NUR2513 / NUR 2513 Maternal Child
Nursing Exam 2 Review | Rasmussen College
1. Labs to know prior to delivery?
- Group B streptococcus results, urinalysis, CBC, and ABO typing with Rh-
factor
2. Vaginal examinations during labor?
- Preformed digitally by the provider or nurse to assess for cervical dilation,
decent of the fetus, fetal positioning, and whether membranes are intact or
ruptured.
3. Ergot Alkaloids Patient Teaching
- Indications, report increased blood loss, temperature, or foul-smelling lochia.
DO not smoke.
4. What is magnesium sulfate indicated for?
- Uterine relaxation, inhibits contractions and arrest pre-term labor for 24-48
hours
5. Administration considerations for magnesium sulfate?
, - Use in conjunction with beta-adrenergics increases risk for pulmonary
edema; a loading dose is often given over 20-30 minutes via infusion pump
6. Oxytocin (Pitocin) side effects?
- Maternal: Rarely can cause more rapid, painful contractions, dysrhythmias,
hypotensions, hypertension, water intoxication, and N/V
- Fetal: Tachycardia, rarely: dysrhythmias, inracranial hemorrhage, hypoxia
7. Oxytocin (Pitocin) Nursing considerations?
- Record maternal vitals, weight, I&O, contractions, and fetal HR/tones q15m.
Monitor for hypertonic contractions. Effects will diminish 2-3 minutes after
discontinuation. Watch for hypertensive crisis.
8. Pain medications available for laboring mothers?
- Sedatives, antimetics, barbiturates, benzodiazepines, and H1 receptor
agonists.
9. Sedative use in labor?
- Used in the first stage of labor to induce sleep and relieve pain; should not be
given in active labor due to the risk of fetal respiratory depression
Nursing Exam 2 Review | Rasmussen College
1. Labs to know prior to delivery?
- Group B streptococcus results, urinalysis, CBC, and ABO typing with Rh-
factor
2. Vaginal examinations during labor?
- Preformed digitally by the provider or nurse to assess for cervical dilation,
decent of the fetus, fetal positioning, and whether membranes are intact or
ruptured.
3. Ergot Alkaloids Patient Teaching
- Indications, report increased blood loss, temperature, or foul-smelling lochia.
DO not smoke.
4. What is magnesium sulfate indicated for?
- Uterine relaxation, inhibits contractions and arrest pre-term labor for 24-48
hours
5. Administration considerations for magnesium sulfate?
, - Use in conjunction with beta-adrenergics increases risk for pulmonary
edema; a loading dose is often given over 20-30 minutes via infusion pump
6. Oxytocin (Pitocin) side effects?
- Maternal: Rarely can cause more rapid, painful contractions, dysrhythmias,
hypotensions, hypertension, water intoxication, and N/V
- Fetal: Tachycardia, rarely: dysrhythmias, inracranial hemorrhage, hypoxia
7. Oxytocin (Pitocin) Nursing considerations?
- Record maternal vitals, weight, I&O, contractions, and fetal HR/tones q15m.
Monitor for hypertonic contractions. Effects will diminish 2-3 minutes after
discontinuation. Watch for hypertensive crisis.
8. Pain medications available for laboring mothers?
- Sedatives, antimetics, barbiturates, benzodiazepines, and H1 receptor
agonists.
9. Sedative use in labor?
- Used in the first stage of labor to induce sleep and relieve pain; should not be
given in active labor due to the risk of fetal respiratory depression
