CHILDBEARING 2026 CORE EXAM MANUAL QUESTIONS
AND ANSWERS GUARANTEE A+
✔✔magnesium sulfate route, dose, and maintenance dose? - ✔✔- IV
- 4-to-6-gram bolus over 20-30 min
- maintenance dose 2 gram/hr
✔✔antidote for Magnesium Sulfate - ✔✔Calcium Gluconate 5 to 10 meq IVP over 5 to
10 minutes
✔✔magnesium sulfate side effects - ✔✔- decreased to absent deep tendon reflexes
(less than 2)
- less than 13 to 14 breaths per minute
- less than 30 cc per hour
others include chest pain, respiratory arrest, cardiac aarrest, flushing, diaphoresis,
nausea, lethargy, and decreased variability in FHR
✔✔Type I diabetes - ✔✔- beta cells of pancreas do not produce insulin
- need Insulin Injections
✔✔Indomethacin - ✔✔- NSAID used as tocolytic
✔✔what does indomethacin do? - ✔✔- depresses prostaglandin formation
- suppresses preterm labor
✔✔when to stop indomethacin? - ✔✔- stop before 34 weeks gestation
✔✔indomethacin dose and route - ✔✔- 25-50 mg Q 6 hours
- po
✔✔what is nifedipine? - ✔✔- calcium channel blocker used as tocolytic
- stops contractions and inhibits smooth muscle contractions
✔✔what can nifedipine cause? - ✔✔- hypotension
- tachycardia
✔✔nifedipine dose and route - ✔✔- 10-20 mg Q 4-6 hours
- po
✔✔what does terbutaline do? - ✔✔- beta adrenergic effects to suppress uterine activity
(used as tocolytic)
✔✔what can terbutaline cause? - ✔✔- tachycardia
,- pulmonary edema
- palpitations
✔✔terbutaline dose and route - ✔✔- 0.25 mg Q 3-4 hours
- sub Q or IV
✔✔Preterm Labor PTL medical management steroid - ✔✔- betamethasone (Celestone)
✔✔when do you administer betamethasone (Celestone)? - ✔✔- administer ASAP and
repeat in 24 hours
✔✔why is betamethasone (Celestone) given? - ✔✔- given to mother to stimulate the
production of surfactant in fetal lungs to prevent respiratory distress syndrome in the
premature newborn
✔✔betamethasone (Celestone) dose and route? - ✔✔- 12 mg Q 24 hours
- IM
- may repeat weekly prn
✔✔what lab values may increase using betamethasone (Celestone)? - ✔✔- blood sugar
- WBC
✔✔other management of preterm labor (PTL) - ✔✔- treat unknown Group B strep
- bedrest/restricted activity (activity helps stimulate contractions)
- Treat UTI and dehydration
- progesterone
- neuroprotection with Magnesium Sulfate
✔✔interventions for women with PTL - ✔✔- Recognize risk factors
- Determine accurate gestational age
- Apply EFM and toco to evaluate contraction
- Vaginal exam
- collect cultures
- Fetal Fibronectin, r/o ROM
- Correct dehydration with IV fluids
- Administer tocolytics and Celestone (per order)
- Assess vital signs, lung sounds, and I and O
- Patient education and involve patient in Plan of Care and Discharge Planning
✔✔preterm labor (PTL) risks to mother and fetus? - ✔✔- infection if water broke
- respiratory distress syndrome
✔✔contraindications to treating preterm labor (PTL)? - ✔✔- Active bleeding
- Worsening or severe maternal chronic disease
- Severe Pre-eclampsia or Eclampsia
, - Fetal compromise /uteroplacental insufficiency
- Chorioamnionitis/Uterine Infection
- Fetal death
- Pre-viable gestation (< 20 wks) and PPROM
- Birth defect incompatible with life
✔✔prevention of preterm labor - ✔✔- Healthy BMI
- Avoid Substance Abuse
- Early Prenatal Care
- Pre conception care
- Infection Control
- Stress reduction
- Inter-pregnancy interval 18 mos
✔✔Preterm Premature Rupture of Membranes (PPROM) causes - ✔✔- bacterial
infections (chorioamnionitis)
- other causes are usually unknown
✔✔Preterm Premature Rupture of Membranes (PPROM) risk factors - ✔✔- Previous
PPROM
- Vaginal bleeding
- Polyhydramnios
- Multiple gestation
- STI
- Smoking
- Low BMI
✔✔Preterm Premature Rupture of Membranes (PPROM) diagnosis - ✔✔- Sterile
speculum exam
- Fern test
- Nitrazine
- Ultrasound to check amniotic fluid index
✔✔Preterm Premature Rupture of Membranes (PPROM) medical management - ✔✔-
Prolong gestation
- If there is non reassuring fetal status, chorioamnionitis, and significant severe abruptio
placenta are indications for delivery
- Induction or c section
- Corticosteroids (Betamethasone)
- Group beta strep screening and prophylaxis
- Treat intraamniotic infection
- antibiotics
✔✔Preterm Premature Rupture of Membranes (PPROM) nursing interventions - ✔✔-
Assess FHR and UCs
