CJE Maternity Review (Part 2) QUESTIONS WITH ANSWERS

CJE Maternity Review (Part 2) QUESTIONS WITH ANSWERS
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1.This is a test checks your baby for signs of stress during uterine
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contrac- tions, during the test, a mother is gives a hormone that makes
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the uterus contract. These contractions are similar to labor contractions
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but typically don't start labor.: contraction stress test(CST)
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2.True or false a contraction stress test is not a routine test for every patient-
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: true
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3.True or false a contraction stress test is an invasive test, requires
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Informed consent, and requires continual fetal monitoring: true
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4.During a contraction stress test what drug is required to elicit contractions-
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: oxytocin or nipple stimulation
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5.True or false with a contraction stress test this test is specifically looks
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for late decelerations that are occurring in response to contractions being
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elicited with Oxytocin: true
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6.True or false the contraction stress test (CST) records the response of
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the FHR to stress induced by uterine contractions.: true
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7.True or false with the contraction stress test (CST) will insure that the client
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,has contractions, inorder to see if there are late decelerations occur: true
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8.True or false with the contraction stress test (CST) the goal is to see
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if mother can withstand the process of labor: true
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9.True or false with the contraction stress test (CST) if there is an late
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decelerations are occurring the mother and the fetus may not be able to
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tolerate the labor process, as this means there is evidence of uteroplacental
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\| insufficiency: true \|




10.Select all that apply what are contraindications for a contraction
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stress test \|




A. Abnormal fetal position(malposition) \| \|




B. Breech, transverse, posterior \| \|




C. Fetal prematurity(preterm)37 weeks or less
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D. Fetal head not engaged (not at zero station)
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E. Cephalopelvic disproportion \|




F. Fetus head to large to fit through the maternal pelvis: all are correct
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11.Select all that apply what are contraindications for a contraction
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stress test \|




A. Multigestation

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,B. Any obstetrical emergency situation
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C. Placenta previa/abruption, vasaprevia
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D. Previous surgery to the uterus or cervix(including 2 or more C/S)
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, E. History of uterine surgery or Fibroids \| \| \| \| \|




F. Classic uterine vertical incision \| \| \|




G. Active genital herpes infection: all are correct
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12.How is an contraction stress test interoperated: negative or postive
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13.A negative contraction stress test is interoperated as: (normal) passed
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no late decelerations occurred
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14.A positive contraction stress test is interoperated as: positive
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(abnormal) failed late decelerations occurred \| \| \| \|




15.What intervention is required for negative contraction stress test:
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docu- ment the findings as normal, observe for 30 minutes after to
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ensure that contractions have stopped
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16.Select all that apply what intervention is required positive
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contraction stress test \| \|




A. Lay client in a side-lying position
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B. Increase the IV infusion(not thenoxytocin, of course) \| \| \| \| \| \|




C. Discontinue the oxytocin \| \|




D. Oxygen, via non-rebreather \| \|




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