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Maternity#3

aAnswer
1.Why is oxytocin administered after a vaginal delivery? To improve uterine contractions and prevent postpartum hemorrhage.
2.Which finding indicates oxytocin is effective after delivery? The uterine fundus is firm upon palpation .
3.What is the priority assessment after an amniotomy? Monitor the fetal heart rate (FHR).
4. Why must the nurse monitor fetal heart rate amniotomy To detect umbilical cord compression.
5. What intervention helps relieve pain and swelling from a fresh episiotomy? Apply ice packs to the perineum.
6. How many arteries and veins are in the umbilical cord? 2 arteries and one vein.
7.What assessments are important after a cesarean section? Monitor vital signs, bowel sounds, incision site, and bleeding.
8. What intervention helps prevent blood clots after a C section? Early ambulation.
9.What is an example of a therapeutic response to a client upset about not having a natural birth? " It sounds like you're feeling sad things didn't go as planned"
10. What is shoulder Dystocia? A complication where the baby's shoulders become stuck after the head is delivered.
11. What maneuver is used to manage shoulder dystocia? McRoberts maneuver (flexing the mother's legs to the abdomen).
12.What pressure may be applied during shoulder dystocia to help deliver the baby? Suprapubic pressure.
13.What neonatal complication can occur after shoulder dystocia? Brachial Plexus injury.
14. What maternal complication can occur after shoulder dystocia? Perineal trauma and rectal or vaginal lacerations.
15. How should the nurse respond when a preterm labor client expresses fear about the baby? Encourage expression of feelings ex: " You might be feeling scared ".
16. Which medication is contraindicated in pregnancy because it can induce abortions? Misoprostol.
17. Common adverse effect of misoprostol? Uterine hyperstimulation.
18. What medication is used to stop premature labor by relaxing the uterus? Terbutaline.
19. What is the purpose of a non-stress test (NST)? To evaluate fetal well-being by monitoring fetal heart rate response to movement.
20.What position should a client be placed in during a non-stress test? Semi Fowlers or Lateral position.
21.Why should the patient NOT lie flat during a non-stress test? To prevent supine hypotension and improve uteroplacental perfusion.
22.What does a biophysical profile assess? Fetal movement, tone, breathing, amniotic fluid, and fetal heart rate reactivity.
23.What does a biophysical profile score of 10 indicate? Normal fetal well-being.
24. What type of anesthesia is an epidural? Regional Anesthesia?
25. Why is epidural anesthesia usually given after labor is established? Because early administration can prolong labor.
26. What Indicates true labor? Cervical Dilation.
27. What is the normal fetal heart range? 110-160 beats per minute.
28. What causes variable decelerations in fetal heart rate? Umbilical cord compression.
29. What interventions should the nurse perform for variable decelerations ? Reposition client to left side, administer oxygen, increase IV fluids, and notify provider.
30. Why is vitamin K given to newborns ? To prevent hemorrhagic disease of the newborn.
31. Why is erythromycin eye ointment given to newborns? To prevent gonorrhea eye infection.
32. What position should the nurse place the pt if the umbilical cord prolapses? Knee-chest or Trendelenburg position.
33. What are examples of non-pharmacological pain management during labor? Breathing techniques, message, hypnosis, acupuncture, and TENS therapy.
34. What is the purpose of amnio fusion? To improve fetal heart rate patterns and reduce variable decelerations.
35.What is the main difference between Braxton Hicks contractions and true labor? Braxton hick's contractions are irregular and do not cause cervical dilation.
36. What procedure is used to fix spinal fluid leak after an epidural? Epidural blood patch.
37.How should a pregnant women breathe during contractions to increase oxygen for the baby? Deep, slow breathing.
38.What is nesting during pregnancy? A sudden urge of energy near term where the mother prepares for the baby.
39. Why are Corticosteroids given to pt's at risk for pre-term birth. To accelerate fetal lung maturity.
40. What is precipitous labor? Labor that is less than 3 hours.
41. What symptoms during pregnancy should prompt a client to go to the hospital? Severe abdominal pain, heavy bleeding, or decreased fetal movement.
42. How many fetal movements should a pregnant woman feel in 2 hours ? 10 movements.
43. When are Apgar scores performed? at 1 minute and 5 minutes and 10 minutes after birth.
44. When should clients begin learning non- pharmacological pain relief techniques for labor? During pregnancy, often starting in the second trimester.
45. What medication reverses opioid respiratory depression for in a newborn. Naloxone (narcan)
46. What route may be used to administer emergency medication to a newborn? Umbilical vein.
Created by: Cartoy890
 

 



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