WorksheetsOB Ch 10, 11, & 12
Total questions: 61
Worksheet time: 5hrs 5mins
What medication relaxes smooth muscled decreases uterine activity?
indomethacin
magnesium sulfate
nifedipine
diphenhydramine
What refers to a patient who is 37 weeks gestation or later and whose membranes rupture before the onset of labor?
PROM
fFN
PPROM
LMP
The rupture of membranes before 37 weeks gestation.
PROM
fFN
PPROM
LMP
What are some signs and symptoms that a patient will experience with PROM? (select all that apply)
leakage of fluid
vaginal discharge
pelvic pressure but no conttrtactions
vaginal bleeding
With chorioamnionitis what is the mother at risk for? (select all that apply)
endometritis
sepsis
death
fluid overload
What is the neonate at risk for with chorioamnionitis? (select all that apply)
fetal distress
respiratory depression
infection
death
What type of pregnancy extends past 42 weeks gestation?
pre-term
post-term
normal term
Fetal consequences of post-term pregnancy include which of the following? (select all that apply)
placental insufficiency
increased risk of being still born
increased mortality
macrosomia
Maternal risks of post-term pregnancy include which of the following? (select all that apply)
slower more difficult labor
increased perineal injury because of large size of fetus
increased rate of c-section
postpartum hemorrhage
An abnormally high level of fluid is termed what?
polyhydraminos
oligohydraminos
macrosomia
endometritis
An abnormally low level of amniotic fluid is called?
polyhyrdraminos
oligohydraminos
endometritis
macrosomia
What are some reasons women have anxiety during labor? (select all that apply)
past experiences
sexual abuse
lack of knowledge
first pregnancy
What are the three types of breech position? (select all that apply)
frank breech
footling breech or incomplete breech
complete breech
transverse breech
What term refers to a newborn that is significantly larger than average for gestational age?
large for gestational age
macrosomia
small for gestational age
An obstetric emergency that occurs when the umbilical cord passes through the cervix at the same time or before the presenting part is what?
placenta acreta
placenta abruptio
umbilical cord prolapse
occult prolapsed cord
What is the term for a prolapsed cord that passes through the cervix at thee same time as the presenting part but cannot be felt or seen?
occult
overt
placenta acreta
placenta abruptio
What is the term for a prolapsed cord that is visible and palpable in the birth canal or extending beyond the vagina?
occult
placenta acreta
overt
placenta abruptio
What is the primary cause of cord prolapse?
rupture of membranes
prematurity
small for gestational age
multiple gestations
What factors may predispose a woman to precipitous delivery? (select all that apply)
a multiparous woman with relaxed perineal floor muscles
a multiparous woman with unusually strong and forceful contractions
a woman with a high pain threshold
a multiparous woman with a history of Shortt labors
For which birth complication is the McRoberts maneuver performed?
shoulder dystocia
uterine inversion
retained placenta
uterine rupture
What are the signs of a uterine inversion? (select all that apply)
postpartum hemorrhage
sudden appearance of a vaginal mass
signs of shock
vaginal bleeding
What are the stages of grief? (select all that apply)
denial and guilt
anger
depression
acceptance
The artificial rupture of membranes is known as what?
amniotomy
amnioinfusion
episiotomy
external cephalic version
In a term patient how long does an amniotomy usually tattle to stimulate labor?
8 hours
2 hours
12 hours
4 hours
what is it called when a HCP attempts to move a malpositioned fetus after 37 weeks gestation?
external cephalic version
amniotomy
amnioinfusion
McRoberts maneuver
What are some risks of external cephalic version? (select all that apply)
twisting of the umbilical cord
rupture of membranes and uterus
placental abruptio
bleeding
Which of the following are teaching points for an external version? (select all that apply)
it is not always successful
time contractions if they begin
may stimulate labor
signs of ruptured membranes
What tool is used to evaluate cervical ripening and is predictive of the readiness for the induction of labor?
