HURST STUCYCORE MAIN QUESTIONS AND
ANSWERS SET A+
✔✔quickening - ✔✔fetal movement
✔✔what should the fetal heart rate be during the second trimester ? - ✔✔- 110-160
- if less than 110 PANIC!!!!!
✔✔kegel exercise - ✔✔Strengthens the pelvic floor muscles, which support the uterus,
bladder and bowel
✔✔third trimester week _________ to week ___________- - ✔✔27-40
✔✔a pregnancy is considered term if it advances to what ? - ✔✔- 37-40 weeks
✔✔what is the expected weight gain for a pregnant woman in third trimester? - ✔✔- no
more than 1 lb a week
✔✔pre-eclampsia develops after ___________ weeks gestation and the client will have
what? - ✔✔20 weeks
- increased BP
- proteinuria
- edema
✔✔the client with pre-eclampsia can have what? - ✔✔- seizures
✔✔what is teh drug of chouce for severe pre-eclampsia? - ✔✔- magnesium sulfate
- is given IV, in hospital setting and under close supervision
✔✔pre-eclampsia is defined as BP of what? - ✔✔- 160/110 6 hr apart
✔✔magnesium sulfate - ✔✔- acts like a anticonvulsant
,- sedates
✔✔what is the difference between pre-eclampsia and eclampsia? - ✔✔the seizure
-eclampsia is when they have a seizure
✔✔how is fetal position / presentation determined? - ✔✔Leopold Maneuver
MAKE SURE CLIENT VOIDS FIRST
If the client is having contractions do the maneuvers between contractions
✔✔what are some signs of labor you should teach the client ? - ✔✔- lightening
- engagement
- fetal stations
✔✔lightening - ✔✔- occurs two weeks before term
- The movement of the fetus down into the pelvis late in pregnancy.
✔✔engagement - ✔✔-largest presenting part is in the pelvic inlet
- hopefully, the fetal head is presenting first
✔✔fetal stations - ✔✔Measured in CM
Measures the relationship of the presenting part of the fetus to the ischial spines of the
mother.
✔✔when should the client go to the hospital during pregnancy ? - ✔✔- when the
contractions are 5 minutes apart or when the membranes rupture
✔✔what are we worried about when membranes rupture ? - ✔✔- prolapsed cord
✔✔during true labor are the contractions regular or irregular - ✔✔regular
- contractions increase in freq
- discomfort in back and radiates to abdomen
✔✔what happens to the pain level with a change in activity during true labor ? - ✔✔-
increases
✔✔false labor - ✔✔irregular contractions
- discomfort in abdomen
- change in activity decreases
✔✔premature labor - ✔✔contractions occur with dilation, between 20 -37 weeks
goal; stop labor
- treat any UTI and hydrate mom
, - bedrest
✔✔what medications might be prescribed during pre term ? - ✔✔- magnesium sulfate (
IV ) - relaxes the uterus
- betamethasone ( IM) - steroid that helps fetal lungs mature
- terbutaline ( SQ)
- indomethacin ( PO)
- nifedipine ( PO)
✔✔what position should one lay for a epidural anesthesia ? - ✔✔- lie on left side, legs
flexed, prop up over the bedside table
✔✔When is epidural anesthesia given? - ✔✔stage 1 at 3-4 cm dilation
✔✔what is a major complication during epidural anesthesia ? - ✔✔- hypotension
- monitor BP closely
✔✔how to fight hypotension ? - ✔✔- bolus 1000 mL NS or LR
✔✔tachycardia +postpartum think what? - ✔✔- hemmorhage
✔✔breast during post partum will be what? - ✔✔- soft for 2- 3 days, then dreaded
engorgement occurs
✔✔the fundus post partum is where ? - ✔✔- midline 2-3 fingers breadths ( FB) belowe
umbilicus
- a few hours after birth it rises to level of umbilicus or to one FB above
- want fundus to be firm
✔✔what is the first thing you do if the fundus is boggy ? - ✔✔- massage the fundus until
it is firm and then check for bladder distention
✔✔fundus height will descened how often snd how much ? - ✔✔- one finger
breadth/day
✔✔what is the proper term used when the fundus descends and he uterus returns to its
pre-preg size? - ✔✔- involution
✔✔after pains are common for the first 2-3 days and will continue to be common if the
mother chooses to do what? - ✔✔- breast feed
✔✔Rubra lochia - ✔✔3- 4 days
color; dark red
ANSWERS SET A+
✔✔quickening - ✔✔fetal movement
✔✔what should the fetal heart rate be during the second trimester ? - ✔✔- 110-160
- if less than 110 PANIC!!!!!
