1. If you have a patient with high blood pressure (146/96), what will you consider it?

 Chronic hypertension
2. We are looking at shock (blood pressure is low)
 EX: 81/90
 Blood volume is decreasing, we want to increase the blood volume
 Heart rate is decreasing
 We want to give normal saline or LR to bring back the blood pressure of the patient
3. If you have an incomplete abortion, what is that definition telling you
 Part of the fetus is still inside
4. Hyperemesis Gravidarum
 Nausea and vomiting during pregnancy
 Make sure you replace the electrolytes and monitor it
 Nursing intervention for patients with hyperemesis
 You need to FEED the patient
 No strong odor food, dry (dietician needs to be involved)
 Take fluids between meals
 Frequently small amounts of food
5. If you have a mother with placenta previa
 Abnormal implantation of the placenta
 Hemorrhage can be a problem
 Patient should be at bedrest
 Vaginal examinations are not performed
6. Labor induction
 An amniohook is used to rupture the membrane (break the water)
7. 100% effaced, dilated with 5 centimeters, head is engaged, what stage are they
 Active stage of the 1st stage
8. Assess the position of the baby, what do you use to look at that?
 Ultrasound
9. If the patient is having contractions, (contractions are 3-5 minutes apart) this is the time that you will include the birthing
plane, and completing the latent stage of labor
 Nurse will teach the woman if you have those contractions true labor: increasingly steadily 3-5 and will keep
growing
 Contractions are regular intervals
 Pain usually begins in the lower back, radiating to the abdomen
10. Spontaneous bleeding, as a nurse what is your priority?
 Checking the mother and the baby
 Assess the fetal heart rate
11. Active phase of labor
 Monitor the mother and the baby
 You have to remember if your patient is 28 weeks, you expect to administer
 RhoGAM is for the mother who is negative and the baby is positive
 Lungs will not be developed at 28 wees, give steroids
 Beamethasone, Dexamethasone for immature lungs
12. Epidermal anesthesia
 Assess blood pressure
13. Emergency C-section
 Heart can drop, bradycardia
14. Transducer for the belly, what do you look for?
 Handheld device that sends and receives ultrasound signals
 FHR and contractions
15. General anesthesia can drop the blood pressure of the mother
 Hydrate
 Folactives
 Pre-oxygenate
 Antacids
16. Ephedrine
 It can treat low blood pressure caused by other medications. It can also improve breathing
 Anitroph pressers: helps increase blood pressure
17. Lungs of the baby is not mature, what medication will you give and why?
 Want to give one betamethasone
18. Assessing post-partum depression?
 Are you suicidal?
19. Expected any injury, you need to ask/interview the patient if there is any injuries
 Assess the skin of bruising
20. Any procedure done for the patient, you need to get some consent from the mother
21. Magnesium sulfate
 Which medication will you administer
 Anticonvulsant in severe preeclampsia or eclampsia
 A drug of choice for diabetic women who experience preterm labor
22. Know the third stage of labor, what are you going to assess?
 Is the period time from the birth of the infant and ends w/delivery of the placenta. Takes 5-10 min, and may take
up to 30 mins.
 The uterus should be firmly contract
 Uterus become globelike and rises upward
 Umbilical cord descends further
 Gush of blood as placenta detaches
 Focus on infant well being
 Crying common. Expression of relief.
 Culturally influenced
23. 3 extra credit – dosage calculation