151 Multiple choice questions
Term 1 of 151
a nurse is preparing to administer prophylactic eye ointment to a newborn to prevent
ophthalmia neonatorum. Which medication will the nurse administer
Vancomycin
Clindamycin
Tetracycline
Erythromycin
Term 2 of 151
Fetal heart can be heard when
late in the first trimester
listen at the midline, right above the symphysis pubis, by holding the doppler firmly on
the abdomen
uterine infection
usually 2nd to 5th day postdelivery
meds: clindamycin, cephalosporins, penicilins, gentamicin (all antibiotics)
Placenta or fragments of the placenta remain in the uterus preventing the uterus from
contracting which leads to uterine atony or subinvolution
Med given: oxytocin....if unsuccessful then tocolytic for d&c
3-4 lbs in first trimester
1 lb per week in second (total 12 lb just in 2nd)
25-30 lbs By 3rd trimester
,Term 3 of 151
mongolian spots
inflammation of the nail
bluish purple spots of pigmentation
stretch marks
hyperpigmentation
small red spots usually on face
Term 4 of 151
magnesium sulfate antidote
calcium gluconate
potassium chloride
protamine sulfate
sodium bicarbonate
Term 5 of 151
GTPAL
Gravida,
Term - 38 weeks and more
Preterm - 37 weeks and under
Abortions,
Living
Number of pregnancies which fetus reached 20 weeks ( includes stillborn)
Nullipara: no pregnancy
primipara: one
Multipara: two or more
Pinkish/brown, serosanguineous. Lasts day 4-10 postpartum
Cervical ripening
Oxytocin- monitor vitals 30-60 min, FHR every 15 min. STOP if hyperstimulation occurs
,Term 6 of 151
indomethacin
nifedipine
for the client experiencing postpartum hemorrhage
used to detect fetal blood in maternal circulation
ask the client if she has thoughts of harming herself or her infant
for the client in preterm labor
Term 7 of 151
what test is part of an amniocentesis to determine fetal lung maturity?
Lecithin/sphingomyelin (L/S) ratio
Maternal alpha-fetoprotein (afp)
Indirect coombs' test
Biophysical profile
Term 8 of 151
HIV infection is a contraindication to...
episiotomy forceps, internal fetal monitoring
*blood exposure
this is frequently seen in newborns of african american, asian, or native american origin
measure leg circumferences to monitor changes
uterine contraction intensity
, Term 9 of 151
Retained placenta
1. Notify provider
2. Turn pt on their side
3. Keep IV open and increase fluids 200ml/hr
4. administer O2 face mask
5. administer Tocolytic terbutaline
6. monitor, document, prepare for cesarean
Latent phase dilates 0-3 cm
Active phase dilates 4-7 cm
transition phase dilates 8-10 cm
Placenta or fragments of the placenta remain in the uterus preventing the uterus from
contracting which leads to uterine atony or subinvolution
Med given: oxytocin....if unsuccessful then tocolytic for d&c
late in the first trimester
listen at the midline, right above the symphysis pubis, by holding the doppler firmly on
the abdomen
Term 10 of 151
prenatal visits
monthly until 28 weeks
every 2 weeks until 36 weeks
every week until born
a port wine stain on face or neck that is permanent birthmark of newborn
obtain a vaginal/anal culture at 35-37 weeks to check for group b strep infection
cervix opens too early and expulsion of the products of conception occurs.