternal urine or serum that results in a positive pregnancy test result.
What is human chorionic gonadotropin (HcG)?
500

This medication is often used for the ripening of the cervix and induction of labor.

What is Cervidil (dinoprostone)

500

Vomiting multiple times throughout the day; Poor appetite; Weight loss (>5% of pre-pregnancy weight); Dehydration

What is hyperemesis gravidarium?

500

A client in labor is dilated 10 cm. At this point of the labor process, the nurse would plan to assess and document the FHR at least this often.

What is Every 15 Min.

500
This type of vaginal discharge is red and present for one to three days following delivery.
What is Lochia Rubra?
500

The structure of the female anatomy where fertilization takes place

What is the fallopian tube?