- Assess for signs of infection
AND ANSWERS GUARANTEE A+
✔✔magnesium sulfate route, dose, and maintenance dose? - ✔✔- IV
- 4-to-6-gram bolus over 20-30 min
- maintenance dose 2 gram/hr
✔✔antidote for Magnesium Sulfate - ✔✔Calcium Gluconate 5 to 10 meq IVP over 5 to
10 minutes
✔✔magnesium sulfate side effects - ✔✔- decreased to absent deep tendon reflexes
(less than 2)
- less than 13 to 14 breaths per minute
- less than 30 cc per hour
others include chest pain, respiratory arrest, cardiac aarrest, flushing, diaphoresis,
nausea, lethargy, and decreased variability in FHR
✔✔Type I diabetes - ✔✔- beta cells of pancreas do not produce insulin
- need Insulin Injections
✔✔Indomethacin - ✔✔- NSAID used as tocolytic
✔✔what does indomethacin do? - ✔✔- depresses prostaglandin formation
- suppresses preterm labor
✔✔when to stop indomethacin? - ✔✔- stop before 34 weeks gestation
✔✔indomethacin dose and route - ✔✔- 25-50 mg Q 6 hours
- po
✔✔what is nifedipine? - ✔✔- calcium channel blocker used as tocolytic
- stops contractions and inhibits smooth muscle contractions
✔✔what can nifedipine cause? - ✔✔- hypotension
- tachycardia
✔✔nifedipine dose and route - ✔✔- 10-20 mg Q 4-6 hours
- po
✔✔what does terbutaline do? - ✔✔- beta adrenergic effects to suppress uterine activity
(used as tocolytic)
✔✔what can terbutaline cause? - ✔✔- tachycardia
,- pulmonary edema
- palpitations
✔✔terbutaline dose and route - ✔✔- 0.25 mg Q 3-4 hours
- sub Q or IV
✔✔Preterm Labor PTL medical management steroid - ✔✔- betamethasone (Celestone)
✔✔when do you administer betamethasone (Celestone)? - ✔✔- administer ASAP and
repeat in 24 hours
✔✔why is betamethasone (Celestone) given? - ✔✔- given to mother to stimulate the
production of surfactant in fetal lungs to prevent respiratory distress syndrome in the
premature newborn
✔✔betamethasone (Celestone) dose and route? - ✔✔- 12 mg Q 24 hours
- IM
- may repeat weekly prn
✔✔what lab values may increase using betamethasone (Celestone)? - ✔✔- blood sugar
- WBC
✔✔other management of preterm labor (PTL) - ✔✔- treat unknown Group B strep
- bedrest/restricted activity (activity helps stimulate contractions)
- Treat UTI and dehydration
- progesterone
- neuroprotection with Magnesium Sulfate
✔✔interventions for women with PTL - ✔✔- Recognize risk factors
- Determine accurate gestational age
- Apply EFM and toco to evaluate contraction
- Vaginal exam
- collect cultures
- Fetal Fibronectin, r/o ROM
- Correct dehydration with IV fluids
- Administer tocolytics and Celestone (per order)
- Assess vital signs, lung sounds, and I and O
- Patient education and involve patient in Plan of Care and Discharge Planning
✔✔preterm labor (PTL) risks to mother and fetus? - ✔✔- infection if water broke
- respiratory distress syndrome
✔✔contraindications to treating preterm labor (PTL)? - ✔✔- Active bleeding
- Worsening or severe maternal chronic disease
- Severe Pre-eclampsia or Eclampsia
, - Fetal compromise /uteroplacental insufficiency
- Chorioamnionitis/Uterine Infection
- Fetal death
- Pre-viable gestation (< 20 wks) and PPROM
- Birth defect incompatible with life
✔✔prevention of preterm labor - ✔✔- Healthy BMI
- Avoid Substance Abuse
- Early Prenatal Care
- Pre conception care
- Infection Control
- Stress reduction
- Inter-pregnancy interval 18 mos
✔✔Preterm Premature Rupture of Membranes (PPROM) causes - ✔✔- bacterial
infections (chorioamnionitis)
- other causes are usually unknown
✔✔Preterm Premature Rupture of Membranes (PPROM) risk factors - ✔✔- Previous
PPROM
- Vaginal bleeding
- Polyhydramnios
- Multiple gestation
- STI
- Smoking
- Low BMI
✔✔Preterm Premature Rupture of Membranes (PPROM) diagnosis - ✔✔- Sterile
speculum exam
- Fern test
- Nitrazine
- Ultrasound to check amniotic fluid index
✔✔Preterm Premature Rupture of Membranes (PPROM) medical management - ✔✔-
Prolong gestation
- If there is non reassuring fetal status, chorioamnionitis, and significant severe abruptio
placenta are indications for delivery
- Induction or c section
- Corticosteroids (Betamethasone)
- Group beta strep screening and prophylaxis
- Treat intraamniotic infection
- antibiotics
✔✔Preterm Premature Rupture of Membranes (PPROM) nursing interventions - ✔✔-
Assess FHR and UCs
- Assess for signs of infection
