Exam 2 Review OB
A client who is in her first trimester is anxious to have an ultrasound at each visit. The nurse explains that it is not necessary and schedules a second ultrasound to be performed when she is about:
18 to 20 weeks pregnant
tetralogy of flow
4 heart defects Pulmonary stenosis, VSD, Overriding aorta, right ventricle hypertrophy
if a mom going in to cardiac arrest while giving birth how many minutes do you have to get baby out
4 minutes
what bishop score do you want for a successful induction in a patient who is at least 35 weeks.
8 or more
A woman in active labor suddenly sits up, clutches her chest, screams with pain, and then collapses back on the bed. The RN notes she is unconscious and a bluish-gray color. Which interventions are considered the priority for the nurse to implement? Select all that apply.
Apply oxygen mask and start oxygen at 10 L/min. Begin CPR immediately.
The nurse has been monitoring a multipara client for several hours. The client cries out that the contractions are getting harder and that they cannot continue with the labor process. The nurse notes the client is very irritable, nauseated, annoyed, and does not want to be left alone. Based on the assessment which action should the nurse take next?
Assess the client's cervix.
In which situation is the nurse correct to document a reactive nonstress test? Select all that apply.
At least 2 accelerations of the fetal heart rate Variability noted in the fetal monitor strip The mother noting fetal movement and/or fetal kicks
At which point along the birth canal must the fetal head extend for successful passage?
At the level of the symphysis pubis
Cephalohematoma
Blood collecting under the scalp
A primigravida has an office appointment at 39 weeks' gestation. Which assessment data is most definitive of the onset of labor?
Cervical ripening is noted on examination.
Hypotonic Uterine Dysfunction
Contractions become poor quality and lack sufficient intensity cause labor to progress. (Uterus not contracting effectively)
Medications for augmentation of labor/ induction of labor
Dinoprostone (Cervidil) Misoprostol (Cytotec) Oxytosin (Pitocin)
Molding
Elongating of the fetal skull at birth as a result of the cranial bones
Arrest of Descent
Fetal head not descending.
A pregnant client at 18 weeks' gestation has arrived for her routine prenatal visit. Which assessment findings should the nurse prepare to document at this time? Select all that apply.
Fundal height of approximately 18 cm, Quickening
Arrest in Dilation
No progress in cervical dilation in over 2 hours*
Maneuvers for shoulder dystocia
Suprapubic Pressure McRoberts Maneuver
A group of nursing students are preparing a presentation depicting the fetal circulation. The instructor determines the presentation is successful when the students correctly illustrate which route for the ductus arteriosus?
The pulmonary artery to the aorta
External Cephalic Version
Turning a breech baby around to be able to be birthed naturally
Hypertonic Uterine Dysfunction
Uterus never fully relaxes between contractions. Results in prolonged latent phase, can cause compromised perfusion, and can exhaust the Mom
A nurse is conducting an in-service program for a group of labor and birth unit nurses about cesarean birth. The group demonstrates understanding of the information when they identify which conditions as appropriate indications? Select all that apply.
active genital herpes infection placenta previa previous cesarean birth fetal distress
Second stage: pelvic phase
baby descending
what is a risk that can happen with tricuspid artesia
can cause O2 poor blood to pass through the foramen oavle and pass to LA
First stage latent phase
dilation 0-6 cm
First Stage: Active Phase
dilation 6-10
Pain management during labor
epidural, spinal, inhaled anesthesia, opioids, antiemetics
Caput Succedaneum
fluid can collect in the scalp. Edema of the scalp at the presenting part.
Fourth stage
maternal physiologic adjustment
Coarctation of Aorta
narrowing of the aorta
Placental expulsion
placenta coming out
placental separation
placenta detaching from uterine wall
Second stage; perineal phase
pushing
How long does it take for the placenta to come out
quickly but no more than 30 min.
4 cardinal signs of amniotic fluid embolism
respiratory failure altered mental status hypotension DIC
Dystocia
slow or abnormal progression of labor.
tricuspid Artesia
valve between RA and RV fails to develop no opening to allow flow of blood from RA to RV
The nurse is assessing a young couple who desire to start a family and are questioning the nurse concerning various cautions to keep in mind. Which time period should the nurse point out that teratogenics pose the greatest risk and should be avoided?
weeks 3 to 8
