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NSG 3500 - Maternal Exam 2 Questions and Detailed Answers for All Sections | Comprehensive Study Guide And Practice Test

HEAL100 Health Care — exam and revision material · Other

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Health Care exam material, 8 pages. Originally published on StudyMerit.

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8
Academic year
2025/2026
Language
English

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NSG 3500 - Maternal Exam 2 Questions and Detailed Answers for All Sections | Comprehensive Study Guide And Practice Tes 0 Ssave |'1'| - Terms in this set (64) Indications for Induction 1. Post term pregnancy 2. Gestational HTN 3. Fetal demise 4. PROM 5. Preeclampsia/Eclampsia 6. IUGR T or F: Oxytocinis a Cervical Ripening Agent False, cervical ripening agents are used when oxytocin is not favorable; however, oxytocin may be used after cervical ripening has occurred to induce labor What are the 2 most common cervical ripening agents? 1. Prostaglandin E1 (Misoprostol/Cytotek) 2. Prostaglandin E2 (Dinoprostone/Cervidil/Prepidil) What are the mechanical methods of cervical ripening? 1. Balloon catheter 2. Hydroscopic dilators 3. Amniotomy What is Cervidil? Small plastic insert containing prostaglandin with long string is placed into the posterior fornix of the vagina How long does cervidil remain in the vagina? 12 Hours

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What precautions must a patient receiving cervidil follow? 1. Stay in bed for first 2 hours (supine or side lying) 2. May get up only for bathroom 3. Stay on monitor What do you do if tachysystole/hypersystole occurs in a patient receiving cervidil? Remove the insert by wrapping fingers in saline soaked gauze and pull then administer terbutaline How can you use a foley to cause mechanical cervical ripening? Insert the catheter into the intracervical canal to increase pressure on lower uterine segment T or F: A transcatheter has the highest risk of causing tachysystole? False, it is associated with the lowest risk What is the maximum dose of oxytocin? 20 mU/min Which IV hub should oxytocin be ran through? (Location) Closest to patient in case of reaction What are some contraindications to oxytocin? 1. Placenta previa 2. Transverse fetal lie 3. Umbilical cord prolapse 4. Previous c-section 5. Multifetal pregnancy 6. HTN What are the methods for the augmentation of labor? 1. Amniotomy 2. Oxytocin 3. Nipple stimulation 4. Shower/tub 5. Hydration 6. Ambulation 7. Relaxation

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What is the difference between induction and augmentation of labor? Induction: Starts labor Augmentation: Helps progress labor that has already began (seen in hypotonic uterine activity) T or F: A patient with preeclampsia would display hyperreflexia True What is HELLP syndrome? Hemolysis, elevated liver function and low platelets Why are platelets administered prior to labor with HELLP syndrome? To prevent thrombocytopenia What is "version" in terms of labor? External or internal turning of a fetus from one presentation to another What is shoulder dystocia? Head is born, but anterior shoulder cannot pass under pubic arch What are shoulder dystocia risk factors? 1. Maternal pelvic anomalies 2. Obesity & Diabetes 3. Slow descent 4. Slow progression 5. Fetal macrosomia What is the turtle sign? Delivered fetal head retracts against maternal perinium (pulls back inside vagina) -Indicated Shoulder Dystocia What are the nursing interventions for shoulder dystocia? 1. CALL FOR HELP 2. DO NOT LET PATIENT PUSH 3. Suprapubic pressure 4. McRobert's Maneuver (Hips hyperflexed) 5. Put patient on hands & knees if no epidural What is the most common reason for a c-section? Cephalopelvic Disproportion (CPD): fetus cannot fit through pelvis

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