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NCLEX - HURST REVIEW (Maternity) > Labor & Delivery > Flashcards

Labor & Delivery Flashcards

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1
Q

In True Labor are contractions regular or irregular ?

A

Regular

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2
Q

In True Labor, due contractions increase or decrease in frequency and duration ?

A

Increase

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3
Q

In True Labor, where does Discomfort in the back radiate too ?

A

Radiates to the abdomen

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4
Q

In True Labor, what happens to the pain level with a change in activity ?

A

It increases

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5
Q

In False Labor, what are the contractions like ?

A

Irregular

Braxton Hicks - which usually go away if movement by mom, etc

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6
Q

In False Labor, where is the discomfort ?

A

The abdomen (just in front)

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7
Q

In False Labor, what happens to the pain with a change in activity ?

A

The pain decreases

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8
Q

With Premature labor or preterm labor, contractions occur when ?

A

Occur with dilation, between 20 and 37 weeks

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9
Q

What is the goal with Premature labor or preterm labor ?

A

Goal = Stop the labor

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10
Q

What things will often stop preterm labor ?

A
  • Treating any existing vaginal or UTI’s

- Hydrating the mom

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11
Q

A client in Premature Labor or Preterm labor will be on what ?

A

Bedrest

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12
Q

What are medications that may be prescribed in premature labor or preterm labor ?

A
  • Magnesium Sulfate (IV) - relaxes the uterus
  • Betamethasone (IM) - a steroid that helps the fetal lungs mature
  • Terbutaline (SQ)
  • Indomethacin (PO)
  • Nifedipine (PO)
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13
Q

How should you position a client receiving Epidural Anesthesia ?

A

Lying on the left side, legs flexed, & proper over the bedside table

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14
Q

When is Epidural Anesthesia given ?

A

In Stage 1, 3 to 4cm dilation

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15
Q

Does a headache usually accompany Epidural Anesthesia ?

A

No

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16
Q

What is a Major complication of Epidural Anesthesia ?

A

Hypotension

monitor BP closely

17
Q

Because Hypotension is usually a complication with Epidural Anesthesia, what is given ?

A

IVF’s

Bolus with 1000mL of NS or LR

18
Q

Vena Cava compression will do what to venous return ?

A

Decrease it

19
Q

If venous return is decreased d/t vena cava compression, what will the result be ?

A

It will reduce CO and BP & if BP is decreased then placental perfusion also decreases

20
Q

What should a client who received Epidural Anesthesia do ?

A

Alternate position from side to side Hourly (in semi-fowlers)

21
Q

What should you not forget to check in a patient who received an Epidural Anesthesia ?

A

Don’t forget to check their Urine output and assess the bladder

22
Q

What do clients receiving Oxytocin need, in regards to care ?

A

Need one-on-one care (Don’t leave the client!)

23
Q

What complications should you be alert for in a client reviewing Oxytocin ?

A
  • Hypertonic Labor
  • Fetal distress
  • Uterine rupture
24
Q

Why is a Uterine rupture a possible complication in a client receiving Oxytocin ?

A

The uterus may rupture due to rupture of the scar from a previous C-section

25
Q

What type of Moms are at risk for Uterine rupture ?

A

Vaginal Birth After C-Section moms

26
Q

In a Client receiving Oxytocin, you want a contraction rate of what ?

A

A contraction rate of 1 every 2 to 3 minutes with each lasting 60 seconds

27
Q

When should Oxytocin be discontinued ?

A
  • When the contractions are too often,
  • The contractions last too long
    OR
  • With any sign of fetal distress
28
Q

How is Oxytocin hung ?

A

Oxytocin is piggy backed into a main IV

so when you discontinue the oxytocin, make sure you do not turn off your main IV fluid

29
Q

What position should the client receiving oxytocin be placed ?

A

Any position Except Flat on their back

30
Q

How will you position the client receiving Oxytocin if the client has any unreassuring fetal heart tones (ex: fetal bradycardia) ?

A

Put the client on her LEFT SIDE to enhance uterine perfusion

31
Q

What should be done with the Oxytocin infusion if late decelerations occur ?

A

Turn it off

32
Q

Where is IV oxytocin given ?

A

At the lowest IV port, incase it needs to be turned off quickly, the patient will get less of it

33
Q

Oxytocin is a what ?

A

High alert medication

34
Q

When giving Oxytocing to a client, what things should you label ?

A

Always label both the IV bag with an oxytocin sticker and the IV tubing and ports

35
Q

How should you administer Oxytocin ?

A

Only administer oxytocin with its own bag and close all clamps before you remove the tubing from the pump

36
Q

How should you discontinue Oxytocin when you’re done with it ?

A

Remove the IV bag and all the tubing from the room

NCLEX - HURST REVIEW (Maternity) (10 decks)

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