Questions and Verified Answers
(solutions)
Things to evaluate regularly for a patient in labor (5) -
correct answer ✅1) Contractions
2) Fetal <3 rate
3) Fetal Descent
4) Cervical dilation
5) Intake and output
The goal of cervical dilation in active labor -
correct answer ✅1cm/hour
Abnormal or difficult labor in which progress of labor deviates from
normal. -
correct answer ✅Dystocia
The primary reason for cesarean sections, characterized by a slow,
abnormal progression of labor. -
correct answer ✅Dystocia
,MCN Final Complete Exam Set
Questions and Verified Answers
(solutions)
Which phase of labor does dystocia become apparent, at which
point it becomes termed "failure to progress" -
correct answer ✅active phase (4cm)
Contractions start too early in ________________________ and
won't start in ________________________ -
correct answer ✅preterm labor
prolonged pregnancy
S/S preterm labor (5) -
correct answer ✅1) contractions/cramping/lower back pain
2) pelvic pressure or fullness
3) Increase in discharge over normal
4) N/V/D
5) Unusual leaking fluid from V
Risk factors for pre-term labor (8) -
correct answer ✅1) Maternal age
2) African American
3) Low socioeconomic status
,MCN Final Complete Exam Set
Questions and Verified Answers
(solutions)
4) ETOH (alcohol)/drugs/smoking
5) history of preterm
6) diabetes and/or HTN
7) Pregnancy with multiples
8) PROM (premature rupture of membranes) and late or no
prenatal care
Management of Pre-term labor (5) -
correct answer ✅1) tocolytic therapy
2) corticosteroids
3) home monitoring
4) diagnostic testing (fetal fibronectin)
5) Magnesium sulfate
What does magnesium sulfate do for preterm labor? -
correct answer ✅relaxes uterine muscles to stop and prevent
contractions
, MCN Final Complete Exam Set
Questions and Verified Answers
(solutions)
What does magnesium sulfate do for preeclampsia? -
correct answer ✅decreases cerebral excitability and thus the risk
of seizures in women with preeclampsia
After the loading dose of magnesium sulfate, we then give ____-
____ g per hour. What do we then monitor continuously? -
correct answer ✅1-4
fetal heart rate
What do we monitor for (and report) in giving mag sulfate? (4) -
correct answer ✅1) HypoTN and/or depressed DTRs (deep tendon
reflexes)
2) LOC/blurred vision/headache
3) U/O less than 30 mL/h
4) Respiratory rate <12 bpm
What do we keep at the bedside to reduce adverse effects of
Magnesium sulfate? -
correct answer ✅Calcium gluconate