NST

Question 1

What is the definition a reactive NST?

Answer 1

Two or more fetal heart accelerations of 15 bpm above baseline and last at least 15 seconds within a 20 minute time period

Question 2

What are the four types of pelvises?

Answer 2

gynecoid, android, anthropoid, platypelloid

Question 3

What are the stages of labor?

Answer 3

Latent or early phase, active phase, transition phase

Question 4

What is SROM and AROM?

Answer 4

SROM- spontaneous rupture of membranes, AROM-Artificial rupture of membranes

Question 5

What are Braxton Hicks contractions?

Answer 5

irregular, intermittent contractions that occur throughout pregnancy

Question 6

What is the amount of time that has elapsed if a placenta is considered a retained placenta?

Answer 6

30 minutes

Question 7

What is an IUPC?

Answer 7

Intrauterine pressure catheter-it is inserted directly into uterus and measures contraction intensity and uterine resting tone.

Question 8

What is a VBAC?

Answer 8

Vaginal Birth After Cesarean

Question 9

What is normal range for FHR?

Answer 9

110 - 160 bpm

Question 10

What does a late deceleration of fetal heart rate indicate?

Answer 10

uteroplacental insufficiency (fetal hypoxia)

Question 11

What does a variable deceleration of fetal heart rate indicate?

Answer 11

cord compression

Question 12

What are nursing measures to provide alternative comfort measures during labor?

Answer 12

frequent position changes, breathing and relaxation techniques, warm or cold packs, birthing balls, massage, hydrotherapy

Question 13

What are the 5 assessments of the APGAR?

Answer 13

Heart rate, color, reflex, muscle tone, respiratory effort

Question 14

What is “lightening”?

Answer 14

Lightening is when the fetus begins to drop and settle into the pelvic inlet (engagement). This movement eases breathing due to no longer pressing on the diaphragm.

Question 15

What is “False Labor”?

Answer 15

Contractions are irregular and do not change. Walking has no effect on or lessens contractions. No change in cervical dilation or effacement with contractions. Discomfort is usually only in the abdomen. Rest and warm tub baths lessen contractions.

Question 16

What is “True Labor”?

Answer 16

Contractions are at regular intervals and increase by getting closer together and increase in intensity and duration. Cervical dilation and effacement are progressing and changing with contractions. Contractions intensity usually increases with walking and do not decrease with warm tub bath or rest. Discomfort usually begins in back and radiates around to abdomen.

Question 17

What are some side effects of epidural anesthesia?

Answer 17

hypotension, nausea and vomiting, shaking or shivering (we call these the epidural shakes), itching, urinary retention, elevated maternal temperature

Question 18

What is the primary danger for a pregnant patient who has to have a cesarean section and has general anesthesia?

Answer 18

fetal depression

Question 19

What is a cerclage?

Answer 19

It is a surgical procedure where a stitch is placed in the cervix to prevent spontaneous abortion or premature birth, it is usually placed within the late first trimester or early second trimester.