Deck 4

Question 1

If baby is breeched, this is located?

Answer 1

Right upper quadrant

Question 2

What do we use Methylergonovine (Methergine) for?

Answer 2

treatment of postpartum hemorrhage caused by uterine atony or subinvolution

Question 3

What is the desired therapeutic effect of Methylergonovine?

Answer 3

Desired therapeutic effect is increase in uterine tone
• It is an oxytocic used to promote uterine contractions & prevent hemorrhage

Question 4

Understand Rho (D) immunoglobulin.

Answer 4

Prevents formation of RH antibodies in mothers who are
Rh-negative who have Rh + baby
• Rho prevents immune system of an Rh-negative client from reacting to accidental exposure to the fetal blood during pregnancy/delivery (verify mom is negative and baby is positive)

Question 5

What are late decelerations associated with?

Answer 5

Uteroplacental insufficiency

Question 6

Uteroplacental insufficiency is what

Answer 6

inadequate blood supply to the placenta, affecting oxygen delivery to the fetus

Question 7

What type of foods should mom consume to avoid neural tube defects?

Answer 7

Foods with folic acid

Question 8

How many oz of water should a mother drink daily?

Answer 8

48 - 64 oz

Question 9

Understand variable decelerations

Answer 9

Umbilical cord compression - leads to a temporary decrease in blood flow and oxygen supply to the fetus

Question 10

If you have a client with past hx of preeclampsia, what medication should you expect the physician to order proactively?

Answer 10

Magnesium sulfate

Question 11

What is a VBAC?

Answer 11

Vaginal birth after c section

Question 12

What factors will decide whether a provider approves/denies a VBAC?

Answer 12

Horizontal incision with no other risk factors - will likely approve VBAC
• Vertical Incision with other risk factors (scar tssue, etc)-
Will likely deny VBAC

Question 13

When there is a rupture of membranes, what do we want to assess and why?

Answer 13

Assess amniotic fluid to avoid infection if it has been sitting for several hours

Question 14

What is HELLP syndrome?

Answer 14

A variant of gestational HTN in which these conditions coexist with severe preeclampsia - involving liver dysfunction

Question 15

HELLP lab test

Answer 15

H: Hemolysis = anemia and jaundice
EL: Elevated Liver Enzymes
LP: Low Platelets - resulting in abnormal bleeding or DIC

Question 16

What is PROM

Answer 16

Premature spontaneous rupture of membranes between 20 - 37 weeks gestation

Question 17

When does a client receive rubella immunization? (If client does not have immunity ro rubella, when do you recommend she get it?

Answer 17

Shortly after giving birth. (Vaccine is dangerous to fetus)

Question 18

What to give with iron for best absorption?

Answer 18

Vitamin C-orange juice

Question 19

What test can we do to look for uteroplacental insufficiency?

Answer 19

Nonstress test

Question 20

If you have a client on bedrest for preeclampsia and the doctor says they should get up and walk, but the client is still on magnesium sulfate and not doing well, what should you do?

Answer 20

Talk to provider and don’t walk

Question 21

What can the ultrasound help locate?

Answer 21

Location of placenta