maternity

Question 1

presumptive signs of pregnancy

Answer 1

amenorrhea
tired
enlarged breast
sore breast
increased urination
movement perceived
emesis and nausea

Question 2

Probable signs of pregnancy

Answer 2

positive pregnancy test
return of fetus when tapped
online of fetus palpable
Braxton kids contractions
softening of cervix (goodells signs)
bluish color to cervix (Chadwicks sign)
lower uterine segment softens (hegar’s sign)
enlarged uterus

Question 3

positive sign of pregnancy

Answer 3

fetal movement felt by HCP
electronic device detects hear sounds
delivery of the fetus
ultrasound detects fetus
HCP sees movement by fetus

Question 4

Exams done for all pregnancies

Answer 4

blood type/rh factor
STI testing
glucose challenge
urinalysis
ultrasound
non stress test
group b strep
kick counts

Question 5

When does a glucose tolerance test take place

Answer 5

28 weeks

Question 6

what happens during a glucose tolerance test

Answer 6

drinks 50g of glucose
bs checked 1 hour later
if greater than 140 3 hour glucose test in performed

Question 7

what happens in a 3 hour glucose test

Answer 7

done fasting
fasting sugar is checked
drink 100g of glucose
BS checked every our for 3 hours
sugar over 140 is gestational diabetes

Question 8

What does a non stress test assess

Answer 8

fetal well-being and oxygenation of placenta
evaluates if there are changes in real heart rate wit movement

Question 9

what indicates a fetus will not tolerate labor

Answer 9

decrease in feta heart rate with movement

Question 10

what is considered a reactive result for a NST

Answer 10

there are at least two accelerations of 15 beats per minutes for 15 seconds in a 20 minutes period

Question 11

what is gravidity

Answer 11

number of pregnancies including current one

Question 12

what is term

Answer 12

number of pregnancies carried to 27 weeks

Question 13

what is Preterm

Answer 13

number of preterm births between 20 and 36+6 weeks gestation

Question 14

what is abortion

Answer 14

number of pregnancies ending prior to 19+ 6
includes abortion and miscarriage

Question 15

what is hyperemesis gravidarum

Answer 15

intense morning sickness with intractable nausea and vomiting during pregnancy

Question 16

when to be concerned about hyperemesis gravidarum

Answer 16

weight loss
dehydration
hypernatemia (dehydration)
hypokalemia (vomiting)
hypochloremia (vomiting)

Question 17

management of hyperemesis management

Answer 17

dietary changes
medications
ivf
tan/il

Question 18

dietary changes for hyperemesis gravidium

Answer 18

sit up after meals
few crackers before getting out of bed
small portions
no liquids with meals
nothing spicy, too hot, too cold

Question 19

what is preeclampsia

Answer 19

> 20 weeks gestation
blood pressure >140/90 2 times 4 hours apart
protein in urine

leads to seizures

Question 20

signs of preeclamsia

Answer 20

edema
weight gain
headache
abdominal pain
blurry vision
proteinuria

Question 21

management of preeclampsia

Answer 21

delivery
antihypertensives
prepare for a preterm baby

Question 22

how do you prepare for preterm baby

Answer 22

magnesium sulfate to prevent seizures in mom
betamathasone to help babies lungs

Question 23

what antihypertensives can be given during pregnancy

Answer 23

labetalol
nifedipine
hyralazine

Question 24

What is gestational diabetes

Answer 24

diabetes diagnosed during pregnancy
pancreas can’t handle increased insulin requirement
change in carbohydrate metabolism

Question 25

complications of gestational diabetes

Answer 25

higher birth weight preeclamsia low blood sugar

Question 26

how to manage gestational diabetes

Answer 26

control with diet and exercise monitor blood glucose -baby at risk for hypoglycemia

Question 27

symptoms of an ectopic pregnancy

Answer 27

dizziness or fainting nausea or vomiting loss of appetite abdominal or pelvic pain

Question 28

management of ectopic pregnancy

Answer 28

prevent rupture methotrexate rh retus

Question 29

what does methotrexate do

Answer 29

stops embryo from growing aborts fetus

Question 30

What is station

Answer 30

how far down in the birth canal the baby is in relation to ischial spine (most narrow spot) =0 above is negative below is positive

Question 31

Interventions for non-reassuring fetal heart rate

Answer 31

lay mother on left increase IV fluids O2 notify provider discontinue Pitocin

Question 32

reassuring labor signs

Answer 32

normal fetal heart rate moderate variability accelerations

Question 33

non-reassuring labor signs

Answer 33

fetal tachycardia fetal bradycardia decreased variability variable decelerations late decelerations

Question 34

What is placenta previa

Answer 34

placenta fully covers cervix

Question 35

assessment of placenta previa

Answer 35

painless bright red bleeding pad counts (amount) observe clots or color ultrasound

Question 36

placenta previa interventions

Answer 36

don not perform vaginal exam monitor for blood loss weigh pads bed rest monitor baby c-section indicated in most cases

Question 37

Types of placenta abruptia

Answer 37

complete incomplete

Question 38

what is found in incomplete placenta abruptia

Answer 38

partial separation of placenta causes internal bleeding blood backs up behind placenta

Question 39

what is found with complete placenta abruptia

Answer 39

causes massive external bleeding very painful

Question 40

Assessment finding placenta abruptia

Answer 40

dark red bleeding intense abdominal pan board like abdomen rigid uterus hypotension maternal tachycardia fetal bradycardia (fetal distress)

Question 41

interventions for placenta abruptia

Answer 41

monitor for fetal distress monitor maternal bleeding keep BP up with IVF or blood products prepare for delivery most likely C-section

Question 42

what is a prolapsed cord

Answer 42

cord slips through the cervix and into the vagina after rupture of membranes and before baby descends into the birth canal

Question 43

what happens to a prolapsed cord during delivery

Answer 43

it becomes compressed by presenting part of fetus cutting of oxygen

Question 44

assessment of prolapsed cord

Answer 44

can visually see it in exam something is squishy, pulsing or mom feels something

Question 45

nursing intervention for prolapsed cord

Answer 45

elevate presenting part of fetus off the cord keep your hand on the baby head lifting it up and call for help knees to chest (opens pelvis) trendelenburk (let gravity shift baby off cord) O2 wrap cord in sterile towel never attempt to push cord back in emergency C-section

Question 46

Risk factors for post party hemorrhage

Answer 46

twins or triplets macrocosmic fetus preeclamsia prolonged labor use of forecasts or vacuums during delivery placenta previa placenta abruptia

Question 47

what is a boggy uterus

Answer 47

uterus that is not contracting to clamp down on the blood vessels feels soft instead of hard

Question 48

signs of shock

Answer 48

decreased LOC pale diaphoretic hypotensive tachycardia

Question 49

assessment of PPH

Answer 49

boggy uterus blood loss (saturate a pad every 15 minutes) shock

Question 50

Interventions for PPH

Answer 50

massage the fudus every 15 minutes at minimum estimate blood loss monitor hemoglobin and hematocrit ocytocin methylegonovine blood products