NURS 306 EXAM STUDY GUIDE
1. When is external cephalic version offered to women?
Answer 37-38 weeks gestation
2. external cephalic version
Answer ultrasound-guided hands-on procedure to externally manipulate the fetus into
cephalic lie
3. What are the risks associated with external cephalic version?
Answer placental abruption, umbilical cord compression, and emergent cesarean birth
4. contraindications for external cephalic version
Answer -uterine anomalies
-previous c-section
-cephalopelvic disproportion
-placenta previa
-multifetal gestation
-oligohydramnios
-3rd trimester bleeding
-uteroplacental insufficiency
-nuchal cord
5. What should take place before external cephalic version?
Answer -sign informed consent
-ultrasound
-Non-stress test
-Give Rhogam at 28 weeks if the mother is Rh-
-Administer IV fluid and tocolytics to relax the uterus to permit easier manipulation
, NURS 306 EXAM STUDY GUIDE
6. Nursing care after external cephalic version
Answer -monitor FHR tracings for bradycardia and variable deceleration during and for 1
hr after
-monitor vitals signs
-assess for hypotension that indicates vena cava compression
-monitor for pain
7. Laminara tents
Answer made from desiccated seaweed
8. synthetic dilators contain
Answer magnesium sulfate
9. When would a cervical ripening agent be discontinued?
Answer once the mother is 3cm dilated and 30% effaced
10. How many cm would a primipara be expected to dilate per hour?
Answer 1 cm
11. How many cm would a multipara be expected to dilate per hour?
Answer 1-1.5 cm
12. What is the minimum frequency for cervical exams?
Answer every 4 hours
13 A bishop score of less than _____ for a primipara is an indication for cervical
Ripening
Answer 10
14. A bishop score of ____ or more for a primipara is an indication for oxytocin
, NURS 306 EXAM STUDY GUIDE
Answer 10
15. A bishop score of less than _____ for a multipara is an indication for cervical ripening
Answer 8
16. A bishop score of ____ or more for a multipara is an indication for oxytocin
Answer 8
17. A bishop score of _____ at 39 weeks is an indication of successful induction of labor
Answer 8
18. Name 2 chemical cervical ripening agents
Answer misoprostol and dinoprostone
19. Nursing actions for cervical ripening
Answer -obtain informed consent
- obtain FHR and contraction patterns before and after
-assist the mother to void prior to the procedure
-document the number of dilators or sponges used
- maintain the mother in a side-lying position
-monitor for tachysystole and fetal distress
20. nursing actions of fetal distress occurs
Answer -administer oxygen at 10L/min
-reposition mother onto left side
-Increase rate of IV maintenance fluid
- notify the provider
1. When is external cephalic version offered to women?
Answer 37-38 weeks gestation
2. external cephalic version
Answer ultrasound-guided hands-on procedure to externally manipulate the fetus into
cephalic lie
3. What are the risks associated with external cephalic version?
Answer placental abruption, umbilical cord compression, and emergent cesarean birth
4. contraindications for external cephalic version
Answer -uterine anomalies
-previous c-section
-cephalopelvic disproportion
-placenta previa
-multifetal gestation
-oligohydramnios
-3rd trimester bleeding
-uteroplacental insufficiency
-nuchal cord
5. What should take place before external cephalic version?
Answer -sign informed consent
-ultrasound
-Non-stress test
-Give Rhogam at 28 weeks if the mother is Rh-
-Administer IV fluid and tocolytics to relax the uterus to permit easier manipulation
, NURS 306 EXAM STUDY GUIDE
6. Nursing care after external cephalic version
Answer -monitor FHR tracings for bradycardia and variable deceleration during and for 1
hr after
-monitor vitals signs
-assess for hypotension that indicates vena cava compression
-monitor for pain
7. Laminara tents
Answer made from desiccated seaweed
8. synthetic dilators contain
Answer magnesium sulfate
9. When would a cervical ripening agent be discontinued?
Answer once the mother is 3cm dilated and 30% effaced
10. How many cm would a primipara be expected to dilate per hour?
Answer 1 cm
11. How many cm would a multipara be expected to dilate per hour?
Answer 1-1.5 cm
12. What is the minimum frequency for cervical exams?
Answer every 4 hours
13 A bishop score of less than _____ for a primipara is an indication for cervical
Ripening
Answer 10
14. A bishop score of ____ or more for a primipara is an indication for oxytocin
, NURS 306 EXAM STUDY GUIDE
Answer 10
15. A bishop score of less than _____ for a multipara is an indication for cervical ripening
Answer 8
16. A bishop score of ____ or more for a multipara is an indication for oxytocin
Answer 8
17. A bishop score of _____ at 39 weeks is an indication of successful induction of labor
Answer 8
18. Name 2 chemical cervical ripening agents
Answer misoprostol and dinoprostone
19. Nursing actions for cervical ripening
Answer -obtain informed consent
- obtain FHR and contraction patterns before and after
-assist the mother to void prior to the procedure
-document the number of dilators or sponges used
- maintain the mother in a side-lying position
-monitor for tachysystole and fetal distress
20. nursing actions of fetal distress occurs
Answer -administer oxygen at 10L/min
-reposition mother onto left side
-Increase rate of IV maintenance fluid
- notify the provider
