1) Contractions
2) Fetal <3 rate
3) Fetal Descent
4) Cervical dilation
5) Intake and output correct answers Things to evaluate regularly for a patient in labor (5)
1cm/hour correct answers The goal of cervical dilation in active labor
Dystocia correct answers Abnormal or difficult l...
1) Contractions
2) Fetal <3 rate
3) Fetal Descent
4) Cervical dilation
5) Intake and output correct answers Things to evaluate regularly for a patient in labor
(5)
1cm/hour correct answers The goal of cervical dilation in active labor
Dystocia correct answers Abnormal or difficult labor in which progress of labor deviates
from normal.
Dystocia correct answers The primary reason for cesarean sections, characterized by a
slow, abnormal progression of labor.
active phase (4cm) correct answers Which phase of labor does dystocia become
apparent, at which point it becomes termed "failure to progress"
preterm labor
prolonged pregnancy correct answers Contractions start too early in
________________________ and won't start in ________________________
1) contractions/cramping/lower back pain
2) pelvic pressure or fullness
3) Increase in discharge over normal
4) N/V/D
5) Unusual leaking fluid from V correct answers S/S preterm labor (5)
1) Maternal age
2) African American
3) Low socioeconomic status
4) ETOH (alcohol)/drugs/smoking
5) history of preterm
6) diabetes and/or HTN
7) Pregnancy with multiples
8) PROM (premature rupture of membranes) and late or no prenatal care correct
answers Risk factors for pre-term labor (8)
1) tocolytic therapy
2) corticosteroids
3) home monitoring
relaxes uterine muscles to stop and prevent contractions correct answers What does
magnesium sulfate do for preterm labor?
decreases cerebral excitability and thus the risk of seizures in women with preeclampsia
correct answers What does magnesium sulfate do for preeclampsia?
1-4
fetal heart rate correct answers After the loading dose of magnesium sulfate, we then
give ____-____ g per hour. What do we then monitor continuously?
1) HypoTN and/or depressed DTRs (deep tendon reflexes)
2) LOC/blurred vision/headache
3) U/O less than 30 mL/h
4) Respiratory rate <12 bpm correct answers What do we monitor for (and report) in
giving mag sulfate? (4)
Calcium gluconate correct answers What do we keep at the bedside to reduce adverse
effects of Magnesium sulfate?
betamethasone (celestone) correct answers What do we give to promote fetal lung
maturity in pre-term infants.
increases surfactant correct answers How does betamethasone promote fetal lung
maturity
2 doses IM 24 hours apart, repeat in 7 days until lungs are mature or until delivery
correct answers How is betamethasone dosed to help fetal lung maturity?
24 hours correct answers How long does betamethasone take to show fetal lung
maturity improvement
1) Placental insufficiency
2) Fetal macrosomia
3) Shoulder dystocia
4) Brachial plexus injuries
5) Cephalopelvic disproportion (CPD) correct answers What are the risks of being born
after the 42nd week, or "post term" (5)
1) Non stress tests twice a week
2) Daily fetal movement counts (10/day)
3) Biophysical profile
4) Possible cervical ripening and induction of labor correct answers Prolonged
pregnancy management (post term) (4)
, 1) Non stress test
2) Fetal breathing movement
3) Gross body movement
4) Fetal muscle tone
5) Amniotic fluid correct answers What are the components of the biophysical profile?
(5)
1) being post term
2) uncontrolled or worsening gestational HTN
3) gestational diabetes
4) PROM or PPROM
5) Uterine infection
6) maternal or fetal medical conditions
7) Placental insufficiency
8) Non-reassuring non stress tests correct answers Indications for induction of labor (8)
1) dilation
2) effacement
3) station
4) consistency (firm/medium/soft)
5) position correct answers What are the components of the bishop score cervical
exam
ripens the cervix to help begin contractions correct answers what does misoprostol do
Inserted into cervix every 6 hours correct answers How is misoprostol applied?
4 hours correct answers How long after the last dose of misoprostol can you start
induction?
hypertonicity of the uterus correct answers what is a potential side effect of misoprostol
10 units oxytocin in 1000 mL lactated ringers, infusion pump piggy back into main IV
line
Start at 1-2 mU per hour correct answers How is oxytocin given for the induction of
labor
1) Contraction and fetal heart rate patterns every 15 minutes in first stage, every 5 in
second
2) I/O, voiding
3) Vital signs and pain correct answers What are we monitoring when giving pitocin?
oxytocin correct answers a uterontonic agent used for induction or augmentation of
labor
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