patient's record states her pregnancy history is 1 term pregnancy, 1 miscarriage at 10 weeks, twins at 35 weeks with one who dies soon after birth. What
... [Show More] is her GP? - Gravida 3 Para 1212
Cholestasis is a condition that occurs in pregnancy and is caused by elevated... - Bile acid
What is a sign of deteriorating status in pregnancy complicated by hypertension? - Increased serum creatinine
A patient at 37 weeks gestation arrives to labor and delivery from the emergency room after admission for severe gastric discomfort with nausea and vomiting. She is anxious and dizzy. Her blood pressure is 156/100. She has 4+ protein in her urine. Most likely diagnosis is anxiety and... - Preeclampsia with severe features
Fluid balance should be monitored in a woman on mag sulfate therapy because there is an increased risk for... - Pulmonary edema
On admission to the labor unit, a woman's deep tendon reflexes are assessed at 2+. Intravenous magnesium sulfate is initiated. At her next assessment, her reflexes are absent with respiratory rate of 10. Which actions should be taken? - Stop the magnesium sulfate and notify provider.
A newly pregnant woman who is morbidly obese has a strong family history of Type 2 diabetes. The recommended time for this woman's initial glucose screen is... - As soon as possible.
The relation of the fetal body parts to one another Is called fetal... - Attitude.
The most accurate dating of a pregnancy by ultrasound is... - First trimester evaluation of the crown-rump length.
A biophysical score of 6 is considered... - Equivocal.
At 32 weeks, a prenatal patient reported decreased fetal movement. A nonstress test is reported as nonreactive. Which is appropriate for this patient? - Biophysical profile.
Cordocentesis is more commonly used to detect fetal... - Anemia.
Quad screening compared to alphafetoprotein testing can better detect... - Trisomies.
A fetal heart rate baseline of 140 with moderate variability, no accelerations and no decelerations is a NICHD category... - 1 (one)
A series of sine waves with similar duration and amplitude develop on the electronic fetal monitor 10 minutes after stadol administration to a patient with a previously normal tracing. The appropriate response to this fetal heart rate pattern would be to... - Continue to observe...
Fetal metabolic acidosis in a tracing can be ruled out with the presence of... - Variability.
Which tachyarrhythmia can result in fetal hydrops? - Persistent supraventricular tachycardia-sign of anemia which can in turn cause hydrops.
A G2P1 at 34 weeks gestation with a history of lupus was in for a routine prenatal visit. FHT's were auscultated at 60. She was sent to labor and delivery for further evaluation. A complete flat tracing suggests the fetus has... - A complete heart block, which can be a complication of lupus.
A woman at term is in labor and exhibits recurrent variable decelerations with moderate variability and meconium stained amniotic fluid. An amnioinfusion is ordered with the goal of... - Relieving cord compression.
Baroreceptors respond mainly to changes in... - Blood pressure.
Stimulation of the sympathetic nervous system causes the fetal heart rate to... - increase.
According to the NICHD definitions, which deceleration much drop at least 15 beats per minutes... - Prolonged.
Normal uterine activity... - Resting tone less than 20-25 mmHg.
The most common side effect of prostaglandin administration for cervical ripening is... - Tachysystole.
The NICHD definition of uterine tachysystole is a contraction frequency averaged over 30 minutes of greater than... - 5 contractions in 10 minutes.
When fetal heart tones are heard about the umbilicus and the fetal head is palpated in the upper part of uterus, this is consistent with... - Breech presentation.
During auscultation of the fetal heart rate, the nurse notes a gradual decrease in the fetal heart rate after a contraction that lasts 60 seconds. The appropriate documentation of this finding is that after a contraction, there is a... - decrease in the fetal heart rate after contraction.
A reliable method for confirming the presence of an irregular fetal heart rhythm is a... - Fetoscope, because you can HEAR heart sounds vs US soundwaves.
The first Leopold's maneuver assists in identifying fetal... - Position.
An advantage of vibroacoustic testing is that it... - can be used effectively at any gestational age.
When differentiating false labor from true labor, a finding that would suggest a woman is in true labor is if after 1-2 hours of walking... - back pain is radiating to the abdomen.
The umbilical vein carries... - oxygenated blood from the placenta to the fetus.
The Ferguson reflex is the result of... - Pressure on the cervix.
Compared to non-pregnant values, maternal carbon dioxide (pCO2) during pregnancy is... - decreased, because mother breathing faster.
The metabolic state of pregnancy is described as a chronic... - respiratory alkalosis.
During pregnancy, cardiac output increases by what percent? - 30-50%
A 39 week gestation G3P2 who is currently 6cm/90%/-1, who received an epidural test dose 10 minutes ago is having late decelerations. The most likely cause is... - Maternal hypotension.
The color of nitrazine paper most indicative of ruptured membranes is... - Blue.
The fetal heart tones of a baby in the ROP position would best be heard over the mother's... - Right lower abdomen.
On a vaginal exam the nurse determines the patient is 7cm dilated. She also notes the cervix is well applied posteriorly but that the cervix is not well applied anteriorly with a slight gap along the vertex. She should suspect that the fetal position is... - OP (occiput posterior)
In the low risk patient who is being monitored in the active stage of labor using auscultation, the fetal heart rate should be assessed every... - 15 minutes
According to ACOG guidelines for continuous EFM, a patient without complications in the active phase of labor should have the FHR assessed every... - 30 minutes [Show Less]