Remar Virtual Trainer
when to give an amniocentesis - CORRECT ANSWER-16-20 weeks gestation
Amniocentesis teaching points - CORRECT ANSWER--written consent
-empty bladder before test
-ultrasound to locate uterus
-vital signs and FHR Q15
Amniocentesis watch for - CORRECT ANSWER--PROM
Decreased fetal movement
-Infections
Rh immune globulin - CORRECT ANSWER-This is given to a negative mother when the
baby is positive
RH when to give - CORRECT ANSWER-28 weeks gestation and 72 hours after
indirect combs test - CORRECT ANSWER-This shows if the mother has antibodies for
the RH factor. Negative means no antibodies
Nonstress test - CORRECT ANSWER--Baby has irregular HR
-Decreased oxygenation
-Monitor fetal well being
Administering NST - CORRECT ANSWER--28 weeks gestation
-Good if it is negative
-Non reactive: baby isn't moving as it should
Hegar's sign - CORRECT ANSWER-softening of the uterus
Goodell's sign - CORRECT ANSWER-softening of the cervix
Chadwick sign - CORRECT ANSWER-bluish discoloration of the vagina and cervix
Positive signs of pregnancy - CORRECT ANSWER--doctor notes fetal heart sounds
-doctor/tech visualizes fetus through ultrasound
-provider feels movement outside of stomach
up to 28 weeks - CORRECT ANSWER-Mother is seen monthly
16 weeks gestation - CORRECT ANSWER-Lanugo is formed (tiny baby hairs)
,28-36 weeks - CORRECT ANSWER-2 times a month visits/ Q2 weeks
28 weeks - CORRECT ANSWER-Alveoli and surfactant develops
36-42 weeks - CORRECT ANSWER-Weekly doctor visits
36 weeks gestation - CORRECT ANSWER-Rapid fat production occurs
lightening - CORRECT ANSWER-The movement of the fetus down into the pelvis late
in pregnancy.
Gravidity - CORRECT ANSWER-number of pregnancies
Parity - CORRECT ANSWER-Number of term pregnancies
amniocentesis - CORRECT ANSWER-Fetal lung maturity and overall well being
NST teach mother - CORRECT ANSWER--To eat or drink before test to help monitor
baby's movement
Morning sickness - CORRECT ANSWER--Due to hypoglycemia
-Eat dry carbohydrates
-Sit up after meals
Back Pain (Pregnancy) - CORRECT ANSWER--Maintain good posture
-Use pelvic rocking
Leg Cramps (Pregnancy) - CORRECT ANSWER--Prevent dorsiflexed foot
Pregnancy Diet - CORRECT ANSWER-High protein diet with prenatal vitamins
Anemia (Pregnancy) - CORRECT ANSWER-Normal finding. More RBC when pregnant.
Kegals - CORRECT ANSWER-exercises to do that will strengthen the pelvic muscles to
help treat incontinence
Danger signs of pregnancy - CORRECT ANSWER--Sudden abdominal pain
-Abrupt flow of vaginal fluids
-Vaginal Bleeding
-Puffiness in hands and feer
Terbutaline - CORRECT ANSWER--Premature labor, Watch for tachycardia
Magnesium Sulfate - CORRECT ANSWER-Watch for decrease in RR, Urine output
decrease and decrease in deep tendon reflexes
, Ritodrine - CORRECT ANSWER--Tachycardia, hyperkalemia
Nephatapine - CORRECT ANSWER--Hypotension, Hypoxemia
preeclampsia - CORRECT ANSWER-hypertensive state in pregnancy
Preeclampsia s/s - CORRECT ANSWER--Hypertension
-Proteinuria (never should be)
-Edema
preeclampsia risk factors - CORRECT ANSWER--Under 18/over 35
-Obesity
-African American
-Multiple babies in pregnancy
HELLP syndrome - CORRECT ANSWER-hemolysis, elevated liver enzymes, low
platelets
Preeclampsia Care - CORRECT ANSWER--Bed rest
-Left side turn
-Monitor for seizures
Medication to move labor - CORRECT ANSWER-Oxytocin
when to stop oxytocin - CORRECT ANSWER-When contractions are less than 2-3
minutes apart, last 60 seconds
Pre-Labor - CORRECT ANSWER-Nesting, excited before labor
Latent stage - CORRECT ANSWER-Cervix is 0-4 cm
Active stage of labor - CORRECT ANSWER-cervix is 5-7
Transition - CORRECT ANSWER-8-10 cm and pushing
Second stage of labor - CORRECT ANSWER-10 cm to delivery of the fetus
third stage of labor - CORRECT ANSWER-delivery of placenta
Acceleration - CORRECT ANSWER-increase the baseline HR in 15 seconds (good
sign)
Decelerations - CORRECT ANSWER-Head compression, mirrors contractions.