✔✔kegel exercise - ✔✔Strengthens the pelvic floor muscles, which support the uterus,
bladder and bowel
✔✔third trimester week _________ to week ___________- - ✔✔27-40
✔✔a pregnancy is considered term if it advances to what ? - ✔✔- 37-40 weeks
✔✔what is the expected weight gain for a pregnant woman in third trimester? - ✔✔- no
more than 1 lb a week
✔✔pre-eclampsia develops after ___________ weeks gestation and the client will have
what? - ✔✔20 weeks
- increased BP
- proteinuria
- edema
✔✔the client with pre-eclampsia can have what? - ✔✔- seizures
✔✔what is teh drug of chouce for severe pre-eclampsia? - ✔✔- magnesium sulfate
- is given IV, in hospital setting and under close supervision
✔✔pre-eclampsia is defined as BP of what? - ✔✔- 160/110 6 hr apart
✔✔magnesium sulfate - ✔✔- acts like a anticonvulsant
,- sedates
✔✔what is the difference between pre-eclampsia and eclampsia? - ✔✔the seizure
-eclampsia is when they have a seizure
✔✔how is fetal position / presentation determined? - ✔✔Leopold Maneuver
MAKE SURE CLIENT VOIDS FIRST
If the client is having contractions do the maneuvers between contractions
✔✔what are some signs of labor you should teach the client ? - ✔✔- lightening
- engagement
- fetal stations
✔✔lightening - ✔✔- occurs two weeks before term
- The movement of the fetus down into the pelvis late in pregnancy.
✔✔engagement - ✔✔-largest presenting part is in the pelvic inlet
- hopefully, the fetal head is presenting first
✔✔fetal stations - ✔✔Measured in CM
Measures the relationship of the presenting part of the fetus to the ischial spines of the
mother.
✔✔when should the client go to the hospital during pregnancy ? - ✔✔- when the
contractions are 5 minutes apart or when the membranes rupture
✔✔what are we worried about when membranes rupture ? - ✔✔- prolapsed cord
✔✔during true labor are the contractions regular or irregular - ✔✔regular
- contractions increase in freq
- discomfort in back and radiates to abdomen
✔✔what happens to the pain level with a change in activity during true labor ? - ✔✔-
increases
✔✔false labor - ✔✔irregular contractions
- discomfort in abdomen
- change in activity decreases
✔✔premature labor - ✔✔contractions occur with dilation, between 20 -37 weeks
goal; stop labor
- treat any UTI and hydrate mom
, - bedrest
✔✔what medications might be prescribed during pre term ? - ✔✔- magnesium sulfate (
IV ) - relaxes the uterus
- betamethasone ( IM) - steroid that helps fetal lungs mature
- terbutaline ( SQ)
- indomethacin ( PO)
- nifedipine ( PO)
✔✔what position should one lay for a epidural anesthesia ? - ✔✔- lie on left side, legs
flexed, prop up over the bedside table
✔✔When is epidural anesthesia given? - ✔✔stage 1 at 3-4 cm dilation
✔✔what is a major complication during epidural anesthesia ? - ✔✔- hypotension
- monitor BP closely
✔✔how to fight hypotension ? - ✔✔- bolus 1000 mL NS or LR
✔✔tachycardia +postpartum think what? - ✔✔- hemmorhage
✔✔breast during post partum will be what? - ✔✔- soft for 2- 3 days, then dreaded
engorgement occurs
✔✔the fundus post partum is where ? - ✔✔- midline 2-3 fingers breadths ( FB) belowe
umbilicus
- a few hours after birth it rises to level of umbilicus or to one FB above
- want fundus to be firm
✔✔what is the first thing you do if the fundus is boggy ? - ✔✔- massage the fundus until
it is firm and then check for bladder distention
✔✔fundus height will descened how often snd how much ? - ✔✔- one finger
breadth/day
✔✔what is the proper term used when the fundus descends and he uterus returns to its
pre-preg size? - ✔✔- involution
✔✔after pains are common for the first 2-3 days and will continue to be common if the
mother chooses to do what? - ✔✔- breast feed
✔✔Rubra lochia - ✔✔3- 4 days
color; dark red
