Deck 3

Question 1

What is Chorioamnionitis?

Answer 1

an infection of the amniotic sac
• should be suspected with elevated temperature and tachycardia
• monitor FHR and contraction pattern

Question 2

Signs and symptoms of Chorioamnionitis?

Answer 2

maternal fever
• tachycardia
• increased uterine tenderness
• foul-smelling amniotic fluid

Question 3

What medications are used in preterm labor?

Answer 3

Indomethacin, magnesium sulphate

Question 4

What qualifies as a nonreactive result of a nonstress test?

Answer 4

(10/min prior to 32 weeks)

Question 5

Understand what the deciding factor would be in diagnosing gestational diabetes.

Answer 5

Two labs tests that have come back abnormal

Question 6

What gestational diabetes drugs cross the placental barrier and which do not?

Answer 6

Insulin does not, metformin and Glyburide do

Question 7

What medication is the first-line choice for HTN in pregnancy?

Answer 7

Labetalol

Question 8

What is the difference between mild preeclampsia and severe preeclampsia?

Answer 8

The amount of protein in the urine

Question 9

Mild preeclampsia

Answer 9

• BP > 140/90 - diastolic blood pressure does not exceed
100mmHg
• Proteinuria 300mg/24hrs or 1+

Question 10

SEVERE preeclampsia

Answer 10

ВР > 160/110
• Proteinuria 500mg/24hrs or 3+

Question 11

What labs are important to get for pre-eclampsia?

Answer 11

Blood Urea nitrogen level = kidney damage
• Urine Protein

Question 12

Understand chronic hypertension.
•

Answer 12

BP> 140/90 before pregnancy or before 20 wks.

Question 13

if a client comes in who has had HTN since 12 weeks -is this chronic or gestational

Answer 13

Chronic hypertension

Question 14

What is Calcium gluconate used for?

Answer 14

Antidote for magnesium sulfate toxicity

Question 15

What treatment do we try first with a client to control her gestational diabetes? If that doesn’t work, what treatment do we do next?

Answer 15

Begin insulin

Question 16

What do late decelerations mean? What is the first intervention we take?

Answer 16

Fetal hypoxemia due to insufficient placental perfusion (uteroplacental insufficiency)
• Place the client in the lateral position

Question 17

What are the two categories of food sources of iron? Which category is absorbed most easily?

Answer 17

CHICKEN and raisins

Question 18

Understand why we do the Maternal Serum Alpha-fetoprotein.

Answer 18

Checking for abnormalities, Checking for spinal defects(every woman gets tested)

Question 19

What should you do if a client complains of leg pain postpartum and you’re suspicious of a DVT?

Answer 19

elevate client’s leg to encourage venous return and to relieve pain
• check for redness
• check for pain on calf area

Question 20

What should you always offer to a client who has an inevitable abortion?

Answer 20

• the option to view products of conception.
• Ask if she wants anything special done (cleaned/dressed, pictures, ceremony, to see the baby)

Question 21

When measuring a client, if she measures 22 weeks, where would that be located?

Answer 21

slightly above the umbilicus
• umbilicus = 20cm (20 weeks)
• count by 2’s as you go above umbilicus when measuring
• cm should correlate with gestational weeks +/- 2
(22 CM)

Question 22

Leopold’s maneuvers.
1s maneuver (fundal grip)-

Answer 22

determine whether its head or buttock at the fundus

Question 23

Leopald’s maneuvers 2’d maneuver (umbilical grip)-

Answer 23

feeling for baby’s back - one hand on each side of belly, one for support - use other hand to feel for baby’s back –this is where you place HR monitor

Question 24

Leopalds Maneuvers 3rd maneuver (Pollux grip)- Engagement

Answer 24

if head is down, is head engaged in the pelvis

Question 25

Leopalds Maneuver 4th (pelvic grip) -

Answer 25

Verifying position of the baby

Question 26

Where are fetal heart tones best auscultated?

Answer 26

Directly over the location of the fetus’ back