NSG 3500 - MATERNAL EXAM 2 QUESTIONS WITH
CORRECT ANSWERS
Indications for Induction - ans-1. Post term pregnancy sw sw sw swsw sw sw sw
2. Gestational HTN
sw sw
3. Fetal demise
sw sw
4. PROM
sw
5. Preeclampsia/Eclampsia
sw
6. IUGR
sw
T or F: Oxytocin is a Cervical Ripening Agent - ans-
sw sw sw sw sw sw sw sw sw swsw
False, cervical ripening agents are used when oxytocin is not favorable; however, oxytoci
sw sw sw sw sw sw sw sw sw sw sw sw
n may be used after cervical ripening has occurred to induce labor
sw sw sw sw sw sw sw sw sw sw sw
What are the 2 most common cervical ripening agents? - ans-
sw sw sw sw sw sw sw sw sw swsw
1. Prostaglandin E1 (Misoprostol/Cytotek)
sw sw sw
2. Prostaglandin E2 (Dinoprostone/Cervidil/Prepidil)
sw sw sw
What are the mechanical methods of cervical ripening? - ans-1. Balloon catheter
sw sw sw sw sw sw sw sw swsw sw sw
2. Hydroscopic dilators
sw sw
3. Amniotomy
sw
What is Cervidil? - ans- sw sw sw swsw
Small plastic insert containing prostaglandin with long string is placed into the posterior for
sw sw sw sw sw sw sw sw sw sw sw sw sw
nix of the vagina
sw sw sw
How long does cervidil remain in the vagina? - ans-12 Hours
sw sw sw sw sw sw sw sw swsw sw
What precautions must a patient receiving cervidil follow? - ans-
sw sw sw sw sw sw sw sw swsw
1. Stay in bed for first 2 hours (supine or side lying)
sw sw sw sw sw sw sw sw sw sw sw
2. May get up only for bathroom
sw sw sw sw sw sw
3. Stay on monitor
sw sw sw
What do you do if tachysystole/hypersystole occurs in a patient receiving cervidil? - ans-
sw sw sw sw sw sw sw sw sw sw sw sw swsw
Remove the insert by wrapping fingers in saline soaked gauze and pull then administer ter
sw sw sw sw sw sw sw sw sw sw sw sw sw sw
butaline
How can you use a foley to cause mechanical cervical ripening? - ans-
sw sw sw sw sw sw sw sw sw sw sw swsw
Insert the catheter into the intracervical canal to increase pressure on lower uterine segme
sw sw sw sw sw sw sw sw sw sw sw sw sw
nt
, T or F: A transcatheter has the highest risk of causing tachysystole? - ans-
sw sw sw sw sw sw sw sw sw sw sw sw swsw
False, it is associated with the lowest risk
sw sw sw sw sw sw sw
What is the maximum dose of oxytocin? - ans-20 mU/min
sw sw sw sw sw sw sw swsw sw
Which IV hub should oxytocin be ran through? (Location) - ans-
sw sw sw sw sw sw sw sw sw swsw
Closest to patient in case of reaction
sw sw sw sw sw sw
What are some contraindications to oxytocin? - ans-1. Placenta previa
sw sw sw sw sw sw swsw sw sw
2. Transverse fetal lie
sw sw sw
3. Umbilical cord prolapse
sw sw sw
4. Previous c-section
sw sw
5. Multifetal pregnancy
sw sw
6. HTNsw
What are the methods for the augmentation of labor? - ans-1. Amniotomy
sw sw sw sw sw sw sw sw sw swsw sw
2. Oxytocin
sw
3. Nipple stimulation
sw sw
4. Shower/tub
sw
5. Hydration
sw
6. Ambulation
sw
7. Relaxation
sw
What is the difference between induction and augmentation of labor? - ans-
sw sw sw sw sw sw sw sw sw sw swsw
Induction: Starts labor sw sw
Augmentation: Helps progress labor that has already began (seen in hypotonic uterine act sw sw sw sw sw sw sw sw sw sw sw sw
ivity)
T or F: A patient with preeclampsia would display hyperreflexia - ans-True
sw sw sw sw sw sw sw sw sw sw swsw
What is HELLP syndrome? - ans-Hemolysis, elevated liver function and low platelets
sw sw sw sw swsw sw sw sw sw sw sw
Why are platelets administered prior to labor with HELLP syndrome? - ans-
sw sw sw sw sw sw sw sw sw sw swsw
To prevent thrombocytopenia
sw sw
What is "version" in terms of labor? - ans-
sw sw sw sw sw sw sw swsw
External or internal turning of a fetus from one presentation to another
sw sw sw sw sw sw sw sw sw sw sw
What is shoulder dystocia? - ans-
sw sw sw sw swsw
Head is born, but anterior shoulder cannot pass under pubic arch
sw sw sw sw sw sw sw sw sw sw
What are shoulder dystocia risk factors? - ans-1. Maternal pelvic anomalies
sw sw sw sw sw sw swsw sw sw sw
2. Obesity & Diabetes
sw sw sw
3. Slow descent
sw sw
4. Slow progression
sw sw