(a)
A Bishop's Score of _____ or more is significant for successful induction of labor?
6
8
5
3
What is the most common mechanical method for cervical ripening?
oxytocin infusion
hygroscopic dilators
Foley catheter
pitocin
How soon do most women deliver after Foley catheter insertion?
12 hours
6 hours
24 hours
48 hours
How many mL is the Foley catheter ballon filled with?
10-15
15-20
20-30
30-50
What size catheter is normal used to stimulate cervical ripening?
12F
14F
16F
18F
An assisted delivery involving the use of a cup-like device that attaches to the fetal head with suction is referred to as what?
Vacuum extraction
forceps
c-section
natural
How much suction is applied in a vacuum extraction- assisted birth?
100-200 mm Hg
400-500 mm Hg
450-600 mm Hg
500-700 mm Hg
What should be done to prepare for a scheduled c-section? (select all that apply)
discuss the birth plan with HCP
obtain preoperative lab work
preregistration with the hospital
arranging for help at home and packing for 3-5 days in the hospital
What are the risks for a c-section? (select all that apply)
hemorrhage and shock
anesthesia complications
venous thromboembolism
cardiac arrest
What are some indications that a woman could have a successful VBAC? (select all that apply)
had a prior vaginal delivery
had a prior VBAC
spontaneous labor
cephalic presentation
Nursing carre for a patient undergoing a TOLAC includes which of the following? (select all that apply)
providing routine care of a laboring patient
conducting a vaginal cervical exam
observing closely for signs of uterine rupture
monitoring pain
Oxytocin being released causing the uterus to contract and begin shrinking down to a non pregnant size is called what?
afterpains
involution
ovulation
exfoliation
The intermittent uterine contractions that some women describe as cramping are called what?
afterpains
fundus
involution
ovulation
Which of the following are part of a uterine assessment? (select all that apply)
palpate the fundus
note the fundal position
assess the consistency of the mass
massage the uterus
Lack of muscle tone is known as what?
atony
diastasis
diaphoresis
atrophy
Lochia assessment resulting in dark red blood is called?
lochia rubra
lochia serosa
lochia alba
Lochia assessment resulting in brownish red and then a lighter color is called?
lochia rubra
lochia alba
lochia serosa
Lochia assessment resulting in a yellowish color is called?
lochia rubra
lochia serosa
lochia alba
less than 1 inch of lochia on the pad
scant
light
moderate
heavy
less than 4 inches of lochia on the pad
scant
light
moderate
heavy
less than 6 inches of lochia on the pad
scant
light
moderate
heavy
when the pad is saturated with lochia within an hour
scant
light
moderate
heavy
BUBBLE LE stands for what?
(a)
Who is at higher risk for postpartum depression?
adolescent
someone over age 35
post-term pregnancy
pre-term pregnancy
Which of the following should you say to a woman relinquishing her infant for adoption? (select all that apply)
what can I do to help you?
share with me your plan for the baby
tell me how you're feeling today
why are you giving up the baby?
In which phase is the mother centered on her own needs?
taking-in phase
taking-hold phase
letting-go phase
attachment phase
In which phase does the mother initiate care of the baby?
taking in phase
taking hold phase
letting go phase
attachment phase
In which phase does the mother adjust to being out of her previous childless more independent role?
taking in phase
taking hold phase
letting go phase
attachment phase
During this phase the new mother often wants to review her labor and delivery experience to help her integrate with the reality of her baby being born.
taking in phase
taking hold phase
letting go phase
attachment phase
During what phase will the mother experience postpartum blues?
taking in
taking hold
letting go
attachment
During which phase does the mother experience attachment to her baby?
taking in
taking hold
letting go
attachment
New parents who are observant of their newborn for extended periods of time are experiencing which of the following?
engrossment
en face position
bonding
attachment
When does the true diagnosis of labor occur?
(a)
