NSPN 7200 FINAL ) QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW!!
When are corticosteroids administered for PTL(What gestation
typically) Ans✓✓✓Women at risk for PTL between 24-34 weeks
gestation but can be used as early as 22 weeks if resuscitation and
intensive care is planned
When will antibiotics be ordered for PTL Ans✓✓✓if membranes are
ruptured, GBS+, GBS status is unknown
What is the usual antibiotic ordered in PTL Ans✓✓✓Penicillin
What is Magnesium Sulphate given for in PTL for? And when is it
given? Ans✓✓✓Neuroprotective agent and administered at <34 weeks
and birth is imminent (likelihood of delivering in 24 hours)
How is imminent birth defined? Ans✓✓✓High likelihood of birth
within 24 hours due to either active labour (cervix >4cm dilated) or
planned preterm delivery for maternal/fetal conditions
Other than when signs of toxicity exist when should MgSO4 treatment
be discontinued in relation to PTL Ans✓✓✓When delivery is no longer
imminent, or there has been 24 hours of MgSO4 treatment
,Name 4 minor side effects of MgSO4 Ans✓✓✓Flushing, burning at IV
site, metallic taste on tongue, sweating, N&V
Name 4 serious side effects of MgSO4 Ans✓✓✓Respiratory depression,
absent refexes, hypotension, tachycardia, pulmonary edema
Identify two potential neonatal affects(related to high doses of MgSO4)
Ans✓✓✓Hypotonia and Apnea
Physical Activity and Food can increase someones chances of delivering
a preterm baby Ans✓✓✓FALSE. They pose no risk to preterm labour
Nursing Implications for Preterm Labour Ans✓✓✓Ongoing assessment
of maternal/fetal wellbeing, medication admin, communication with
interprofessional team, preparing for delivery
How may assessments differ in PTL during labour Ans✓✓✓May be
difficult to palpate uterine contractions depending on gestational age and
size of womens abdomen.
Notify NICU Resus team
Ensure all equipment is ready and in the room and appropriate to babies
size
, PTL can progress quickly so be prepared!
Preterm:At what gestational age should the baseline rate and variability
be similar to a term fetus Ans✓✓✓32 weeks
Would you expect the baseline FHR of a preterm fetus at 28 weeks
gestation to be higher or lower FHR than a term fetus. Ans✓✓✓Higher.
This is related to maturity of the central and autonomic nervous systems
and cardiovascular systems. The sympathetic nervous system, which
increases heart rate, matures before the parasympathetic system which
slows heart rate. As the fetus matures, the baseline heart rate will
decrease and the heart rate variability will increase.
Why might you see more cord compression (Baroreceptor response) in a
preterm fetus Ans✓✓✓There is less Wharton's jelly protecting the
umbilical cord as the fetus moves around.
Extremely Preterm Ans✓✓✓28 weeks gestation
Moderately Preterm Ans✓✓✓28-34 weeks gestation
Late Preterm Ans✓✓✓34-36+6 weeks gestation
List some potential health consequences for the preterm infant
Ans✓✓✓Respiratory distress, asphyxia, ineffective thermoregulation,
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW!!
When are corticosteroids administered for PTL(What gestation
typically) Ans✓✓✓Women at risk for PTL between 24-34 weeks
gestation but can be used as early as 22 weeks if resuscitation and
intensive care is planned
When will antibiotics be ordered for PTL Ans✓✓✓if membranes are
ruptured, GBS+, GBS status is unknown
What is the usual antibiotic ordered in PTL Ans✓✓✓Penicillin
What is Magnesium Sulphate given for in PTL for? And when is it
given? Ans✓✓✓Neuroprotective agent and administered at <34 weeks
and birth is imminent (likelihood of delivering in 24 hours)
How is imminent birth defined? Ans✓✓✓High likelihood of birth
within 24 hours due to either active labour (cervix >4cm dilated) or
planned preterm delivery for maternal/fetal conditions
Other than when signs of toxicity exist when should MgSO4 treatment
be discontinued in relation to PTL Ans✓✓✓When delivery is no longer
imminent, or there has been 24 hours of MgSO4 treatment
,Name 4 minor side effects of MgSO4 Ans✓✓✓Flushing, burning at IV
site, metallic taste on tongue, sweating, N&V
Name 4 serious side effects of MgSO4 Ans✓✓✓Respiratory depression,
absent refexes, hypotension, tachycardia, pulmonary edema
Identify two potential neonatal affects(related to high doses of MgSO4)
Ans✓✓✓Hypotonia and Apnea
Physical Activity and Food can increase someones chances of delivering
a preterm baby Ans✓✓✓FALSE. They pose no risk to preterm labour
Nursing Implications for Preterm Labour Ans✓✓✓Ongoing assessment
of maternal/fetal wellbeing, medication admin, communication with
interprofessional team, preparing for delivery
How may assessments differ in PTL during labour Ans✓✓✓May be
difficult to palpate uterine contractions depending on gestational age and
size of womens abdomen.
Notify NICU Resus team
Ensure all equipment is ready and in the room and appropriate to babies
size
, PTL can progress quickly so be prepared!
Preterm:At what gestational age should the baseline rate and variability
be similar to a term fetus Ans✓✓✓32 weeks
Would you expect the baseline FHR of a preterm fetus at 28 weeks
gestation to be higher or lower FHR than a term fetus. Ans✓✓✓Higher.
This is related to maturity of the central and autonomic nervous systems
and cardiovascular systems. The sympathetic nervous system, which
increases heart rate, matures before the parasympathetic system which
slows heart rate. As the fetus matures, the baseline heart rate will
decrease and the heart rate variability will increase.
Why might you see more cord compression (Baroreceptor response) in a
preterm fetus Ans✓✓✓There is less Wharton's jelly protecting the
umbilical cord as the fetus moves around.
Extremely Preterm Ans✓✓✓28 weeks gestation
Moderately Preterm Ans✓✓✓28-34 weeks gestation
Late Preterm Ans✓✓✓34-36+6 weeks gestation
List some potential health consequences for the preterm infant
Ans✓✓✓Respiratory distress, asphyxia, ineffective thermoregulation,
