NSG 3332 Maternal- Infacnt nursing care exam 2
What is Terbutaline used for in labor - Answer-Preterm labor: relaxes smooth muscles and supress
contractions
What can magnesium sulfate be used for in pregnancy/labor (2) - Answer-1. Preterm labor: suppress
contractions or space them out
2. Preeclampsia to try and prevent hypertension and seizures
Contraindication for Methergine? - Answer-hypertension
Contraindication for Hemabate? - Answer-asthma
Q: Mrs smith has baby you and you are the baby catcher and cut cord what are you looking to see in the
placenta? - Answer-AVA 2 arteries and 1 vein
Q: Pt comes in 40 weeks gest and is bleeding do you do a sterile vag exam? - Answer-no bc it could be
abruption or previa
Q: If you have a pt who is delivering a baby and is having lots of bleeding what is happening? What do
you do (physical and drugs)? - Answer-1. Possible hemorrhage
2. Massage fundus
drugs: Pitocin and Cytotec, TXA, methergine, hemabate to stop hemorrhaging
,Q: A pt is bleeding out, what is your (nurse) first priority? - Answer-1st priority is start a line of iv...there
needs to be 2 and it needs to be a large bore IV an 18 gauge
Q: How do you know the pt is in true labor? - Answer-There are contractions with Cervix change (can be
effacement or dilation)
This occurs during pregnancy due to inadequacy in maternal iron stores and consuming insufficient
amounts of dietary iron - Answer-Iron deficiency anemia
These are ____________ ___________ for Iron deficiency anemia
1.less than two years between pregnancies
2. heavy menses
3. diet low in iron
4. unhealthy weight loss programs - Answer-risk factors
3 lab tests used to identify Iron deficiency anemia - Answer-1. Hgb Less than 11 mg/dL in the first and
third trimester
2. Hct less than 33.0%
3. blood ferritin less than 12 mcg/L in presence of low HgB
1. fatigue and weakness
2. craving unusual foods (pica) are _____________ ______________ in Iron deficiency anemia - Answer-
expected findings
The recommended iron intake for pregnant clients is ___ (a)mg/day; if pt has iron deficiency anemia
increased dosages up to ____ - ____ (b) mg/day - Answer-(a)27
(b)60 to 120
,Pt experience Iron deficiency anemia need to take _____________ ______________ ______________
___________ on an empty stomach and with orange juice to increase absorption (treatment) - Answer-
Ferrous sulfate iron supplements
a pt with ___________ ______________ _____________ need to · adhere to a diet rich in vitamin C
containing foods to increase absorption AND increase roughage and fluid intake in diet to assist with
discomforts of Constipation - Answer-iron deficiency anemia
The ideal blood glucose level during pregnancy should range between _____ and _____ (a) mg/dL
before meals or fasting; and less than or equal to ____ (b) mg/dL two hours after meals - Answer-60 and
99 (a)
120 (b)
T/F
Findings of gestational diabetes mellituscan disappear a few weeks following delivery - Answer-True
T/F
approximately 75% of clients who had gestational diabetes mellitus will develop type 2 diabetes mellitus
later in life - Answer-False; 50% will develop DM2 later in life
risk factors for the neonate when mother has ___________ _____________ _______________
1. Infections (urinary and vaginal)
2. Hydramnios (a condition where there is too much amniotic fluid around the fetus)
3. Ketoacidosis
4. Hypoglycemia (can be caused by overdosing an insulin, skipped or late meals, increased exercise)
, 5. Hyperglycemia(which can cause excessive fetal growth AKA macrosomia) - Answer-gestational
diabetes mellitus
Q: What do you do about a cord prolapse within the vagina and outside of the vagina? (2) - Answer-1.
Cord prolapse in the vagina 1st relieve pressure by lifting the present part off of the cord, 2nd call for
help!
2. Cord prolapse outside the vagina 1st wet sterile gauze on prolapse and lift present part off of the cord
2nd call for help!
