HFHC Exam 2 with A Grade Solutions

HFHC Exam 2 with A Grade Solutions Risk factors for spontaneous preterm labor: - Answer-1. Previous history of preterm labor and birth 2. Nonwhite race - black & Hispanics have a higher incidence of preterm birth 3. Genital tract colonization & infection 4. Multifetal gestation 5. Second-trimester bleeding 6. Low pre-pregnancy weight 7. Poverty, lack of education, living in a disadvantaged neighborhood, state, or region, & lack of access to prenatal care are also risk factors 8. Risk also appears to be genetically related - women whose sisters gave birth prematurely are also more likely to do so Betamethasone - Answer-IM injection to promote fetal lung maturity. 1 dose given, 2nd dose at 24hrs (can give 2nd at 12hrs if needed) *Causes significant spike in baby's BG; may affect diabetic mom PROM - Answer-premature rupture of membranes Spontaneous ROM before onset of labor at any gestational age. PPROM - Answer-Preterm premature rupture of membranes (before 37 weeks), likely d/t infection, previous history of PPROM, hydramnios, multiple pregnancy, UTI, amniocentesis, placenta previa, abruptio placentae, trauma, cervical insufficiency, bleeding during pregnancy, and maternal genital tract anomalies. Chorioamnionitis - Answer-Bacterial infection of the amniotic membranes (chorion - outer, amnion - inner) surrounding the fetus. S/S - fever, tachycardia (mom/baby), tender or painful uterus, vaginal discharge with an unpleasant smell or unusual color, sweating.