a pt is admitted to the labor unit with possible preterm labor. nitrazine paper is use to detect amniotic
fluid. the result is positive with a reading of - Answers 7.1
clinical signs of hemorrhage such as BP 90/70; pulse 118, and tachypnea can be seen when the blood
loss reaches - Answers 1500 ml
an appropriante action in response to a non-reactive NST is to - Answers consider acoustic stimulation
while the exact mechanism of action is not fully known, mag sulfate inhibits smooth muscle contractions
by direct effect on myometrial - Answers calcium activity
which of the following decelerations must drop at least 15 bpm from baseline (early, late, prolonged) -
Answers prolonged
according to the NICHD guidelines recurrent decelerations are defined as decelerations that occur with -
Answers greater or equal to 50% UCs in any 20 minute window
the risk of water intoxication is decreased during induction of labor if oxytocin is given in a/an - Answers
isotonic solution
a fetal heart tracing shows a baseline FHR of 145, moderate variability, early decelerations and no
accelerations and no decelerations. This is a NICHD category - Answers I (110-160) moderate variability,
no variables, no late decals or prolonged decals
pain experience in the first stage of labor results primarily from - Answers pressure on adjacent
structures and nerves
what are characteristics of a dizygotic pregnancy? - Answers 2 placentas, 2 chorions and 2 amniotic sacs
validity as applied to a research instrument demonstrates - Answers degree to which the instrument
measures what is was intended to measure
A pregnant women developed varicella-zoster at 32 weeks gestation. she is now in active labor at 40
weeks gestation. the nurse would expect which of the following to be appropriate? - Answers take no
action since the mother's antibodies will be protective
US for antepartum testing uses high frequency sound waves to produce an image that varies based on
the - Answers density of the structure under the transducer
a pregnancy woman that has a history of herpes simplex virus (HSV). she hasn't had an outbreak for 5
years. the recommendation for this pregnancy is to - Answers start antiviral at 36 weeks
The goal of neuraxial analgesia is to provide pain relief - Answers with as little motor block as possible
the STI that is transmitted trans-placentally is - Answers syphilis
, UTI is a concern in the first couple of weeks PP bc of - Answers dilated ureters and renal pelves
The mechanism of action of sterile water injections for labor pain is thought to be due to - Answers gate
control theory
A normal breathing pattern for two hour old neonate may include - Answers episodic breathing
A woman at 37 weeks gestation called and reports contractions that occur every 15-25 minutes with
cramping in the lower abdomen all afternoon. walking helps give her some relief, but the ctxs return.
The nurse/NP knows that these symptoms represent - Answers false labor
Treating the preterm labor patient with bed rest increases - Answers glucose intolerance
The fetal attitude in the mother's pelvis describes the relation of the - Answers fetal parts to each other
The American academy of pediatrics recommends 400 IU vitamin D supplement for all breastfed infants
at what age? - Answers first few days
in a normal pregnancy, there is usually a physiologic drop in BP to its lowest point in the - Answers
second trimester
a clinical sign for placental abruption is - Answers pain with ctxs not congruent with ctx intensity
spinal HAs can occur as a consequences of epidural anesthesia due to - Answers unintended dural
puncture
A placental condition where the fetal vessels course through the amniotic membranes and are present
at the cervical os is - Answers vasa previa
A category I tracing is a strong indication of - Answers normal acid base balance
A FHR tracing with absent variability, no accelerations and no decelerations is a NICHD category -
Answers II
Rh immune globulin in an unsensitized Rh-negative woman who is undergoing amniocentesis for genetic
testing should be given Rhogam when? - Answers after the procedure
The tocolytic that places a woman at risk to develop diabetic ketoacidosis is - Answers terbutaline
At the end of the 3rd stage of labor, the funds is located - Answers 2cms below the level of the umbilicus
when determining which drug to prescribe for optimal pain relief, the decision must be dependent on
which of the following drug characteristics - Answers efficacy
during a gestational age assessment, the square window is at 90 degrees. this indicates that the
newborn is - Answers preterm
when an IUFD of one twin occurs, it is most common during which trimester - Answers 1st