HONDROS NUR 166 EXAM 1
QUESTIONS AND ANSWERS
Polyhydramnios (hydramnios) - ANSWER-too much amniotic fluid
-Suspect gestational diabetes, fetal anomalies, or multiple gestation.
-The mother is also at risk for prolapse of the umbilical cord because of increased
amount of fluid pushes the fetus high into the uterine cavity. Preterm rupture of the
membranes, another complication associated with hydramnios, increases the risks of
both infection and prolapsed cord
Side effect of epidural is - ANSWER-hypotension and urinary retention
nursing care for epidural - ANSWER-assist woman to maintain postion as needed
record blood pressure every 5 minutes until stable
record fetal heart rate
may need to catheterize mom if bladder full but cannot void
causes of pre-term labor - ANSWER-exposure to diethystilbestrol
being underweight
chronic illness such as DM or HTN
dehydration
pre-eclampsia
previous preterm labor
previous pregnancy losses
uterine or cervical abnormalities or surgery
uterine distention
abdominal surgery during pregnancy
infection
anemia
preterm premature rupture of membranes
poor prenatal care
poor nutrition
younger than 18 and older than 40
low education level
poverty
smoking
substance abuse
chronic stress
multifetal presentation
treatments for preterm labor - ANSWER-magnesium sulfate
b-adrenergic drugs (terbutaline/brethine)
indomethacin
nifedipine (procardia)
antimicrobial therapy
Causes of Prolapsed Umbilical Cord - ANSWER-membrane rupture
when the fetus doesnt completely fill the space in the pelvis
, if fluid pressure is greater when membranes rupture
treatment of prolapsed cord - ANSWER-push the fetus upward from vagina
administer oxygen and tocolytic drug
primary focus is to delivery fetus ASAP usually by C-section
nursing interventions for prolapsed cord - ANSWER-Use sterile gloved hand, insert 2
fingers into the vagina, apply finger pressure on either side of the cord to the fetal
presenting part to elevate it off the cord.
Reposition the client in a knee chest or trendelenburg position
Administer 02 at 8-10L via nonrebreather mask Monitor FHR for variable
decelerations and bradycardia
Prepare for immediate birth
baseline fetal heart rate - ANSWER-110-160 bpm while mom isnt contracting
magnesium sulfate uses - ANSWER-antihypertensive
anticonvulsant
pre-term labor
therapeutic range for magnesium sulfate - ANSWER-4-8 mg/dL
side effects of magnesium sulfate - ANSWER-Depressed reflexes and depressed
respiration's. A flushed, warm feeling and a dry mouth.
nursing interventions for someone receiving magnesium sulfate - ANSWER-record
vitals every hour
monitor respiration's
monitor labs
monitor lung sounds
monitor for signs of fluid overload
monitor urine output
monitor deep tendon reflexes
monitor bowel sounds
signs and symptoms of magnesium toxicity - ANSWER-hypotension, nonexistent
reflexes, respiratory depression, magnesium level over 8mg/dL
Placenta (during pregnancy) - ANSWER-provides oxygenated, nutrient-rich blood
4 hormones are produced: progesterone, estrogen, hcg, hPL
Who gets Rhogam? - ANSWER-Rh (-) mom at 28 weeks gestation and 72 hours
after birth
Chadwick's sign - ANSWER-bluish or purplish discoloration of the
cervix/vagina/vulva - caused by vascular congestion
Supine Hypotension - ANSWER-a drop in blood pressure due to altered venous
return from a gravid uterus exerting pressure on the ascending vena cava
QUESTIONS AND ANSWERS
Polyhydramnios (hydramnios) - ANSWER-too much amniotic fluid
-Suspect gestational diabetes, fetal anomalies, or multiple gestation.
-The mother is also at risk for prolapse of the umbilical cord because of increased
amount of fluid pushes the fetus high into the uterine cavity. Preterm rupture of the
membranes, another complication associated with hydramnios, increases the risks of
both infection and prolapsed cord
Side effect of epidural is - ANSWER-hypotension and urinary retention
nursing care for epidural - ANSWER-assist woman to maintain postion as needed
record blood pressure every 5 minutes until stable
record fetal heart rate
may need to catheterize mom if bladder full but cannot void
causes of pre-term labor - ANSWER-exposure to diethystilbestrol
being underweight
chronic illness such as DM or HTN
dehydration
pre-eclampsia
previous preterm labor
previous pregnancy losses
uterine or cervical abnormalities or surgery
uterine distention
abdominal surgery during pregnancy
infection
anemia
preterm premature rupture of membranes
poor prenatal care
poor nutrition
younger than 18 and older than 40
low education level
poverty
smoking
substance abuse
chronic stress
multifetal presentation
treatments for preterm labor - ANSWER-magnesium sulfate
b-adrenergic drugs (terbutaline/brethine)
indomethacin
nifedipine (procardia)
antimicrobial therapy
Causes of Prolapsed Umbilical Cord - ANSWER-membrane rupture
when the fetus doesnt completely fill the space in the pelvis
, if fluid pressure is greater when membranes rupture
treatment of prolapsed cord - ANSWER-push the fetus upward from vagina
administer oxygen and tocolytic drug
primary focus is to delivery fetus ASAP usually by C-section
nursing interventions for prolapsed cord - ANSWER-Use sterile gloved hand, insert 2
fingers into the vagina, apply finger pressure on either side of the cord to the fetal
presenting part to elevate it off the cord.
Reposition the client in a knee chest or trendelenburg position
Administer 02 at 8-10L via nonrebreather mask Monitor FHR for variable
decelerations and bradycardia
Prepare for immediate birth
baseline fetal heart rate - ANSWER-110-160 bpm while mom isnt contracting
magnesium sulfate uses - ANSWER-antihypertensive
anticonvulsant
pre-term labor
therapeutic range for magnesium sulfate - ANSWER-4-8 mg/dL
side effects of magnesium sulfate - ANSWER-Depressed reflexes and depressed
respiration's. A flushed, warm feeling and a dry mouth.
nursing interventions for someone receiving magnesium sulfate - ANSWER-record
vitals every hour
monitor respiration's
monitor labs
monitor lung sounds
monitor for signs of fluid overload
monitor urine output
monitor deep tendon reflexes
monitor bowel sounds
signs and symptoms of magnesium toxicity - ANSWER-hypotension, nonexistent
reflexes, respiratory depression, magnesium level over 8mg/dL
Placenta (during pregnancy) - ANSWER-provides oxygenated, nutrient-rich blood
4 hormones are produced: progesterone, estrogen, hcg, hPL
Who gets Rhogam? - ANSWER-Rh (-) mom at 28 weeks gestation and 72 hours
after birth
Chadwick's sign - ANSWER-bluish or purplish discoloration of the
cervix/vagina/vulva - caused by vascular congestion
Supine Hypotension - ANSWER-a drop in blood pressure due to altered venous
return from a gravid uterus exerting pressure on the ascending vena cava
