NUR 2633 MC Exam 1 Study Guide
"I am in labor." What should the nurse do? Correct Answers
Fetal monitor (FIRST)
Vaginal exam
Labs: CBC, hgb, hct, glucose, UA, GBS, blood type, & RH
Determine presentation/positioning of baby
Ask Questions:
Due date?
Membranes rupture?
Describe contractions
Allergies?
What helps with discomfort>
Is fetus active?
Who is with you?
Abstinence Correct Answers The only thing that protects
against both STIs and pregnancy
,Accelerations Correct Answers Always happy to see!
Indicative of a healthy and strong baby with good perfusion
Advanded Maternal Age (AMA) Correct Answers 35 yrs of
age or older
Alpha-fetoprotein (AFP) Correct Answers Lvl is measured in
mother's blood to help determine birth defects of baby
Amniocentesis Correct Answers Check the AFP level in the
amniotic fluid surrounding the baby
Detects/rules out birth defects
Amniotic Fluid Correct Answers Allows for movement
Cushions cord
Controls temperature
Allows for symmetrical fetal growth
,Prevents adherence of the amnion to the fetus
Oligohydramnios: Too little fluid
Renal issues; fundal height less
Polyhydramnios: Too much fluid; diabetes, fluid follows sugar;
fundal height increased
Amniotic Fluid Emboli Correct Answers Can be ANY mom!
How to identify?
SOB
Chest pain
Management?
Give oxygen
STAT C-section to save baby! Most often, mother does not
survive!
, Anemia Correct Answers Nutritional intake will need to be
adjusted
May need iron supplement
Take iron supplement w/o calcium (OJ, grapefruit, tomato juice)
Iron supplement may increase risk for constipation so increase
fiber & fluids!
APGAR Correct Answers
APGAR Correct Answers We do at 1 minute & 5 minutes
after birth!
Range: 0-10
Normal: 7-10
Intermediate: 4-6
Bad: < 4
"I am in labor." What should the nurse do? Correct Answers
Fetal monitor (FIRST)
Vaginal exam
Labs: CBC, hgb, hct, glucose, UA, GBS, blood type, & RH
Determine presentation/positioning of baby
Ask Questions:
Due date?
Membranes rupture?
Describe contractions
Allergies?
What helps with discomfort>
Is fetus active?
Who is with you?
Abstinence Correct Answers The only thing that protects
against both STIs and pregnancy
,Accelerations Correct Answers Always happy to see!
Indicative of a healthy and strong baby with good perfusion
Advanded Maternal Age (AMA) Correct Answers 35 yrs of
age or older
Alpha-fetoprotein (AFP) Correct Answers Lvl is measured in
mother's blood to help determine birth defects of baby
Amniocentesis Correct Answers Check the AFP level in the
amniotic fluid surrounding the baby
Detects/rules out birth defects
Amniotic Fluid Correct Answers Allows for movement
Cushions cord
Controls temperature
Allows for symmetrical fetal growth
,Prevents adherence of the amnion to the fetus
Oligohydramnios: Too little fluid
Renal issues; fundal height less
Polyhydramnios: Too much fluid; diabetes, fluid follows sugar;
fundal height increased
Amniotic Fluid Emboli Correct Answers Can be ANY mom!
How to identify?
SOB
Chest pain
Management?
Give oxygen
STAT C-section to save baby! Most often, mother does not
survive!
, Anemia Correct Answers Nutritional intake will need to be
adjusted
May need iron supplement
Take iron supplement w/o calcium (OJ, grapefruit, tomato juice)
Iron supplement may increase risk for constipation so increase
fiber & fluids!
APGAR Correct Answers
APGAR Correct Answers We do at 1 minute & 5 minutes
after birth!
Range: 0-10
Normal: 7-10
Intermediate: 4-6
Bad: < 4
