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Exam (elaborations)

NURR 215 Objective 4 Practice Questions and Answers

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EMILLYCHARLOTTE 2024/2025 ACADEMIC YEAR ©2024 ALL RIGHTS RESERVED, FIRST PUBLISH SEPTEMBER 2024 3/24 What are the 5 medications that can be used during preterm labor? - Answer-• Nefedipine • Magnesium sulfate • Terbutaline • Indomethacin • Betamethasone Explain nifedipine. - Ans...

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EMILLYCHARLOTTE 2024/2025 ACADEMIC YEAR ©2024 ALL RIGHTS RESERVED,
FIRST PUBLISH SEPTEMBER 2024

NURR 215 Objective 4 Practice
Questions and Answers

What are the risk factors for preterm labor? - Answer✔✔-• Genital tract infection


• African American

• History of preterm labor

• Cigarette or drug use

• Underweight or obese mother

• Reproductive assistance

• Periodontal disease and poor

What are the two types of preterm birth reasons? - Answer✔✔-• Spontaneous and

indicated

What are some common causes of indicated preterm births? - Answer✔✔-• Diabetes-

preterm or gestational

• Preeclampsia

• Placental disorders

• Previous c-section using the vertical or t-shaped incision

• Maternal HIV or active herpes

• Fetal compromise

• Oligo or poly hydramnios

• Fetal complication that warrants early delivery




1/24

, EMILLYCHARLOTTE 2024/2025 ACADEMIC YEAR ©2024 ALL RIGHTS RESERVED,
FIRST PUBLISH SEPTEMBER 2024
What are the interventions for preterm labor risks? - Answer✔✔-• They primarily

focus on eliminating risks that are preventable risks

• Education on recognizing early signs of labor is also key for these patients

What are some diagnostic procedures for early onset of labor? - Answer✔✔-• Fetal

fibronectin

• Cervical cultures

• Measure for shortened cervical length via transvaginal ultrasound- longer than 30mm

is low risk

• Get a BPP to monitor fetal well being

Explain the fetal fibronectin test. - Answer✔✔-• Swab the vaginal secretions between

24-35 weeks

• If numbers are elevated during this time and cervical length is shortened, then birth is

likely in the next two weeks

Explain the nursing care of a woman in preterm labor - Answer✔✔-• Focus is on

trying to stop uterine contractions

• Activity restriction of modified bed rest is indicated

• Try to be in left lateral position

• No sex

• Make sure they are hydrated

• Treat any infections

• Monitor FHR and fetal well being




2/24

, EMILLYCHARLOTTE 2024/2025 ACADEMIC YEAR ©2024 ALL RIGHTS RESERVED,
FIRST PUBLISH SEPTEMBER 2024
What are the 5 medications that can be used during preterm labor? - Answer✔✔-•

Nefedipine

• Magnesium sulfate

• Terbutaline

• Indomethacin

• Betamethasone

Explain nifedipine. - Answer✔✔-• Calcium channel blocker

• Causes a drop in BP and relaxes smooth muscle contractions

• Watch for orthostatic hypotension

• Should not be given at the same time as magnesium sulfate

• Should not be given right after a beta2 agonist

• Maintain adequate hydration to counteract hypotension

Explain magnesium sulfate use for preterm labor. - Answer✔✔-• Tocolytic that is a

CNS depressant

• Relaxes smooth muscles

• Discontinue if signs of pulmonary edema

• Monitor for adverse effects such as flushing, non-reactive stress test, reduced FHR

variability

• Do not use at the same time as nifedipine

• Do not give to someone with myasthenia gravis

• Monitor for signs of toxicity

What are signs of magnesium toxicity? - Answer✔✔-• Loss of deep tendon reflexes

• Insufficient urinary output
3/24

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