Maternity

Question 1

FAB9

Answer 1

Folic Acid = B9. “B” stands for “brain” because it decreases incidence of neural tube defects. Client should start taking B9 3 months prior to getting pregnant.

Question 2

Early Decels

Answer 2

Begin prior to peak of contraction and end at end of contraction. If variability normal and FHR within normal range, normal. Head compression.

Question 3

Variable Decels

Answer 3

V-shaped on monitoring strip. Can occur anytime during fetal monitoring. Caused by cord compression.
Actions:
-change mom's position
-STOP pitocin infusion
-give O2
-increase IV fluids
-contact MD if persists

Question 4

Late Decels

Answer 4

Occurs after peak of contraction and mirrors contraction in length and intensity. Caused by uteroplacental insufficiency.
Actions:
-STOP pitocin infusion
-give O2
-increase IV fluids
-contact MD if persists

Question 5

TORCHS syndrome in neonate

Answer 5

T: toxoplasmosis
R: rubella (German measles)
C: cytomegalovirus
H: herpes
S: syphilis
Pregnant nurses should not care for these patients.

Question 6

Epidural anesthesia-induced maternal hypotension

Answer 6

Actions:

• STOP pitocin infusion
• turn client to LEFT side
• give O2
• if hypovolemic, push IV fluids