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[Show more]Signs of Normal Labor Bloody show 
Pain beginning in the back and coming around to the front of the abdomen 
Pain that does not diminish with rest 
Pain that intensifies with walking (usually but not always) Cervical change 
Regular contraction pattern 
Dysfunctional Labor Does not result in normal ...
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Add to cartSigns of Normal Labor Bloody show 
Pain beginning in the back and coming around to the front of the abdomen 
Pain that does not diminish with rest 
Pain that intensifies with walking (usually but not always) Cervical change 
Regular contraction pattern 
Dysfunctional Labor Does not result in normal ...
Methergine 
medication, what needs to be done before administering this medication? Always check the BP first. 
 
This medication is used to control postpartum hemorrhage and postabortal hemorrhage. It stimulates directly the uterine muscle, increase the force and frequency of contractions and produ...
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Add to cartMethergine 
medication, what needs to be done before administering this medication? Always check the BP first. 
 
This medication is used to control postpartum hemorrhage and postabortal hemorrhage. It stimulates directly the uterine muscle, increase the force and frequency of contractions and produ...
Dystocia Any difficult labor or birth 
What problems may indicate a difficult labor? any problems with the 4 P's, dysfunctional labor, maternal responses or induction of labor. 
What are some problems of the powers? ineffective contractions and ineffective maternal pushing 
What are some possible ca...
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Add to cartDystocia Any difficult labor or birth 
What problems may indicate a difficult labor? any problems with the 4 P's, dysfunctional labor, maternal responses or induction of labor. 
What are some problems of the powers? ineffective contractions and ineffective maternal pushing 
What are some possible ca...
Define antepartum hemorrhage Vaginal bleeding after 20 weeks gestation 
Define intrapartum hemorrhage bleeding in labour that is not normal bleeding from cervical change 
How often (%) does antepartum hemorrhage occur? 2-5% 
How often (%) does intrapartum hemorrhage occur? 1.5% 
What are the 3 most ...
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Add to cartDefine antepartum hemorrhage Vaginal bleeding after 20 weeks gestation 
Define intrapartum hemorrhage bleeding in labour that is not normal bleeding from cervical change 
How often (%) does antepartum hemorrhage occur? 2-5% 
How often (%) does intrapartum hemorrhage occur? 1.5% 
What are the 3 most ...
spontaneous abortion when a pregnancy is terminated before 20 weeks aka miscarriage 
spontaneous abortion symptoms (6) -uterine cramping -vaginal bleeding -backache -abdominal tenderness -fever -dilation of cervix 
ectopic pregnancy -abnormal implantation of fertilized ovum outside uterine cavity, u...
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Add to cartspontaneous abortion when a pregnancy is terminated before 20 weeks aka miscarriage 
spontaneous abortion symptoms (6) -uterine cramping -vaginal bleeding -backache -abdominal tenderness -fever -dilation of cervix 
ectopic pregnancy -abnormal implantation of fertilized ovum outside uterine cavity, u...
A nurse teaches the warning signs that should be reported throughout pregnancy. Which statement by the client indicates an understanding of the prenatal instructions? 
1. "I'll call the clinic if I have abdominal pain." 
2. "Mild, irregular contractions mean that my labor is starting." 
3. "I ...
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Add to cartA nurse teaches the warning signs that should be reported throughout pregnancy. Which statement by the client indicates an understanding of the prenatal instructions? 
1. "I'll call the clinic if I have abdominal pain." 
2. "Mild, irregular contractions mean that my labor is starting." 
3. "I ...
What are the three phases of pregnancy? antepartum intrapartum postpartum 
When should prenatal visits begin? As soon as you find out you are pregnant. 
What history is taken at the prenatal visit? menstrual history contraceptive history medical and surgical history family history health history psy...
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Add to cartWhat are the three phases of pregnancy? antepartum intrapartum postpartum 
When should prenatal visits begin? As soon as you find out you are pregnant. 
What history is taken at the prenatal visit? menstrual history contraceptive history medical and surgical history family history health history psy...
