NURS 306 Week 2 Practice Questions & Answers 2024/2025

NURS 306 Week 2 Practice Questions & Answers 2024/2025 What is Oxytocin for? - ANSWER-- Stimulates smooth muscle that produce contractions - Postpartum: Reduces risk of PPh What is Terbutaline for? - ANSWER-- Beta 2 adrenergic agent for tachysystole or preterm labor - Adverse effects are tachycardia and pulmonary edema What is Nifedipine for? - ANSWER-- Ca Channel Blocker for preterm labor and treats HTN What is Methylergonovine for? - ANSWER-- An ergot alkaloid that stimulates smooth muscle to produce contractions - Do not use if the patient has HTN What is Carboprost Tromethamine for? - ANSWER-- A prostaglandin that stimulates smooth muscle to prevent or treat PPH - Contraindicated in patients with asthma What is penicillin, clindamycin, and gentamycin for? - ANSWER-- Treat infections caused by bacteria - Treat vaginal infections (clindamycin) - Post partum/operative infections (gentamycin) What is acyclovir for? - ANSWER-- Treatment of maternal herpes simplex virus What is Stadol for? - ANSWER-- Relieve pain in the first stage of labor What is Nubain for? - ANSWER-- Obstetrical analgesia during labor and delivery What is Fentanyl for? - ANSWER-- Pain relief during labor What is Epidural Anesthesia for? - ANSWER-- Most common pain relief med for child birth What is Reglan for? - ANSWER-- Treat GI/motility issues What are glucocorticoids for? - ANSWER-- Fetal organ development, maturation of the lung What is Rhogam for? - ANSWER-- If mother is Rh-negative What are biophysical risk factors for pregnancy and labor? - ANSWER-- Genetic - Nutritional - Medical - Obstetric issues What are psychosocial risk factors for pregnancy and labor? - ANSWER-- Behaviors and lifestyes What are sociodemographic risk factors for pregnancy and labor? - ANSWER-- Access to care - Income - Race - Age What are environmental risk factors for pregnancy and labor? - ANSWER-- Workplace and environmental hazards How does an ultrasound work? - ANSWER-- Uses high frequency sound waves to produce an image of an organ or tissue Why would an ultrasound be used in the first trimester? - ANSWER-- Confirm pregnancy - Confirm fetal cardiac activity - Estimate gestational age - Evaluate vaginal bleeding Why would an ultrasound be used in the second trimester and third trimester? - ANSWER-- Check cervical length (thinning or shortening) When is Magnetic Resonance Imaging used? - ANSWER-- To visualize maternal or fetal structures for detailed imaging when screening tests indicate possible abnormalities - Detect Placenta Accreta Spectrum (Placenta implants too deeply into uterine muscle, attaching to other organs) What is anencephaly? - ANSWER-- Neural tube defect where part or all of the brain stem do not develop - Usually not compatible with life What are MRI indications? - ANSWER-- Complex fetal anomalies (brain related) and placental abnormalities What is the purpose of an umbilical artery doppler flow? - ANSWER-- When a baby is diagnosed with intrauterine growth restriction What is intrauterine growth restriction? What does it indicate a lack of? - ANSWER-- Baby was measured and found to be less than the 10th percentile of what it is supposed to be - Indicates a lack of blood flow, restricting nutrients to the baby - Doctor may recommend delivery to allow baby to grow on the outside because it is not getting what it needs on the inside How do you interpret Umbilical Artery Doppler Flow? - ANSWER-- Calculate the difference between systolic and diastolic flow - Increased peripheral resistance decreased diastolic blood flow What are advantages of using umbilical artery doppler flow? - ANSWER-- Assess placenta perfusion, non-invasive What are risks of umbilical artery doppler flow? - ANSWER-- No risks What are some examples of biochemical assessment tests? - ANSWER-- Chorionic Villi Sampling - Amniocentesis - Percutaneous Blood Sampling - Maternal Assays What is Chorionic Villi Sampling? - ANSWER-- A diagnostic tests done via the aspiration of placental tissue - Uses ultrasound transducer to aspirate a piece of the placenta - Can be done at 10 to 13 weeks When is chorionic villi sampling used? - ANSWER-- Performed when Maternal Assay indicates an increased risk for abnormalities (i.e. Down's Syndrome) - Used for chromosomal, metabolic and DNA testing - At 10-13 weeks to assess for anomalies caused by genetic disorders - Processes in 5-7 days What are risks for chorionic villi sampling? - ANSWER-- Infection - Spontaneous abortion - chorioamnionitis - rupture of membranes - fetal limb injury or loss What are nursing actions for chorionic villi sampling? - ANSWER-- Assess fetal well-being with Doppler twice in 30 minutes What is amniocentesis? - ANSWER-- Diagnostic test, most common - Uses ultrasound transducer to examining amniotic fluid - 15 to 18 weeks, 95% accurate - Can be done in third trimester to examine lung function What are indications for amniocentesis? - ANSWER-- Patient is over age 35 - History of genetic disorders - Positive screening for alpha-fetoprotein - Suspected hemolytic disease What are complications for amniocentesis? - ANSWER-- Infection, miscarriage, rupture of membranes, maternal/fetal hemorrhage What is percutaneous umbilical blood sampling? - ANSWER-- Diagnostic test, abdominal ultrasound needle - Aspirate fetal blood from where the placenta and umbilical cord meet - Used for identifying genetic issues or fetal blood complications (i.e. anemia, Rh incompatibility) - Can also be used as a transfusion technique What is a Keilhauer-Betke teste? - ANSWER-- Test to see if maternal and fetal blood ....