NSG 3500 - Maternal Exam 2
At what week gestation does an optionally available c-phase occur? - ANS-Usually round 39
weeks
How can you operate a foley to reason mechanical cervical ripening? - ANS-Insert the catheter
into the intracervical canal to growth stress on lower uterine phase
How long are normal uterine contractions? - ANS-2-3 min aside lasting 60 sec
How long does cervidil stay in the vagina? - ANS-12 Hours
Hypertonic Dystocia (what's it? Interventions?) - ANS-Contractions are robust & frequent but
unproductive
POOF
Positioning- lateral
Oxygen
Oxytocin stopped
Fluid administration
Position in lateral recumbent position
Hypotonic Dystocia (what's it? Causing elements?) - ANS-Contractions which can be vulnerable
and far aside
1. Grand multiparity (more than five births)
2. Fetal macrosomia
three. Polyhydramnios
4. Chorioamnioitis
five. Opiate
6. Epidural (rare)
Indications for Induction - ANS-1. Post time period pregnancy
2. Gestational HTN
three. Fetal dying
four. PROM
five. Preeclampsia/Eclampsia
6. IUGR
S&S of Chorioamnionitis - ANS-1. Fetal tachycardia
2. Vagina feels warm
, three. Fever
4. Hypotonic hard work
5. Chills
Signs of the rupture of the uterus? - ANS-1. Contractions disappear
2. FHR decelerates
T or F: A patient with preeclampsia might display hyperreflexia - ANS-True
T or F: A transcatheter has the highest chance of inflicting tachysystole? - ANS-False, it's far
associated with the lowest threat
T or F: Oxytocin is a Cervical Ripening Agent - ANS-False, cervical ripening retailers are used
whilst oxytocin isn't favorable; but, oxytocin may be used after cervical ripening has befell to
result in labor
T or F: People w/ high fetal station need to ambulate to assist fetus drop - ANS-False, do no
longer ambulate high fetal station or on pitocin
T or F: You should continually perform a vaginal examination for bleeding when placenta previa
is suspected - ANS-False, DO NOT EXAMINE VAGINALLY
What are similarly headaches of abruptio placentae? - ANS-1. Couvelaire Uterus: Blood in
myometrium
2. DIC: Abnormal coagulation
What are shoulder dystocia threat factors? - ANS-1. Maternal pelvic anomalies
2. Obesity & Diabetes
three. Slow descent
4. Slow progression
five. Fetal macrosomia
What are some contraindications to oxytocin? - ANS-1. Placenta previa
2. Transverse fetal lie
three. Umbilical wire prolapse
4. Previous c-phase
5. Multifetal pregnancy
6. HTN
What are the two most not unusual cervical ripening dealers? - ANS-1. Prostaglandin E1
(Misoprostol/Cytotek)
2. Prostaglandin E2 (Dinoprostone/Cervidil/Prepidil)
At what week gestation does an optionally available c-phase occur? - ANS-Usually round 39
weeks
How can you operate a foley to reason mechanical cervical ripening? - ANS-Insert the catheter
into the intracervical canal to growth stress on lower uterine phase
How long are normal uterine contractions? - ANS-2-3 min aside lasting 60 sec
How long does cervidil stay in the vagina? - ANS-12 Hours
Hypertonic Dystocia (what's it? Interventions?) - ANS-Contractions are robust & frequent but
unproductive
POOF
Positioning- lateral
Oxygen
Oxytocin stopped
Fluid administration
Position in lateral recumbent position
Hypotonic Dystocia (what's it? Causing elements?) - ANS-Contractions which can be vulnerable
and far aside
1. Grand multiparity (more than five births)
2. Fetal macrosomia
three. Polyhydramnios
4. Chorioamnioitis
five. Opiate
6. Epidural (rare)
Indications for Induction - ANS-1. Post time period pregnancy
2. Gestational HTN
three. Fetal dying
four. PROM
five. Preeclampsia/Eclampsia
6. IUGR
S&S of Chorioamnionitis - ANS-1. Fetal tachycardia
2. Vagina feels warm
, three. Fever
4. Hypotonic hard work
5. Chills
Signs of the rupture of the uterus? - ANS-1. Contractions disappear
2. FHR decelerates
T or F: A patient with preeclampsia might display hyperreflexia - ANS-True
T or F: A transcatheter has the highest chance of inflicting tachysystole? - ANS-False, it's far
associated with the lowest threat
T or F: Oxytocin is a Cervical Ripening Agent - ANS-False, cervical ripening retailers are used
whilst oxytocin isn't favorable; but, oxytocin may be used after cervical ripening has befell to
result in labor
T or F: People w/ high fetal station need to ambulate to assist fetus drop - ANS-False, do no
longer ambulate high fetal station or on pitocin
T or F: You should continually perform a vaginal examination for bleeding when placenta previa
is suspected - ANS-False, DO NOT EXAMINE VAGINALLY
What are similarly headaches of abruptio placentae? - ANS-1. Couvelaire Uterus: Blood in
myometrium
2. DIC: Abnormal coagulation
What are shoulder dystocia threat factors? - ANS-1. Maternal pelvic anomalies
2. Obesity & Diabetes
three. Slow descent
4. Slow progression
five. Fetal macrosomia
What are some contraindications to oxytocin? - ANS-1. Placenta previa
2. Transverse fetal lie
three. Umbilical wire prolapse
4. Previous c-phase
5. Multifetal pregnancy
6. HTN
What are the two most not unusual cervical ripening dealers? - ANS-1. Prostaglandin E1
(Misoprostol/Cytotek)
2. Prostaglandin E2 (Dinoprostone/Cervidil/Prepidil)