5. Fetal macrosomia
sw sw
CORRECT ANSWERS
Indications for Induction - ans-1. Post term pregnancy sw sw sw swsw sw sw sw
2. Gestational HTN
sw sw
3. Fetal demise
sw sw
4. PROM
sw
5. Preeclampsia/Eclampsia
sw
6. IUGR
sw
T or F: Oxytocin is a Cervical Ripening Agent - ans-
sw sw sw sw sw sw sw sw sw swsw
False, cervical ripening agents are used when oxytocin is not favorable; however, oxytoci
sw sw sw sw sw sw sw sw sw sw sw sw
n may be used after cervical ripening has occurred to induce labor
sw sw sw sw sw sw sw sw sw sw sw
What are the 2 most common cervical ripening agents? - ans-
sw sw sw sw sw sw sw sw sw swsw
1. Prostaglandin E1 (Misoprostol/Cytotek)
sw sw sw
2. Prostaglandin E2 (Dinoprostone/Cervidil/Prepidil)
sw sw sw
What are the mechanical methods of cervical ripening? - ans-1. Balloon catheter
sw sw sw sw sw sw sw sw swsw sw sw
2. Hydroscopic dilators
sw sw
3. Amniotomy
sw
What is Cervidil? - ans- sw sw sw swsw
Small plastic insert containing prostaglandin with long string is placed into the posterior for
sw sw sw sw sw sw sw sw sw sw sw sw sw
nix of the vagina
sw sw sw
How long does cervidil remain in the vagina? - ans-12 Hours
sw sw sw sw sw sw sw sw swsw sw
What precautions must a patient receiving cervidil follow? - ans-
sw sw sw sw sw sw sw sw swsw
1. Stay in bed for first 2 hours (supine or side lying)
sw sw sw sw sw sw sw sw sw sw sw
2. May get up only for bathroom
sw sw sw sw sw sw
3. Stay on monitor
sw sw sw
What do you do if tachysystole/hypersystole occurs in a patient receiving cervidil? - ans-
sw sw sw sw sw sw sw sw sw sw sw sw swsw
Remove the insert by wrapping fingers in saline soaked gauze and pull then administer ter
sw sw sw sw sw sw sw sw sw sw sw sw sw sw
butaline
How can you use a foley to cause mechanical cervical ripening? - ans-
sw sw sw sw sw sw sw sw sw sw sw swsw
Insert the catheter into the intracervical canal to increase pressure on lower uterine segme
sw sw sw sw sw sw sw sw sw sw sw sw sw
nt
, T or F: A transcatheter has the highest risk of causing tachysystole? - ans-
sw sw sw sw sw sw sw sw sw sw sw sw swsw
False, it is associated with the lowest risk
sw sw sw sw sw sw sw
What is the maximum dose of oxytocin? - ans-20 mU/min
sw sw sw sw sw sw sw swsw sw
Which IV hub should oxytocin be ran through? (Location) - ans-
sw sw sw sw sw sw sw sw sw swsw
Closest to patient in case of reaction
sw sw sw sw sw sw
What are some contraindications to oxytocin? - ans-1. Placenta previa
sw sw sw sw sw sw swsw sw sw
2. Transverse fetal lie
sw sw sw
3. Umbilical cord prolapse
sw sw sw
4. Previous c-section
sw sw
5. Multifetal pregnancy
sw sw
6. HTNsw
What are the methods for the augmentation of labor? - ans-1. Amniotomy
sw sw sw sw sw sw sw sw sw swsw sw
2. Oxytocin
sw
3. Nipple stimulation
sw sw
4. Shower/tub
sw
5. Hydration
sw
6. Ambulation
sw
7. Relaxation
sw
What is the difference between induction and augmentation of labor? - ans-
sw sw sw sw sw sw sw sw sw sw swsw
Induction: Starts labor sw sw
Augmentation: Helps progress labor that has already began (seen in hypotonic uterine act sw sw sw sw sw sw sw sw sw sw sw sw
ivity)
T or F: A patient with preeclampsia would display hyperreflexia - ans-True
sw sw sw sw sw sw sw sw sw sw swsw
What is HELLP syndrome? - ans-Hemolysis, elevated liver function and low platelets
sw sw sw sw swsw sw sw sw sw sw sw
Why are platelets administered prior to labor with HELLP syndrome? - ans-
sw sw sw sw sw sw sw sw sw sw swsw
To prevent thrombocytopenia
sw sw
What is "version" in terms of labor? - ans-
sw sw sw sw sw sw sw swsw
External or internal turning of a fetus from one presentation to another
sw sw sw sw sw sw sw sw sw sw sw
What is shoulder dystocia? - ans-
sw sw sw sw swsw
Head is born, but anterior shoulder cannot pass under pubic arch
sw sw sw sw sw sw sw sw sw sw
What are shoulder dystocia risk factors? - ans-1. Maternal pelvic anomalies
sw sw sw sw sw sw swsw sw sw sw
2. Obesity & Diabetes
sw sw sw
3. Slow descent
sw sw
4. Slow progression
sw sw
5. Fetal macrosomia
sw sw
