L&B/Preprocedure/Nursing Interventions

Question 1

Leopold Maneuvers: ABD palpation for? (6)Assessment/Pre-procedure

Answer 1

1) Number of fetuses
2) Fetal presenting part
3) Fetal lie
4) Attitude
5) Descent
6) Probable location of best fetal tones on mothers abd

Question 2

Contraction Patterns: What is used?

(3) Assessment/Pre-procedure

Answer 2

1) External electronic monitoring (tocotransducer) used for FHB (External Fetal Monitoring EFM)
2) Separate transducer applied to abd over the fundus that measures uterine activity
3) Must be repositioned with maternal movements to ensure proper placement

Question 3

Vaginal Exam: To evaluate? (2)

Assessment/Pre-procedure

Answer 3

1) Effacement
2) Dilation
3) State of Membranes

Question 4

Membranes: How to evaluate upon admission?

Assessment/Pre-procedure

Answer 4

1) Vaginal Exam

Question 5

Vital Signs:

Assessment/Intraprocedure

Answer 5

1) Temp q 1-2 hrs if membranes are ruptured
2) FHR via EFM or spiral electrode applied to the fetal scalp. CERVICAL DILATION AND RUPTURE OF MEMBRANES MUST OCCUR BEFORE electrode placement

Question 6

Group B Streptococccus

Answer 6

1) Culture obtained if not screened at week 36 to 37

2) If positive IV prophylactic antibiotic prescribed (EXCEPTIONS: planned C section and intact membranes)

Question 7

Urinalysis: Why (4)

Answer 7

1) Hydration status via specific gravity
2) Nutrition status via ketones
3) Proteinuria4) UTI (Bacteria)

Question 8

Urinalysis:

1) Are ketones usually found in urine?
2) If ketones are present what does it indicate?

Answer 8

1) NO

2) Ketones are a product of fat breakdown when there is to a sufficient account of carbs

Question 9

Urinalysis:

1) Is protein usually found in urine?
2) If protein is present what could this indicate ?

Answer 9

1) NO

2) Preclampsia, kidney damage

Question 10

Blood Tests:

1) Hct level?
2) ABO typing and Rh-factor if not done previously

Answer 10

1) > 33% for pregnant female (Davis 39)

Question 11

Client Education:

Answer 11

Labor and delivery process and procedures(ATI 122)

Question 12

Urine Specific Gravity: Normal Range

Starts with 1. ; 4 kids total; Age when you had ZIG

Answer 12

1.001-1.029

Davis

Question 13

Upon admission what are the priorities?

Answer 13

1) Orient client to the unit
2) Assess overall health of mother and fetus
3) Maternal: Check membranes, Effacement and Dilation
4) Fetus: FHR, Leopoldo Maneuver