Late decelerations - CORRECT ANSWER-Bad (placental insufficiency)
when to give an amniocentesis - CORRECT ANSWER-16-20 weeks gestation
Amniocentesis teaching points - CORRECT ANSWER--written consent
-empty bladder before test
-ultrasound to locate uterus
-vital signs and FHR Q15
Amniocentesis watch for - CORRECT ANSWER--PROM
Decreased fetal movement
-Infections
Rh immune globulin - CORRECT ANSWER-This is given to a negative mother when the
baby is positive
RH when to give - CORRECT ANSWER-28 weeks gestation and 72 hours after
indirect combs test - CORRECT ANSWER-This shows if the mother has antibodies for
the RH factor. Negative means no antibodies
Nonstress test - CORRECT ANSWER--Baby has irregular HR
-Decreased oxygenation
-Monitor fetal well being
Administering NST - CORRECT ANSWER--28 weeks gestation
-Good if it is negative
-Non reactive: baby isn't moving as it should
Hegar's sign - CORRECT ANSWER-softening of the uterus
Goodell's sign - CORRECT ANSWER-softening of the cervix
Chadwick sign - CORRECT ANSWER-bluish discoloration of the vagina and cervix
Positive signs of pregnancy - CORRECT ANSWER--doctor notes fetal heart sounds
-doctor/tech visualizes fetus through ultrasound
-provider feels movement outside of stomach
up to 28 weeks - CORRECT ANSWER-Mother is seen monthly
16 weeks gestation - CORRECT ANSWER-Lanugo is formed (tiny baby hairs)
,28-36 weeks - CORRECT ANSWER-2 times a month visits/ Q2 weeks
28 weeks - CORRECT ANSWER-Alveoli and surfactant develops
36-42 weeks - CORRECT ANSWER-Weekly doctor visits
36 weeks gestation - CORRECT ANSWER-Rapid fat production occurs
lightening - CORRECT ANSWER-The movement of the fetus down into the pelvis late
in pregnancy.
Gravidity - CORRECT ANSWER-number of pregnancies
Parity - CORRECT ANSWER-Number of term pregnancies
amniocentesis - CORRECT ANSWER-Fetal lung maturity and overall well being
NST teach mother - CORRECT ANSWER--To eat or drink before test to help monitor
baby's movement
Morning sickness - CORRECT ANSWER--Due to hypoglycemia
-Eat dry carbohydrates
-Sit up after meals
Back Pain (Pregnancy) - CORRECT ANSWER--Maintain good posture
-Use pelvic rocking
Leg Cramps (Pregnancy) - CORRECT ANSWER--Prevent dorsiflexed foot
Pregnancy Diet - CORRECT ANSWER-High protein diet with prenatal vitamins
Anemia (Pregnancy) - CORRECT ANSWER-Normal finding. More RBC when pregnant.
Kegals - CORRECT ANSWER-exercises to do that will strengthen the pelvic muscles to
help treat incontinence
Danger signs of pregnancy - CORRECT ANSWER--Sudden abdominal pain
-Abrupt flow of vaginal fluids
-Vaginal Bleeding
-Puffiness in hands and feer
Terbutaline - CORRECT ANSWER--Premature labor, Watch for tachycardia
Magnesium Sulfate - CORRECT ANSWER-Watch for decrease in RR, Urine output
decrease and decrease in deep tendon reflexes
, Ritodrine - CORRECT ANSWER--Tachycardia, hyperkalemia
Nephatapine - CORRECT ANSWER--Hypotension, Hypoxemia
preeclampsia - CORRECT ANSWER-hypertensive state in pregnancy
Preeclampsia s/s - CORRECT ANSWER--Hypertension
-Proteinuria (never should be)
-Edema
preeclampsia risk factors - CORRECT ANSWER--Under 18/over 35
-Obesity
-African American
-Multiple babies in pregnancy
HELLP syndrome - CORRECT ANSWER-hemolysis, elevated liver enzymes, low
platelets
Preeclampsia Care - CORRECT ANSWER--Bed rest
-Left side turn
-Monitor for seizures
Medication to move labor - CORRECT ANSWER-Oxytocin
when to stop oxytocin - CORRECT ANSWER-When contractions are less than 2-3
minutes apart, last 60 seconds
Pre-Labor - CORRECT ANSWER-Nesting, excited before labor
Latent stage - CORRECT ANSWER-Cervix is 0-4 cm
Active stage of labor - CORRECT ANSWER-cervix is 5-7
Transition - CORRECT ANSWER-8-10 cm and pushing
Second stage of labor - CORRECT ANSWER-10 cm to delivery of the fetus
third stage of labor - CORRECT ANSWER-delivery of placenta
Acceleration - CORRECT ANSWER-increase the baseline HR in 15 seconds (good
sign)
Decelerations - CORRECT ANSWER-Head compression, mirrors contractions.
Late decelerations - CORRECT ANSWER-Bad (placental insufficiency)