Q: What can cause a placental abruption? (3) - Answer-cocaine use, trauma, hypertension and requires
c-section immediately
Definition of episiotomy: (cut from?) - Answer-Cut on the perineum cut from tooter to your rooter
When Induction medications are used the baby is on...? - Answer-continuous monitoring
What are 2 things necessary to get baby out via IUPC and FSE? - Answer-the pt must have: 1. ROM
(amniotic sac ruptured)
2. No HIV
Define 1. oligohydramnios and 2. polyhydramnios - Answer-1. Olio: little amnio fluid - look a baby
kidneys for function
2. poly: too much amnio fluid - also look at baby kidneys
Mrs smith getting report on her from other nurse and states she is 5-90- -1... what do these numbers
stand for? - Answer-5 = 5 cm dilated
90= 90% effaced
-1= -1 station
What is Terbutaline used for in labor - Answer-Preterm labor: relaxes smooth muscles and supress
contractions
What can magnesium sulfate be used for in pregnancy/labor (2) - Answer-1. Preterm labor: suppress
contractions or space them out
2. Preeclampsia to try and prevent hypertension and seizures
Contraindication for Methergine? - Answer-hypertension
Contraindication for Hemabate? - Answer-asthma
Q: Mrs smith has baby you and you are the baby catcher and cut cord what are you looking to see in the
placenta? - Answer-AVA 2 arteries and 1 vein
Q: Pt comes in 40 weeks gest and is bleeding do you do a sterile vag exam? - Answer-no bc it could be
abruption or previa
Q: If you have a pt who is delivering a baby and is having lots of bleeding what is happening? What do
you do (physical and drugs)? - Answer-1. Possible hemorrhage
2. Massage fundus
drugs: Pitocin and Cytotec, TXA, methergine, hemabate to stop hemorrhaging
,Q: A pt is bleeding out, what is your (nurse) first priority? - Answer-1st priority is start a line of iv...there
needs to be 2 and it needs to be a large bore IV an 18 gauge
Q: How do you know the pt is in true labor? - Answer-There are contractions with Cervix change (can be
effacement or dilation)
This occurs during pregnancy due to inadequacy in maternal iron stores and consuming insufficient
amounts of dietary iron - Answer-Iron deficiency anemia
These are ____________ ___________ for Iron deficiency anemia
1.less than two years between pregnancies
2. heavy menses
3. diet low in iron
4. unhealthy weight loss programs - Answer-risk factors
3 lab tests used to identify Iron deficiency anemia - Answer-1. Hgb Less than 11 mg/dL in the first and
third trimester
2. Hct less than 33.0%
3. blood ferritin less than 12 mcg/L in presence of low HgB
1. fatigue and weakness
2. craving unusual foods (pica) are _____________ ______________ in Iron deficiency anemia - Answer-
expected findings
The recommended iron intake for pregnant clients is ___ (a)mg/day; if pt has iron deficiency anemia
increased dosages up to ____ - ____ (b) mg/day - Answer-(a)27
(b)60 to 120
,Pt experience Iron deficiency anemia need to take _____________ ______________ ______________
___________ on an empty stomach and with orange juice to increase absorption (treatment) - Answer-
Ferrous sulfate iron supplements
a pt with ___________ ______________ _____________ need to · adhere to a diet rich in vitamin C
containing foods to increase absorption AND increase roughage and fluid intake in diet to assist with
discomforts of Constipation - Answer-iron deficiency anemia
The ideal blood glucose level during pregnancy should range between _____ and _____ (a) mg/dL
before meals or fasting; and less than or equal to ____ (b) mg/dL two hours after meals - Answer-60 and
99 (a)
120 (b)
T/F
Findings of gestational diabetes mellituscan disappear a few weeks following delivery - Answer-True
T/F
approximately 75% of clients who had gestational diabetes mellitus will develop type 2 diabetes mellitus
later in life - Answer-False; 50% will develop DM2 later in life
risk factors for the neonate when mother has ___________ _____________ _______________
1. Infections (urinary and vaginal)
2. Hydramnios (a condition where there is too much amniotic fluid around the fetus)
3. Ketoacidosis
4. Hypoglycemia (can be caused by overdosing an insulin, skipped or late meals, increased exercise)
, 5. Hyperglycemia(which can cause excessive fetal growth AKA macrosomia) - Answer-gestational
diabetes mellitus
Q: What do you do about a cord prolapse within the vagina and outside of the vagina? (2) - Answer-1.
Cord prolapse in the vagina 1st relieve pressure by lifting the present part off of the cord, 2nd call for
help!
2. Cord prolapse outside the vagina 1st wet sterile gauze on prolapse and lift present part off of the cord
2nd call for help!
Q: What can cause a placental abruption? (3) - Answer-cocaine use, trauma, hypertension and requires
c-section immediately
Definition of episiotomy: (cut from?) - Answer-Cut on the perineum cut from tooter to your rooter
When Induction medications are used the baby is on...? - Answer-continuous monitoring
What are 2 things necessary to get baby out via IUPC and FSE? - Answer-the pt must have: 1. ROM
(amniotic sac ruptured)
2. No HIV
Define 1. oligohydramnios and 2. polyhydramnios - Answer-1. Olio: little amnio fluid - look a baby
kidneys for function
2. poly: too much amnio fluid - also look at baby kidneys
Mrs smith getting report on her from other nurse and states she is 5-90- -1... what do these numbers
stand for? - Answer-5 = 5 cm dilated
90= 90% effaced
-1= -1 station
