©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
NURS 326 - Quiz 2 with Correct Answers
What is Preterm Labor? - Ans:✔✔-Onset (true labor) between 20-37 weeks gestation
Predisposing factors of Preterm Labor? - Ans:✔✔--diabetes, cardiac disease, preeclampsia, placenta
previa, ADOLESCENT PREGNANCY
-infections (especially UTI)
-Over distention of the uterus: multi-fetal pregnancy, Polyhydramnios (too much fluid in the uterus), LGA
baby
What are the psychosocial factors of Preterm labor? - Ans:✔✔--stressful work environment, more than 2
children under 5 years, financial stress, poor support system
-smoking more than 10 cigarettes per day
Neonates ____ g or ____ weeks have the best chance of survival? - Ans:✔✔-more than 2000 g; greater
than 32 weeks
Preterm Labor Facts? - Ans:✔✔--greater than 5 contractions per hour with cervical change
-PTL with or without rupture of membranes
Page 1/46
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
-group B strep status (GBS strip) important or if unknown, treat as positive
What is GBS? - Ans:✔✔-Group B Streptococcus
normal flora in a non pregnant female vagina, if it's present in pregnancy it can cause preterm labor, all
women are checked and treated if it's present
What is Preterm Birth? - Ans:✔✔-before the end of week 37
-increased in lower socio economic areas
-cocaine use increases risk
-75% of all neuro developmental problems (behavioral & social)
Preterm Birth are regular contractions... - Ans:✔✔-WITH CERVICAL CHANGE (TRUE LABOR)
-Fetal Fibronectin (negative good predictor of well being)
-shortening cervix
What are the 5 steps for care management for Preterm labor/birth? - Ans:✔✔-1. Prevention
-early recognition and diagnosis
2. Lifestyle modifications
-activity restrictions
Page 2/46
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
-restriction of sexual activity
3. Home uterine activity monitoring
4. In hospital
-IV hydration
-Tocolytics
-Steroids
5. Prepare for preterm infant
When are Tocolytics used? - Ans:✔✔-To stop contractions!
-the drug is used to stop labor contractions mainly to buy time to allow fetal lung maturity, stabilize
mom/fetus
-they relax the smooth muscles
What are the different Tocolytics? - Ans:✔✔--Magnesium Sulfate
-Terbutaline
-Indocin
Page 3/46
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
-Calcium channel blockers
What is Magnesium Sulfate used for, route of admin, and what are we monitoring? - Ans:✔✔-given on
the IV pump, suppresses the respiratory system -- Need Respiratory rate monitored!
What is Terbutaline used for, route of admin, and what are we monitoring? - Ans:✔✔-reduces premature
uterine contractions
-given SQ, it causes maternal tachycardia so we need to monitor HR!
-these are used in cases when hydration is not enough, they need patient to rest a little
What is Indocin used for, route of admin, and what are we monitoring/when do we stop using it? -
Ans:✔✔-given orally, contraindication can't be used after 32 weeks gestation because it constricts the
ductus on the infant
What is Calcium channel blockers used for and what are we monitoring? - Ans:✔✔-causes maternal
hypotension, can cause patients to feel lightheadedness
Promotion of Fetal Lung Maturity: Steroids... what is it good for, when is it given, and what are the
dangerous effects for mother? - Ans:✔✔--Good for the baby: speed fetal lung maturity
-Decreased incidence & severity of Respiratory Distress (RDS)
-Given if at gestational ages 24-34 weeks
Page 4/46
FIRST PUBLISH OCTOBER 2024
NURS 326 - Quiz 2 with Correct Answers
What is Preterm Labor? - Ans:✔✔-Onset (true labor) between 20-37 weeks gestation
Predisposing factors of Preterm Labor? - Ans:✔✔--diabetes, cardiac disease, preeclampsia, placenta
previa, ADOLESCENT PREGNANCY
-infections (especially UTI)
-Over distention of the uterus: multi-fetal pregnancy, Polyhydramnios (too much fluid in the uterus), LGA
baby
What are the psychosocial factors of Preterm labor? - Ans:✔✔--stressful work environment, more than 2
children under 5 years, financial stress, poor support system
-smoking more than 10 cigarettes per day
Neonates ____ g or ____ weeks have the best chance of survival? - Ans:✔✔-more than 2000 g; greater
than 32 weeks
Preterm Labor Facts? - Ans:✔✔--greater than 5 contractions per hour with cervical change
-PTL with or without rupture of membranes
Page 1/46
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
-group B strep status (GBS strip) important or if unknown, treat as positive
What is GBS? - Ans:✔✔-Group B Streptococcus
normal flora in a non pregnant female vagina, if it's present in pregnancy it can cause preterm labor, all
women are checked and treated if it's present
What is Preterm Birth? - Ans:✔✔-before the end of week 37
-increased in lower socio economic areas
-cocaine use increases risk
-75% of all neuro developmental problems (behavioral & social)
Preterm Birth are regular contractions... - Ans:✔✔-WITH CERVICAL CHANGE (TRUE LABOR)
-Fetal Fibronectin (negative good predictor of well being)
-shortening cervix
What are the 5 steps for care management for Preterm labor/birth? - Ans:✔✔-1. Prevention
-early recognition and diagnosis
2. Lifestyle modifications
-activity restrictions
Page 2/46
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
-restriction of sexual activity
3. Home uterine activity monitoring
4. In hospital
-IV hydration
-Tocolytics
-Steroids
5. Prepare for preterm infant
When are Tocolytics used? - Ans:✔✔-To stop contractions!
-the drug is used to stop labor contractions mainly to buy time to allow fetal lung maturity, stabilize
mom/fetus
-they relax the smooth muscles
What are the different Tocolytics? - Ans:✔✔--Magnesium Sulfate
-Terbutaline
-Indocin
Page 3/46
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
-Calcium channel blockers
What is Magnesium Sulfate used for, route of admin, and what are we monitoring? - Ans:✔✔-given on
the IV pump, suppresses the respiratory system -- Need Respiratory rate monitored!
What is Terbutaline used for, route of admin, and what are we monitoring? - Ans:✔✔-reduces premature
uterine contractions
-given SQ, it causes maternal tachycardia so we need to monitor HR!
-these are used in cases when hydration is not enough, they need patient to rest a little
What is Indocin used for, route of admin, and what are we monitoring/when do we stop using it? -
Ans:✔✔-given orally, contraindication can't be used after 32 weeks gestation because it constricts the
ductus on the infant
What is Calcium channel blockers used for and what are we monitoring? - Ans:✔✔-causes maternal
hypotension, can cause patients to feel lightheadedness
Promotion of Fetal Lung Maturity: Steroids... what is it good for, when is it given, and what are the
dangerous effects for mother? - Ans:✔✔--Good for the baby: speed fetal lung maturity
-Decreased incidence & severity of Respiratory Distress (RDS)
-Given if at gestational ages 24-34 weeks
Page 4/46
