Ob midterm study guide with correct answers|100% verified

Ob midterm study guide with correct answers When should the mother get the rubella vaccine during her pregnancy and why? Correct Answer--A client who is nonimmune to rubella or has a negative or low titer is administered a subcutaneous injection of rubella vaccine or a measles, mumps, and rubella (mmr) vaccine during the postpartum period to protect a subsequent fetus from malformations. the client should not get pregnant for 4 weeks (28 days) following the immunization. (Cannot get during pregnancy) -test after 3 month of live vaccine to make sure it works When is a nonstress test performed in antepartum? and why? Correct Answer-Nonstress test is the most widely used technique for antepartum evaluation of fetal well-being performed during the third trimester. It is a noninvasive procedure that monitors response of the FHR to fetal movement. -asses FHR to fetal movement (mom presses button when baby moves and doctor check FHR) -disadvantages of a NST include a high rate of false nonreactive results with the fetal movement response blunted by sleep cycles of the fetus, fetal immaturity, maternal medications, and nicotine use disorder. -The NST is interpreted as reactive if the FHR accelerates at least 15/min (10/min prior to 32 weeks) for at least 15 seconds (10 seconds prior to 32 weeks) and occurs two or more times during a 20-min period. -Nonreactive NST is a test that does not demonstrate at least two qualifying accelerations in a 20-min window. If this is so, a further assessment, such as a contraction stress test (CST) or BPP, is indicated. What are the true signs of labor? Correct Answer--Contractions -Can begin irregularly, but become regular in frequency -Stronger, last longer, and are more frequent -Felt in lower back, radiating to abdomen -Walking can increase contraction intensity -Continue despite comfort measures -Cervix (assessed by vaginal exam) -Progressive change in dilation and effacement -Moves to anterior position -Bloody show -Fetus: Presenting part engages in pelvis what are the first fetal movements of fetal pregnancy and when do they occur? Correct Answer--Begin assessing for fetal movement between 16 and 20 weeks of gestation. (second trimester) -Fetal movement/kick counts to ascertain fetal well-being: A client should be instructed to count and record fetal movements or kicks daily. There are several different methods to complete kick counts.One method: Clients should count fetal activity two or three times a day for 2 hr after meals or bedtime. Fetal movements of less than 3 per hr or movements that cease entirely for 12 hr indicate a need for further evaluation. -Diagnostic testing for fetal well-being (nonstress test, biophysical profile, ultrasound, and contraction stress test.