OB ch 10-11 quiz

Question 1

abrupt increase of FHR above baseline

Answer 1

accelerations

Question 2

fluctuations in fetal heartbeat

Answer 2

variability

Question 3

decelerations with contractions

Answer 3

early decelerations

Question 4

decelerations after contractions

Answer 4

late decelerations

Question 5

change in fetal heart rate at any point during contraction

Answer 5

variable decelerations

Question 6

long decelerations

Answer 6

prolonged decelerations

Question 7

normal discharge of fluid from uterus after birth

Answer 7

lochia

Question 8

artificial rupture of membranes

Answer 8

amniotomy

Question 9

Cesarean birth

Answer 9

C-section

Question 10

vacuum baby’s head if stuck

Answer 10

vacuum extraction

Question 11

pulls babies head out

Answer 11

forceps

Question 12

seaweed that absorbs moisture and expands cervix

Answer 12

laminaria

Question 13

induction by moms choice - not medical reason

Answer 13

elective induction

Question 14

cut through to make space bigger for baby to come through

Answer 14

episiotomy

Question 15

stuff in lungs that keep alveoli from sticking

Answer 15

surfactant

Question 16

what is normal FHR

Answer 16

110-160

Question 17

why should vaginal exams be performed as infrequently as possible

Answer 17

infection

Question 18

what are possible complications of internal fetal monitoring

Answer 18

infections, membrane rupture, cellulitis

Question 19

what is the most commn complication when membranes rupture

Answer 19

cord prolapse

Question 20

How can nurse assess for cord prolapse

Answer 20

feel in vagina for cord

Question 21

what is the most common type of shock surrounding delivery

Answer 21

hypovolemic shock

Question 22

what are symptoms of hypovolemic shock

Answer 22

decrease BP
increased HR
increased R
headache

Question 23

what is one of the first treatments for concerning fetal decelerations

Answer 23

change position, increase blood flow, give mom O2

Question 24

what is kangaroo care - why is it done

Answer 24

put baby on mom’s bare skin - bonding time

Question 25

what is normal color of amniotic fluid

Answer 25

clear

Question 26

what would indicate a positive nitrazine test

Answer 26

dark blue nitrazine paper - indicates alkaline

Question 27

what are 3 phases of a contraction

Answer 27

mild, moderate, strong

Question 28

what are 3 components when monitoring contractions

Answer 28

nose, chin, forehead

Question 29

in active labor in a low risk client, how often should mom and baby be assessed

Answer 29

every 30 minutes

Question 30

in recovery phase, how often should mom be assessed (1st hr)

Answer 30

every 15 minutes

Question 31

what is important to assess about uterine size

Answer 31

firm and shrinking

Question 32

how does pain and anxiety affect the labor process

Answer 32

slow labor

Question 33

What is normal fetal pH

Answer 33

7.25-7.45

Question 34

What are fetal side effectsof vacuum extraction

Answer 34

scalp wounds, skull fracture, bleeding within skull

Question 35

what can happen when a pregnant woman lies on her back

Answer 35

mom faints

Question 36

what is the treatment for when mom faints when on her back

Answer 36

put on her side and wake up

Question 37

when applying an external fetal monitor, where should the nurse apply it

Answer 37

around stomach, under belly button

Question 38

when is it okay for the woman to push

Answer 38

birth stage - 10 cm dilated

Question 39

why is early ambulation important after surgery

Answer 39

improve blood flow, less chance for clots and infection

Question 40

what is the primary concern for babies born by C section

Answer 40

breathing problems

Question 41

why is breathing a problem

Answer 41

chest didn't get squeezed through birth canal so fluid could still be in lungs

Question 42

what is the term when the cervix is ready

Answer 42

ripe(shortened, soft, dilated)

Question 43

why is c section not the method of choice for moms and babies

Answer 43

infection, vaginal birth, uterine rupture

Question 44

what conditions have to occur before forceps or vacuum extraction can be used

Answer 44

cervix dilated 10 cm

Question 45

how is fluid balance maintained in the majority of women in labor

Answer 45

IV

Question 46

what is the scale used to determine if a cervix is ready

Answer 46

Bishop score

Question 47

what is an acceptable bishop score

Answer 47

greater than 6

Question 48

why is c section the delivery of choice for a preterm infant

Answer 48

head, small & soft - don't have skull development - could get squashed

Question 49

what is the most important indicator of fetal maturity

Answer 49

LS ratio 2:1 | surfactant in lungs

Question 50

how is an amniotomy done

Answer 50

a hook is used to snag & rupture membranes

Question 51

Is there an increasing number of c sections

Answer 51

yes

Question 52

When on an oxytocin drip, what should the nurse be monitoring for

Answer 52

long contractions over 90 sec

Question 53

is it possible to have a vaginal birth after a cesarean

Answer 53

yes

Question 54

what is the best uterine incision if the woman wishes to deliver vaginally after a cesarean

Answer 54

low transverse "bikini cut"

Question 55

what is the worst type of uterine incision if woman wants to deliver vaginally

Answer 55

vertical (midline of lower abdomen)

Question 56

vacuum assisted deliveries and forceps deliveries are known as what type of deliveries

Answer 56

assisted delivery | operative vaginal delivery

Question 57

if a vacuum doesn't work, what will most likely be the route of delivery

Answer 57

C-section