HACC NURSING 242 QUIZ 3 (FINAL) QUESTIONS
COMPLETE WITH 100% VERIFIED ANSWERS
\.When does Preterm Labor occur? - ANSWERS-between 20 and 37
weeks gestation
\.What are S&S of Preterm labor? - ANSWERS-More than 6 uterine
contractions in one hour
Documented cervical change
>1cm or cervical effacement of 80% or >
Low, dull backache
Pelvic pressure
Change in vaginal discharge
\.What are the Risk factors for Preterm Labor? - ANSWERS-History of
Preterm birth
Infection
Smoking, alcohol, and illicit drugs
Lower education and socioeconomic status
African American race
Obesity
,Hypertension
Diabetes
\.What is fetal fibronectin (fFN)? - ANSWERS-glycoprotein found in fetal
membranes and decidua, the glue that holds the membranes to the
decidua
\.What are the Nurses' actions when assessing for S&S of Preterm
Labor? - ANSWERS-Assess for signs of preterm labor
Monitor FHR and UC
Obtain vaginal and urine cultures as ordered
Obtain fFN
Provide oral and IV hydration
Administer tocolytics as ordered
Administer glucocorticoids
Position patient on side
Provide emotional support
Provide education concerning treatment plan
Monitor response to treatment
,\.What are some teaching points to a mother who has been recently
been advised of being at risk of a preterm labor? - ANSWERS-Advise
what the S&S are for Preterm labor
No heavy lifting
No long travel
Minimize standing
PELVIC REST
No breast stimulation
\.What are the 4 main Tocolytics what do they do? - ANSWERS-I -
Indomethecin (NSAID)
N - Nifedipine (CA Channel Blocker)
M - Magnesium Sulfate
T - Terbutaune (Adrenergic Agonist)
\.Tocolytic - Brethine (Terbutaline) 10 mcg/min starting off max dose 80
mcg/min - ANSWERS-Mechanism of Action: Beta2-adrenergic agonist
SQ injection in lateral deltoid area
Adverse reactions: nervousness. / Restlessness. /. tremor. /. Headache.
/ Insomnia. / Pulmonary Edema. / angina / arrhythmias / HTN /
Tachycardia. / Myocardial Ischemia. /. n/v. / Hyperglycemia. /
Hypokalemia
, Monitor:
Maternal. /. Fetal. /. Labor
* don't use with Beta blockers
*taper dose in 5 mcg after 30-60 mins of contraction-free period
\.Tocolytic - Magnesium Sulfate - ANSWERS-Mechanism of action:
Mineral / electrolyte
Adverse reaction: drowsiness, decreased RR, Diarrhea, flushing,
sweating, Hypothermia, bradycardia, hypotension, arrhythmias
Monitor
Maternal
Fetal
Labor: only use for a max of 5-7 days of preterm labor
Antidote: Calcium Gluconate
\.What medication can be given to help improve lung function in a fetus
that is about to be born? - ANSWERS-Glucocorticoids - Betamethasone
\.Define Induction - ANSWERS-is when they start the labor process
manually (we force labor)
COMPLETE WITH 100% VERIFIED ANSWERS
\.When does Preterm Labor occur? - ANSWERS-between 20 and 37
weeks gestation
\.What are S&S of Preterm labor? - ANSWERS-More than 6 uterine
contractions in one hour
Documented cervical change
>1cm or cervical effacement of 80% or >
Low, dull backache
Pelvic pressure
Change in vaginal discharge
\.What are the Risk factors for Preterm Labor? - ANSWERS-History of
Preterm birth
Infection
Smoking, alcohol, and illicit drugs
Lower education and socioeconomic status
African American race
Obesity
,Hypertension
Diabetes
\.What is fetal fibronectin (fFN)? - ANSWERS-glycoprotein found in fetal
membranes and decidua, the glue that holds the membranes to the
decidua
\.What are the Nurses' actions when assessing for S&S of Preterm
Labor? - ANSWERS-Assess for signs of preterm labor
Monitor FHR and UC
Obtain vaginal and urine cultures as ordered
Obtain fFN
Provide oral and IV hydration
Administer tocolytics as ordered
Administer glucocorticoids
Position patient on side
Provide emotional support
Provide education concerning treatment plan
Monitor response to treatment
,\.What are some teaching points to a mother who has been recently
been advised of being at risk of a preterm labor? - ANSWERS-Advise
what the S&S are for Preterm labor
No heavy lifting
No long travel
Minimize standing
PELVIC REST
No breast stimulation
\.What are the 4 main Tocolytics what do they do? - ANSWERS-I -
Indomethecin (NSAID)
N - Nifedipine (CA Channel Blocker)
M - Magnesium Sulfate
T - Terbutaune (Adrenergic Agonist)
\.Tocolytic - Brethine (Terbutaline) 10 mcg/min starting off max dose 80
mcg/min - ANSWERS-Mechanism of Action: Beta2-adrenergic agonist
SQ injection in lateral deltoid area
Adverse reactions: nervousness. / Restlessness. /. tremor. /. Headache.
/ Insomnia. / Pulmonary Edema. / angina / arrhythmias / HTN /
Tachycardia. / Myocardial Ischemia. /. n/v. / Hyperglycemia. /
Hypokalemia
, Monitor:
Maternal. /. Fetal. /. Labor
* don't use with Beta blockers
*taper dose in 5 mcg after 30-60 mins of contraction-free period
\.Tocolytic - Magnesium Sulfate - ANSWERS-Mechanism of action:
Mineral / electrolyte
Adverse reaction: drowsiness, decreased RR, Diarrhea, flushing,
sweating, Hypothermia, bradycardia, hypotension, arrhythmias
Monitor
Maternal
Fetal
Labor: only use for a max of 5-7 days of preterm labor
Antidote: Calcium Gluconate
\.What medication can be given to help improve lung function in a fetus
that is about to be born? - ANSWERS-Glucocorticoids - Betamethasone
\.Define Induction - ANSWERS-is when they start the labor process
manually (we force labor)
