NSG 3500 - MATERNAL EXAM 2 QUESTIONS WITH CORRECT ANSWERS

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
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3. Fetal demise
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4. PROM
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5. Preeclampsia/Eclampsia
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6. IUGR
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T or F: Oxytocin is a Cervical Ripening Agent - ans-
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False, cervical ripening agents are used when oxytocin is not favorable; however, oxytoci
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n may be used after cervical ripening has occurred to induce labor
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What are the 2 most common cervical ripening agents? - ans-
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1. Prostaglandin E1 (Misoprostol/Cytotek)
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2. Prostaglandin E2 (Dinoprostone/Cervidil/Prepidil)
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What are the mechanical methods of cervical ripening? - ans-1. Balloon catheter
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2. Hydroscopic dilators
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3. Amniotomy
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What is Cervidil? - ans- sw sw sw swsw




Small plastic insert containing prostaglandin with long string is placed into the posterior for
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nix of the vagina
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How long does cervidil remain in the vagina? - ans-12 Hours
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What precautions must a patient receiving cervidil follow? - ans-
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1. Stay in bed for first 2 hours (supine or side lying)
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2. May get up only for bathroom
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3. Stay on monitor
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What do you do if tachysystole/hypersystole occurs in a patient receiving cervidil? - ans-
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Remove the insert by wrapping fingers in saline soaked gauze and pull then administer ter
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butaline

How can you use a foley to cause mechanical cervical ripening? - ans-
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Insert the catheter into the intracervical canal to increase pressure on lower uterine segme
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nt

, T or F: A transcatheter has the highest risk of causing tachysystole? - ans-
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False, it is associated with the lowest risk
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What is the maximum dose of oxytocin? - ans-20 mU/min
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Which IV hub should oxytocin be ran through? (Location) - ans-
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Closest to patient in case of reaction
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What are some contraindications to oxytocin? - ans-1. Placenta previa
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2. Transverse fetal lie
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3. Umbilical cord prolapse
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4. Previous c-section
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5. Multifetal pregnancy
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6. HTNsw




What are the methods for the augmentation of labor? - ans-1. Amniotomy
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2. Oxytocin
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3. Nipple stimulation
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4. Shower/tub
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5. Hydration
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6. Ambulation
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7. Relaxation
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What is the difference between induction and augmentation of labor? - ans-
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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
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What is HELLP syndrome? - ans-Hemolysis, elevated liver function and low platelets
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Why are platelets administered prior to labor with HELLP syndrome? - ans-
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To prevent thrombocytopenia
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What is "version" in terms of labor? - ans-
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External or internal turning of a fetus from one presentation to another
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What is shoulder dystocia? - ans-
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Head is born, but anterior shoulder cannot pass under pubic arch
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What are shoulder dystocia risk factors? - ans-1. Maternal pelvic anomalies
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2. Obesity & Diabetes
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3. Slow descent
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4. Slow progression
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5. Fetal macrosomia
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