Fetal Monitoring
Ultrasounds
Various fetal tests
Pregnancy Complications
Stages of labor
100
How many accelerations in the fetal heart rate do you need to have a reactive NST?
Two 15x15's
100
What are the positive signs of pregnancy
Ultrasound, fetal heart rate heard by doppler, fetal movement felt by provider
100
The patient undergoes a chorionic-villus sampling test at 10 weeks gestation. Where is this sample taken from?
Chorion (fragment of placenta)
100
When does a client receive Rhogam?
Given at 28 weeks and 72 hours after delivery. after any bleeding or trauma, after a pregnancy loss
100
Cervical effacement can be described as what?
Thinning of the cervix and can be measured in %
200
A doctor ordered a test to determine if a client with an IUGR (intrauterine growth restriction) fetus will be able to tolerate an induction of labor. What test does the nurse anticipate the doctor ordering?
A contraction stress test (CST)
200
The patient had a non-reactive NST, what do you anticipate the doctor ordering next?
A CST or BPP
200
What serum test monitors for chromosomal disorders or neural tube defects?
MSAFP (Maternal Serum Alpha-Fetoprotein)
200
A client is 38 weeks pregnant complaining of sharp abdominal pain, her abdomen is rigid on palpation. What do you suspect is occurring?
A placental abruption
200
A client is undergoing an induction of labor and is 3/60/-2
What phase of labor is she in?
First or latent phase of labor
300
Your laboring patient is sitting up in bed and you note variable decelerations in the fetal heart rate. What is your first nursing intervention?
Reposition patient on their left side.
300
What are the components of the BPP?
Breathing movements
Amniotic fluid volume
Fetal tone
Body movements
NST reactivity
300
What is the purpose of the amniocentesis?
Identification of neural tube defects, fetal gender, chromosomal abnormalities, lung maturity in the third trimester, genetic disorders.
300
What are signs and symptoms of a placenta previa
Bright red painless bleeding.
300
A client is 4 cm dilated and asking about pain management options to promote relaxation and facilitate labor, what would you as the nurse suggest?
Non-pharmacologic- Encouraging her to ambulate, standing upright, lower back massage,
Pharmacologic- IV pain medications.
400
A client comes in with complaints of decreased fetal movement. The nurse initiates a non-stress test (NST). What is the purpose of an NST?
To monitor the fetus's response to movement (accelerations in fetal heart rate)
400
What is an ultrasound used for in pregnancy?
Confirmation of pregnancy, establishing due date, identifying single or multiple fetus's, assessing fetal growth, evaluating location of placenta, amniotic fluid volume.
400
What is the purpose of the contraction stress test?
To monitor fetal response to stress
400
How would you educate a patient on fetal kick counts?
10 kicks in 2 hours.
400
A patient presents to labor and delivery with contractions every 2-3 minutes, she is very irritable, and is telling you "do not touch me, i don't want those monitors on"
What phase of labor do you think the patient is in?
Active or Transition phase
500
How would you interpret this CST 
Positive CST- we see 3 late decelerations after her contractions
500
A patient comes in with complaints of severe pain in the left lower quadrant. She is 4 weeks late on her period. An ultrasound is ordered, what does the nurse suspect that the patient will be diagnosed with?
Ectopic pregnancy
500
What are the priority nursing interventions for a patient undergoing an amniocentesis.
gathering supplies, vital signs, pain medication administration, discharge teaching on signs of preterm labor, infection, other complications.
500
What test is used to diagnose gestational diabetes?
1-hr glucola and 3-hour glucose tolerance screening.
500
What are signs of true vs false labor?
False labor- irregular contraction pattern. decrease in frequency of contractions when walking, resting, or hydrating. Contractions that are felt in the front of abdomen. No cervical change
True labor- Regular contraction pattern that are getting closer together. Contraction pain that starts in the back and radiates to the front. Continued activity does not stop them. Cervix thins and dilates.