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Exam (elaborations)

NURS 326 - Quiz 2 with Correct Answers

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NURS 326 - Quiz 2 with Correct Answers What is Preterm Labor? - Ans:-Onset (true labor) between 20-37 weeks gestation Predisposing factors of Preterm Labor? - Ans:--diabetes, cardiac disease, preeclampsia, placenta previa, ADOLESCENT PREGNANCY -infections (especially UTI) -Over distention of t...

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  • October 24, 2024
  • 46
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NURS 2024/2025
  • NURS 2024/2025
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NURS 326 - Quiz 2 with Correct Answers


What is Preterm Labor? - Ans:✔✔-Onset (true labor) between 20-37 weeks gestation


Predisposing factors of Preterm Labor? - Ans:✔✔--diabetes, cardiac disease, preeclampsia, placenta

previa, ADOLESCENT PREGNANCY


-infections (especially UTI)


-Over distention of the uterus: multi-fetal pregnancy, Polyhydramnios (too much fluid in the uterus), LGA

baby


What are the psychosocial factors of Preterm labor? - Ans:✔✔--stressful work environment, more than 2

children under 5 years, financial stress, poor support system


-smoking more than 10 cigarettes per day


Neonates ____ g or ____ weeks have the best chance of survival? - Ans:✔✔-more than 2000 g; greater

than 32 weeks


Preterm Labor Facts? - Ans:✔✔--greater than 5 contractions per hour with cervical change


-PTL with or without rupture of membranes


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-group B strep status (GBS strip) important or if unknown, treat as positive


What is GBS? - Ans:✔✔-Group B Streptococcus


normal flora in a non pregnant female vagina, if it's present in pregnancy it can cause preterm labor, all

women are checked and treated if it's present


What is Preterm Birth? - Ans:✔✔-before the end of week 37


-increased in lower socio economic areas


-cocaine use increases risk


-75% of all neuro developmental problems (behavioral & social)


Preterm Birth are regular contractions... - Ans:✔✔-WITH CERVICAL CHANGE (TRUE LABOR)


-Fetal Fibronectin (negative good predictor of well being)


-shortening cervix


What are the 5 steps for care management for Preterm labor/birth? - Ans:✔✔-1. Prevention


-early recognition and diagnosis


2. Lifestyle modifications


-activity restrictions

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-restriction of sexual activity


3. Home uterine activity monitoring


4. In hospital


-IV hydration


-Tocolytics


-Steroids




5. Prepare for preterm infant


When are Tocolytics used? - Ans:✔✔-To stop contractions!


-the drug is used to stop labor contractions mainly to buy time to allow fetal lung maturity, stabilize

mom/fetus


-they relax the smooth muscles


What are the different Tocolytics? - Ans:✔✔--Magnesium Sulfate


-Terbutaline


-Indocin

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FIRST PUBLISH OCTOBER 2024




-Calcium channel blockers


What is Magnesium Sulfate used for, route of admin, and what are we monitoring? - Ans:✔✔-given on

the IV pump, suppresses the respiratory system -- Need Respiratory rate monitored!


What is Terbutaline used for, route of admin, and what are we monitoring? - Ans:✔✔-reduces premature

uterine contractions


-given SQ, it causes maternal tachycardia so we need to monitor HR!


-these are used in cases when hydration is not enough, they need patient to rest a little


What is Indocin used for, route of admin, and what are we monitoring/when do we stop using it? -

Ans:✔✔-given orally, contraindication can't be used after 32 weeks gestation because it constricts the

ductus on the infant


What is Calcium channel blockers used for and what are we monitoring? - Ans:✔✔-causes maternal

hypotension, can cause patients to feel lightheadedness


Promotion of Fetal Lung Maturity: Steroids... what is it good for, when is it given, and what are the

dangerous effects for mother? - Ans:✔✔--Good for the baby: speed fetal lung maturity


-Decreased incidence & severity of Respiratory Distress (RDS)


-Given if at gestational ages 24-34 weeks



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