Deck 2

Question 1

Name the tocolytic medications.

Answer 1

Terbutaline, Indomethacin, Nifedipine, Magnesium Sulfate

Question 2

Terbutaline

Answer 2

beta-adrenergic agonist that is used as a tocolytic to (relax smooth muscles and inhibit uterine activity)

Question 3

With Terbutaline you need to watch for

Answer 3

(HR, palpitations, chest pain)

Question 4

Indomethacin

Answer 4

NSAID that (suppresses preterm labor by blocking the production of prostaglandins, which suppresses uterine contractions)

Question 5

Nifedipine

Answer 5

calcium channel blocker used to suppress contractions by inhibiting calcium from entering smooth muscles

Question 6

Is a client in preterm labor at 26 weeks a candidate for tocolytic therapy?

Answer 6

Yes

Question 7

What is being evaluated on a biophysical profile (BPP)

Answer 7

Assesses for:
o breathing movements
• Body Movement
• Muscle Tone
• Amniotic fluid volume

Question 8

Understand what actions to take when caring for a client who is at 38 weeks of gestation, has lower BP and is tachycardic, and has a large amount of painless, bright red vaginal bleeding.

Answer 8

Get IV access

Question 9

Understand in what position to place a client who is at 30 weeks gestation and is to have a nonstress test

Answer 9

Lay them on their side not their back

Question 10

Understand what is a priority nursing action when admitting a client who is at 33 weeks of gestation and has a diagnosis of placenta previa.

Answer 10

Put on external fetal monitor to monitor mom and baby simultaneously
• Assessing FHR IS ALWAYS PRIORITY

Question 11

Understand what not to do when a client comes in with a suspected diagnosis of placenta previa.

Answer 11

Do not put anything in vagina/cervix

Question 12

What is a primary concern with placenta previa?

Answer 12

fetal injury related to potentially decreased placental perfusion
• assessing the FHR is the priority and needs to be checked first.

Question 13

Abruptio placentae - Placental Abruption

Answer 13

The premature separation of the placenta from the uterus(leading cause of maternal death)

Question 14

Placenta Previa vs placental Abruption

Answer 14

Previa: non tender uterus, bright red vaginal bleeding, uterus is soft and relaxed.
Abruption: vaginal bleeding with abdominal pain, uterus is tender, uterus/abdomen is hard and unrelaxed.

Question 15

What does a contraction stress test determine?

Answer 15

how well the fetus tolerates the stress of uterine contractions.

Question 16

A contraction stress test is negative when

Answer 16

there are at least 3 uterine contractions in a 10 min period with no late or significant variable decelerations

Question 17

Why is Pelvic rest essential for clients who have placenta previa?

Answer 17

no vaginal examinations, no douching, and no vaginal intercourse

Question 18

What is Terbutaline and what is it used for?

Answer 18

• a beta2-adrenergic agonist
• acts to relax uterine smooth muscles.
• used to stop contractions in a client who is experiencing preterm labor.

Question 19

Clinical manifestations of DIC

Answer 19

oozing from intravenous access and venipuncture sites
• petechiae, especially under the site of the blood pressure cuff
• spontaneous bleeding from the gums and nose
• other signs of bruising
• hematuria

Question 20

Know about Magnesium sulfate. Especially when to discontinue and infusion.

Answer 20

report to provider and discontinue
• Low urine output <30ml/1hr
• RR < 12