Ob Ati Chapters 10, 11

Front 1

CHAPTER TEN

Back 1

(Ignore this card)

Front 2

Preterm labor is more likely in what age group?

Back 2

below 17 or over 35

Front 3

DM is a risk factor for Preterm labor

Back 3

(Please ignore this side of the card)

Front 4

HTN is a risk factor for preterm labor

Back 4

(Please ignore this side of the card)

Front 5

What medication is a risk factor for preterm labor?

Back 5

DES

Front 6

DES exposure is now known to cause increased incidents of what in women who were exposed in utero?

Back 6

vaginal clear cell carcinoma

Front 7

Describe the uterine contractions that occur with preterm labor

Back 7

regular, frequency of every 10 minutes or greater, lasting 1 hour or longer

Front 8

HUAM

Back 8

home uterine activity monitoring

Front 9

Is HUAM considered to be effective in preventing preterm labor?

Back 9

No

Front 10

What does dehydration stimulate?

Back 10

the pituitary gland to secrete an ADH and oxytocin

Front 11

What is terbutaline (Brethine)

Back 11

a beta-adrenergic agonist that relaxes uterine smooth muscle by stimulating beta-2 receptors in the smooth muscle fibers to inhibit uterine activity

Front 12

Tocolytic therapy should be d/c-ed STAT if what occurs?

Back 12

S/S of pulmonary edema, chest pain, SOB, respiratory distress, audible wheexing and crackles, productive cough containing blood-tinged sputum

Front 13

The client on terbutaline (Brethine) should have her fluid restricted to what and why?

Back 13

to 1,500-2,400 mL/24 hours to reduce the risk of pulmonary edema

Front 14

When should you withhold terbutaline (Brethine)

Back 14

maternal heart rate is 120-140/min OR if there is chest pain or cardiac arrhythmias

Front 15

List S/S of MgSO4 toxicity

Back 15

loss of DTR, urinary output less than 30 mL/hour, respiratory depression less than 12/minute, Pulmonary edema, and/or chest pain

Front 16

List the contraindications for tocolytic therapy

Back 16

active vaginal bleeding, dilation of the cervix greater than 6 cm, chorioamnionitis, greater than 34 weeks gestation, acute fetal distress, and severe PIH or eclampsia

Front 17

Describe Indomethacin (Indocin)

Back 17

an NSAID that suppresses preterm labor by blocking the production of prostaglandins, suppressing uterine contractions

Front 18

Indomethacin Tx should not exceed how long?

Back 18

48 hours

Front 19

Indomethacin should only be used if gestational age is what

Back 19

less than 32 weeks

Front 20

Indomethacin may result in what

Back 20

PP hemorrhage r/t reduced platelet aggregation

Front 21

How should Indomethacin be administered?

Back 21

with food or rectally to decrease GI distress

Front 22

Describe the two tests which verify ROM?

Back 22

(1) positive Nitrazine paper test - blue, pH 6.5-7.5, (2) positive ferning test

Front 23

VS should be assessed when for the client with PROM or PPROM?

Back 23

every 4 hours

Front 24

The healthcare provider should be notified if maternal temperature is what?

Back 24

38C/100F

Front 25

Describe Ampicillin

Back 25

(Omnipen), an antibiotic that treats infections

Front 26

How should betamethasone be administered?

Back 26

IM deep into the maternal gluteal muscle

Front 27

CHAPTER ELEVEN

Back 27

(Ignore this card)

Front 28

"nesting response"

Back 28

the energy burst occurring before labor

Front 29

describe the backache which may precede labor

Back 29

a constat low, dull backache, caused by pelvic muscle relaxation

Front 30

How much weight may be lost before labor

Back 30

0.5-1 kg (1-3 lb)

Front 31

Premonitory signs

Back 31

signs preceding labor

Front 32

Amniotic fluid volume should be

Back 32

500-1200 mL

Front 33

Nitrazine paper is used to test

Back 33

the pH of amniotic fluid

Front 34

When using nitrazine paper, what color indicates alkaline?

Back 34

deep blue indicates 6.5-7.5

Front 35

Describe transverse lie

Back 35

fetal long axies (spine) is horizontal and forms a right angel to maternal axis; shoulder is the presenting part

Front 36

Describe longitudinal lie

Back 36

fetal long axis is parallel to maternal long axis; cephalic or breech presentation

Front 37

M

Back 37

Mentum

Front 38

Sc

Back 38

scapula

Front 39

true labor contractions are felt in

Back 39

the lower back, radiating to the abdomen

Front 40

false labor contractions are felt in

Back 40

the lower back or abdomen above the umbilicus

Front 41

In true labor, the cervix moves to what position?

Back 41

Anterior

Front 42

List the mechanisms of labor

Back 42

engagement, descent, flexion, internal rotatoin, extension, external rotation/restitution, expulsion

Front 43

REMEMBER TO REVIEW EACH OF THE MECHANISMS OF LABOR!!!

Back 43

Important!

Front 44

the first stage of labor lasts an average of

Back 44

12 and 1/2 hours

Front 45

The primigravid client should experience cervical dilation at an average rate of

Back 45

1 cm/hour

Front 46

The multigravid client should experience cervical dilation at an average rate of

Back 46

1.5 cm/hour

Front 47

The cervix goes from __ to __ in the latent phase, first stage

Back 47

0-3 cm

Front 48

The primigravid latent phase (first stage) lasts

Back 48

6 hours

Front 49

The multigravid latent phase (first stage) lasts

Back 49

4 hours

Front 50

first stage latent phase contraction frequency is

Back 50

5-30 minutes

Front 51

first stage latent phase contraction duration is

Back 51

30-45 seconds

Front 52

The cervix goes from __ to __ in the active phase, first stage

Back 52

4-7 cm

Front 53

The primigravid active phase (first stage) lasts

Back 53

3 hours

Front 54

The multigravid active phase (first stage) lasts

Back 54

2 hours

Front 55

first stage active phase contraction frequency is

Back 55

3-5 minutes

Front 56

first stage active phase contraction duration is

Back 56

40-70 seconds

Front 57

The cervix goes from __ to __ in the transition phase, first stage

Back 57

8-10 cm

Front 58

The primigravid transition phase (first stage) lasts

Back 58

20-40 minutes

Front 59

The multigravid active phase (first stage) lasts

Back 59

20-40 minutes

Front 60

first stage transition phase contraction frequency is

Back 60

2-3 minutes

Front 61

first stage transition phase contraction duration is

Back 61

45-90 seconds

Front 62

primigravid second stage duration

Back 62

30-120 minutes

Front 63

multigravid second stage duration

Back 63

5-30 minutes

Front 64

second stage contraction frequency

Back 64

every 1-2 minutes

Front 65

N/V may occur in which phase?

Back 65

first stage transition phase

Front 66

third stage duration

Back 66

5-30 minutes

Front 67

schultze mechanism

Back 67

shiny fetal surface of the placenta emerges first

Front 68

Duncan mechanism

Back 68

dull maternal surface of the placenta emerges first

Front 69

fourth stage duration

Back 69

1-4 hours

Front 70

the fourth stage ends with

Back 70

maternal VSS

Front 71

Assess maternal VS, fundus, and lochia how often in the first hour following birth

Back 71

every 15 minutes