SAFE MATERNITY & PEDIATRIC NURSING CARE
BY LUANNE LINNARD-PALMER EXAM SCRIPT
2026 TEST PAPER QUESTIONS AND
SOLUTIONS GRADED A+
◉ Preterm labor risk factors/causes: Answer: Late/no prenatal care
Previous preterm births
Mother younger than 17 or older than 35
Domestic violence
Placenta abruption
Overdistention of uterus
Incompetent cervix
Infections (UTI's, BV, or trichomonas-parasites resulting from
vaginitis)
TORCH INFECTIONS
Hormonal changes/stress
Inadequate perfusion of placenta (hypertension, diabetes, smoking,
drugs, alcohol)
Short cervix (less than 25mm during 2nd trimester)
◉ Preterm labor medical interventions Answer: Verify age of
fetus/last menstrual cycle
,Obtain ultrasound
True diagnosis occurs when testing for fFN occurs. (A protein that
prevents amniotic sac from sticking to fetus). Detected before 22
weeks and after 37 weeks.
Progesterone supplements
Treatment of infections (group b, UTI)
IV hydration
Bedrest
Tocolytic drugs (short period of time. Do not use before 24 weeks or
after 34 weeks)
Corticosteroids (increase lung maturity)
◉ Preterm labor nursing care Answer: Assess pt for infection or
ruptured membranes
Assess effacement and dilation
Assess fetal heart rate and contractions
Obtain fFN test
Hydration, prescribed antibiotics, tocolytics if ordered
VS every 15 minutes
Notify HCP is sys. BP is >140 or <90 // dias. BP is >90 or <50
Notify HCP if urine output is <30mL per hour
◉ Tocolytic drug contraindications Answer: Preeclampsia
, Placental abruption
Intrauterine infection
Fatal fetal chromosomal abnormalities
Advanced cervical dilation
Placental insufficiency
Fetal distress
◉ Antidote to magnesium sulfate toxicity Answer: 1gram calcium
gluconate IV slow push
◉ Bethamethasone/Dexamethasone Answer: Corticosteroids that
increase the production of surfactant to accelerate fetal lung
maturity and reduce respiratory distress. Given to client in preterm
labor between 28 & 32 weeks who can inhibit labor for 48 hours.
Normal dose: 12mg IM Q24 2 doses.
◉ Premature Rupture of Membranes (PROM) Answer: spontaneous
rupture of the amniotic sac and leakage of amniotic fluid beginning
before the onset of labor at any gestational age
◉ Preterm Premature Rupture of Membranes (PPROM) Answer:
rupture of membranes before 37 weeks
◉ PROM symptoms Answer: fluid leaking from vagina
BY LUANNE LINNARD-PALMER EXAM SCRIPT
2026 TEST PAPER QUESTIONS AND
SOLUTIONS GRADED A+
◉ Preterm labor risk factors/causes: Answer: Late/no prenatal care
Previous preterm births
Mother younger than 17 or older than 35
Domestic violence
Placenta abruption
Overdistention of uterus
Incompetent cervix
Infections (UTI's, BV, or trichomonas-parasites resulting from
vaginitis)
TORCH INFECTIONS
Hormonal changes/stress
Inadequate perfusion of placenta (hypertension, diabetes, smoking,
drugs, alcohol)
Short cervix (less than 25mm during 2nd trimester)
◉ Preterm labor medical interventions Answer: Verify age of
fetus/last menstrual cycle
,Obtain ultrasound
True diagnosis occurs when testing for fFN occurs. (A protein that
prevents amniotic sac from sticking to fetus). Detected before 22
weeks and after 37 weeks.
Progesterone supplements
Treatment of infections (group b, UTI)
IV hydration
Bedrest
Tocolytic drugs (short period of time. Do not use before 24 weeks or
after 34 weeks)
Corticosteroids (increase lung maturity)
◉ Preterm labor nursing care Answer: Assess pt for infection or
ruptured membranes
Assess effacement and dilation
Assess fetal heart rate and contractions
Obtain fFN test
Hydration, prescribed antibiotics, tocolytics if ordered
VS every 15 minutes
Notify HCP is sys. BP is >140 or <90 // dias. BP is >90 or <50
Notify HCP if urine output is <30mL per hour
◉ Tocolytic drug contraindications Answer: Preeclampsia
, Placental abruption
Intrauterine infection
Fatal fetal chromosomal abnormalities
Advanced cervical dilation
Placental insufficiency
Fetal distress
◉ Antidote to magnesium sulfate toxicity Answer: 1gram calcium
gluconate IV slow push
◉ Bethamethasone/Dexamethasone Answer: Corticosteroids that
increase the production of surfactant to accelerate fetal lung
maturity and reduce respiratory distress. Given to client in preterm
labor between 28 & 32 weeks who can inhibit labor for 48 hours.
Normal dose: 12mg IM Q24 2 doses.
◉ Premature Rupture of Membranes (PROM) Answer: spontaneous
rupture of the amniotic sac and leakage of amniotic fluid beginning
before the onset of labor at any gestational age
◉ Preterm Premature Rupture of Membranes (PPROM) Answer:
rupture of membranes before 37 weeks
◉ PROM symptoms Answer: fluid leaking from vagina
