NSPN 7200 Final Exam Latest Update @
2024
Cultural safety - Answer : the effective care by someone who has
undertaken a process of reflection on their own cultural identity
○ ensuring that all patients are treated equitably by recognizing
power structures and how our attitudes and beliefs influence our
relationships and the care we provide
Trauma-informed care: - Answer acknowledge the impact of trauma
on health and health care interactions and to establish safe and
trustworthy relationships and environments that reduce the risk of
re-traumatization
Trauma informed care 4 principles - Answer 1. Trauma awareness:
awareness of the commonness of trauma
2. Emphasis on safety and trustworthiness: Trauma survivors often
feel unsafe --> create safety and trustworthiness. Ask before you
touch
3. Choice, collaboration, and connection: maintaining a person's
dignity by giving choice. Getting Consent: discussion of risks and
benefits, alternatives, and time to ask questions.
4. Strength-based and skill-building: build off of resiliency.
The 5 Ps of Labour (how they effect GD/PTL) - Answer Passenger
,Passage
Powers
Position
Psyche
Preterm labour - Answer cervical changes and uterine contractions
occurring between 20 and 37 weeks of pregnancy
PLT S+S - Answer ● frequent menstrual-like cramps
● suprapubic pain or pressure
● pelvic pressure or heaviness
● change in colour or character or amount of vaginal discharge
urinary frequency
● constant, dull low back pain
● uterine contractions
● mild lower adbo pain cramping w/wo diarrhea
ruptured membranes
Tests to confirm ROM: - Answer nitrazine, ferning, assess pad
Risk factors for Spontaneous PTL - Answer Infection
GI organisms present in their amniotic fluid, placenta, and
membranes,
,periodontal disease,
congenital structural abnormalities of the uterus,
implantation of the placenta ,
unexplained 1st trimester bleeding,
high levels of stress
Risk factors for indicated PTL - Answer GD
HTN/preclampsia
placental disorders
seizures
obesity
AMA
fetal disorders
oligo/poly
TTTS
Threshold of viability?
Factors that influence survival and long-term outcomes? - Answer
22-25wks.
gestational age, estimated fetal weight, receipt of antenatal
corticosteroids, singleton versus multiple pregnancy, fetal status,
and place of birth
Indications for fetal fibronectin testing include: - Answer ●
, threatened PTL between 24 and 34 weeks gestation
● intact amniotic membranes
● cervix less than 3 cm dilated
● established fetal well-being
fetal fibronectine Contraindications include: - Answer ROM, active
vaginal bleeding, vaginal exam or vaginal intercourse in the past 24
hours
what are you looking for when you Palpate contractions - Answer
frequency, duration, intensity and resting tone
positive result FFN
Neg result FFN - Answer POSITIVE: 33% chance pt will deliver in next
2 weeks
IF NEGATIVE: has a strong negative predictive value 99% chance pt
will NOT deliver in next 2 weeks
Medications + uses in PTL: - Answer o
Tocolytics: medications used to slow down or suppress uterine
activity. (Indomethacin or Nifedipine)
Magnesium Sulphate : neuroprotective agent for imminent preterm
birth ( <34)
2024
Cultural safety - Answer : the effective care by someone who has
undertaken a process of reflection on their own cultural identity
○ ensuring that all patients are treated equitably by recognizing
power structures and how our attitudes and beliefs influence our
relationships and the care we provide
Trauma-informed care: - Answer acknowledge the impact of trauma
on health and health care interactions and to establish safe and
trustworthy relationships and environments that reduce the risk of
re-traumatization
Trauma informed care 4 principles - Answer 1. Trauma awareness:
awareness of the commonness of trauma
2. Emphasis on safety and trustworthiness: Trauma survivors often
feel unsafe --> create safety and trustworthiness. Ask before you
touch
3. Choice, collaboration, and connection: maintaining a person's
dignity by giving choice. Getting Consent: discussion of risks and
benefits, alternatives, and time to ask questions.
4. Strength-based and skill-building: build off of resiliency.
The 5 Ps of Labour (how they effect GD/PTL) - Answer Passenger
,Passage
Powers
Position
Psyche
Preterm labour - Answer cervical changes and uterine contractions
occurring between 20 and 37 weeks of pregnancy
PLT S+S - Answer ● frequent menstrual-like cramps
● suprapubic pain or pressure
● pelvic pressure or heaviness
● change in colour or character or amount of vaginal discharge
urinary frequency
● constant, dull low back pain
● uterine contractions
● mild lower adbo pain cramping w/wo diarrhea
ruptured membranes
Tests to confirm ROM: - Answer nitrazine, ferning, assess pad
Risk factors for Spontaneous PTL - Answer Infection
GI organisms present in their amniotic fluid, placenta, and
membranes,
,periodontal disease,
congenital structural abnormalities of the uterus,
implantation of the placenta ,
unexplained 1st trimester bleeding,
high levels of stress
Risk factors for indicated PTL - Answer GD
HTN/preclampsia
placental disorders
seizures
obesity
AMA
fetal disorders
oligo/poly
TTTS
Threshold of viability?
Factors that influence survival and long-term outcomes? - Answer
22-25wks.
gestational age, estimated fetal weight, receipt of antenatal
corticosteroids, singleton versus multiple pregnancy, fetal status,
and place of birth
Indications for fetal fibronectin testing include: - Answer ●
, threatened PTL between 24 and 34 weeks gestation
● intact amniotic membranes
● cervix less than 3 cm dilated
● established fetal well-being
fetal fibronectine Contraindications include: - Answer ROM, active
vaginal bleeding, vaginal exam or vaginal intercourse in the past 24
hours
what are you looking for when you Palpate contractions - Answer
frequency, duration, intensity and resting tone
positive result FFN
Neg result FFN - Answer POSITIVE: 33% chance pt will deliver in next
2 weeks
IF NEGATIVE: has a strong negative predictive value 99% chance pt
will NOT deliver in next 2 weeks
Medications + uses in PTL: - Answer o
Tocolytics: medications used to slow down or suppress uterine
activity. (Indomethacin or Nifedipine)
Magnesium Sulphate : neuroprotective agent for imminent preterm
birth ( <34)
