NSG 3500 - Maternal Exam 2
(Questions & Answers) Verified 100%
Correct!!
What are the mechanical methods of cervical ripening? - CORRECT ANSWER-1.
Balloon catheter
2. Hydroscopic dilators
3. Amniotomy
What is Cervidil? - CORRECT ANSWER-Small plastic insert containing prostaglandin
with long string is placed into the posterior fornix of the vagina
Indications for Induction - CORRECT ANSWER-1. Post term pregnancy
2. Gestational HTN
3. Fetal demise
4. PROM
5. Preeclampsia/Eclampsia
6. IUGR
T or F: Oxytocin is a Cervical Ripening Agent - CORRECT ANSWER-False, cervical
ripening agents are used when oxytocin is not favorable; however, oxytocin may be
used after cervical ripening has occurred to induce labor
What are the 2 most common cervical ripening agents? - CORRECT ANSWER-1.
Prostaglandin E1 (Misoprostol/Cytotek)
2. Prostaglandin E2 (Dinoprostone/Cervidil/Prepidil)
How long does cervidil remain in the vagina? - CORRECT ANSWER-12 Hours
What precautions must a patient receiving cervidil follow? - CORRECT ANSWER-1.
Stay in bed for first 2 hours (supine or side lying)
2. May get up only for bathroom
3. Stay on monitor
What do you do if tachysystole/hypersystole occurs in a patient receiving cervidil? -
CORRECT ANSWER-Remove the insert by wrapping fingers in saline soaked gauze
and pull then administer terbutaline
How can you use a foley to cause mechanical cervical ripening? - CORRECT
ANSWER-Insert the catheter into the intracervical canal to increase pressure on lower
uterine segment
, T or F: A transcatheter has the highest risk of causing tachysystole? - CORRECT
ANSWER-False, it is associated with the lowest risk
What is the maximum dose of oxytocin? - CORRECT ANSWER-20 mU/min
Which IV hub should oxytocin be ran through? (Location) - CORRECT ANSWER-
Closest to patient in case of reaction
What are some contraindications to oxytocin? - CORRECT ANSWER-1. Placenta
previa
2. Transverse fetal lie
3. Umbilical cord prolapse
4. Previous c-section
5. Multifetal pregnancy
6. HTN
What are the methods for the augmentation of labor? - CORRECT ANSWER-1.
Amniotomy
2. Oxytocin
3. Nipple stimulation
4. Shower/tub
5. Hydration
6. Ambulation
7. Relaxation
What is the difference between induction and augmentation of labor? - CORRECT
ANSWER-Induction: Starts labor
Augmentation: Helps progress labor that has already began (seen in hypotonic uterine
activity)
T or F: A patient with preeclampsia would display hyperreflexia - CORRECT ANSWER-
True
What is HELLP syndrome? - CORRECT ANSWER-Hemolysis, elevated liver function
and low platelets
Why are platelets administered prior to labor with HELLP syndrome? - CORRECT
ANSWER-To prevent thrombocytopenia
What is "version" in terms of labor? - CORRECT ANSWER-External or internal turning
of a fetus from one presentation to another
What is shoulder dystocia? - CORRECT ANSWER-Head is born, but anterior shoulder
cannot pass under pubic arch
(Questions & Answers) Verified 100%
Correct!!
What are the mechanical methods of cervical ripening? - CORRECT ANSWER-1.
Balloon catheter
2. Hydroscopic dilators
3. Amniotomy
What is Cervidil? - CORRECT ANSWER-Small plastic insert containing prostaglandin
with long string is placed into the posterior fornix of the vagina
Indications for Induction - CORRECT ANSWER-1. Post term pregnancy
2. Gestational HTN
3. Fetal demise
4. PROM
5. Preeclampsia/Eclampsia
6. IUGR
T or F: Oxytocin is a Cervical Ripening Agent - CORRECT ANSWER-False, cervical
ripening agents are used when oxytocin is not favorable; however, oxytocin may be
used after cervical ripening has occurred to induce labor
What are the 2 most common cervical ripening agents? - CORRECT ANSWER-1.
Prostaglandin E1 (Misoprostol/Cytotek)
2. Prostaglandin E2 (Dinoprostone/Cervidil/Prepidil)
How long does cervidil remain in the vagina? - CORRECT ANSWER-12 Hours
What precautions must a patient receiving cervidil follow? - CORRECT ANSWER-1.
Stay in bed for first 2 hours (supine or side lying)
2. May get up only for bathroom
3. Stay on monitor
What do you do if tachysystole/hypersystole occurs in a patient receiving cervidil? -
CORRECT ANSWER-Remove the insert by wrapping fingers in saline soaked gauze
and pull then administer terbutaline
How can you use a foley to cause mechanical cervical ripening? - CORRECT
ANSWER-Insert the catheter into the intracervical canal to increase pressure on lower
uterine segment
, T or F: A transcatheter has the highest risk of causing tachysystole? - CORRECT
ANSWER-False, it is associated with the lowest risk
What is the maximum dose of oxytocin? - CORRECT ANSWER-20 mU/min
Which IV hub should oxytocin be ran through? (Location) - CORRECT ANSWER-
Closest to patient in case of reaction
What are some contraindications to oxytocin? - CORRECT ANSWER-1. Placenta
previa
2. Transverse fetal lie
3. Umbilical cord prolapse
4. Previous c-section
5. Multifetal pregnancy
6. HTN
What are the methods for the augmentation of labor? - CORRECT ANSWER-1.
Amniotomy
2. Oxytocin
3. Nipple stimulation
4. Shower/tub
5. Hydration
6. Ambulation
7. Relaxation
What is the difference between induction and augmentation of labor? - CORRECT
ANSWER-Induction: Starts labor
Augmentation: Helps progress labor that has already began (seen in hypotonic uterine
activity)
T or F: A patient with preeclampsia would display hyperreflexia - CORRECT ANSWER-
True
What is HELLP syndrome? - CORRECT ANSWER-Hemolysis, elevated liver function
and low platelets
Why are platelets administered prior to labor with HELLP syndrome? - CORRECT
ANSWER-To prevent thrombocytopenia
What is "version" in terms of labor? - CORRECT ANSWER-External or internal turning
of a fetus from one presentation to another
What is shoulder dystocia? - CORRECT ANSWER-Head is born, but anterior shoulder
cannot pass under pubic arch
