Labor and Birth Complications : Preterm Labor
(NURS 3029 Test 3) questions with correct answers
A non-invasive test using EFM to determine fetal wellbeing at the
moment the test is being performed
Baseline must be between 110-160
Must have 2 qualifying accelerations in a 20 minute period without any
decelerations
(THIS TEST DOES NOT DO ANYTHING TO STRESS THE BABY)
Correct Answer-non-stress test (NST)
Fetus had 2 qualifying accelerations during NST Correct Answer-
reactive
(you want the test to be reactive)
Fetus had less than 2 or no fetal accelerations during NST Correct
Answer-nonreactive
(requires further monitoring to find out why)
Performed to determine how well the fetus will tolerate stress
(contractions)
Medication is given to make the patient have at least 2 contractions in 10
minutes (Pitocin)
Test is performed at 34 weeks gestation or greater (do not give less than
34 weeks because it can stimulate true labor in some women)***
,Used for IUGR (placenta not perfusing correctly) or when determining
whether to induce or move to CS (determines if mother is capable of
being induced) Correct Answer-contractions stress test (CST)
Fetus has a deceleration due to the contractions Correct Answer-positive
CST
(BAD; if you see this: first reposition and monitor oxygenation)
Fetus does not have any decelerations Correct Answer-negative CST
(GOOD)
What medication can slow/stop contractions? Correct Answer-terbutiline
(Brethine)
Cervical changes and regular uterine contractions occuring between 20
and 37 completed weeks of pregnancy (37 6/7 days) Correct Answer-
preterm labor
Any birth that occurs before completion of 37 weeks of pregnancy (37
6/7 days) Correct Answer-preterm birth
What are the 3 major criteria for diagnosis of pre-term labor? Correct
Answer-1. gestational age (before 37 completed weeks)
2. contractions > 5 per hour
3. cervical change:
, -cervical length < 2.5 cm
-2 cm or more dilated
-80% or more effaced
What are some circumstances that can cause early contractions, but do
not necessarily indicate preterm labor? Correct Answer--dehydration
-electrolyte imbalances
-being underweight
-semen
-orgasm
______________ and prematurity describes length of gestation,
regardless of birth weight Correct Answer-preterm birth
Baby is 2500 g or less
Can be caused by IUGR
Only related to weight Correct Answer-low birth weight
What is more dangerous: preterm birth or low birth weight? Correct
Answer-preterm birth
(baby's organs systems are underdeveloped)
An early initiation of the labor process in the apparent absence of
maternal or fetal illness
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