The essential factors in labor - the P's *Psyche *Powers *Passenger *Passageway *Position 
*Psyche* - The psyche goes far to determine the outcome of labor . . . •Stress, anxiety, and fear are powerful factors •These may exacerbate pain, and further increase stress, anxiety, and fear - spiral o...
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Add to cartThe essential factors in labor - the P's *Psyche *Powers *Passenger *Passageway *Position 
*Psyche* - The psyche goes far to determine the outcome of labor . . . •Stress, anxiety, and fear are powerful factors •These may exacerbate pain, and further increase stress, anxiety, and fear - spiral o...
The nurse is providing care to a pregnant client who will undergo chorionic villus sampling. The client is currently 10 weeks pregnant. When teaching the client about this genetic testing, which layer of the embryonic membrane will the nurse say is tested during this procedure? 
A) Chorion B) Amnion...
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Add to cartThe nurse is providing care to a pregnant client who will undergo chorionic villus sampling. The client is currently 10 weeks pregnant. When teaching the client about this genetic testing, which layer of the embryonic membrane will the nurse say is tested during this procedure? 
A) Chorion B) Amnion...
preterm labor between 20-37 weeks gestation 
fetal fibronectin protein that can be thought of as an adhesive or "biological glue" that binds the fetal sac to the uterine lining -should be present in early and late pregnancy, but not in the middle of pregnancy 
tocolytics medication to delay labor/...
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Add to cartpreterm labor between 20-37 weeks gestation 
fetal fibronectin protein that can be thought of as an adhesive or "biological glue" that binds the fetal sac to the uterine lining -should be present in early and late pregnancy, but not in the middle of pregnancy 
tocolytics medication to delay labor/...
Amniocentesis extraction by centesis of amniotic fluid from a pregnant woman (after the 15th week of pregnancy) to aid in the diagnosis of fetal abnormalities 
Contraction Stress Test (CST) A method of assessing the reaction of the fetus to the stress of uterine contractions. This test may be utiliz...
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Add to cartAmniocentesis extraction by centesis of amniotic fluid from a pregnant woman (after the 15th week of pregnancy) to aid in the diagnosis of fetal abnormalities 
Contraction Stress Test (CST) A method of assessing the reaction of the fetus to the stress of uterine contractions. This test may be utiliz...
when is a baby considered a fetus and not an embryo?8/9 weeks 
amniotic fluid functions-maintain body temp -source of oral fluid and waste elimination (fetus swallows fluid and urinates into fluid) -cushions fetus -freedom of movement -barrier to infection -lung development (fluid goes in and out of...
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Add to cartwhen is a baby considered a fetus and not an embryo?8/9 weeks 
amniotic fluid functions-maintain body temp -source of oral fluid and waste elimination (fetus swallows fluid and urinates into fluid) -cushions fetus -freedom of movement -barrier to infection -lung development (fluid goes in and out of...
A nurse in a health clinic is reviewing contraceptive use with a group of clients. Which of the following client statements demonstrates understanding? A. "A water-soluble lubricant should be used with condoms" B. "A diaphragm should be removed 2 hours after intercourse" C. "Oral contraceptives...
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Add to cartA nurse in a health clinic is reviewing contraceptive use with a group of clients. Which of the following client statements demonstrates understanding? A. "A water-soluble lubricant should be used with condoms" B. "A diaphragm should be removed 2 hours after intercourse" C. "Oral contraceptives...
On a routine prenatal visit, which is the sign or symptom that a healthy primigravida at 20 weeks' gestation will most likely report for the first time? Quickening 
The nurse understands which is the medication of choice for a client who wants to abort her pregnancy at 3 months of gestation? Mifepr...
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Add to cartOn a routine prenatal visit, which is the sign or symptom that a healthy primigravida at 20 weeks' gestation will most likely report for the first time? Quickening 
The nurse understands which is the medication of choice for a client who wants to abort her pregnancy at 3 months of gestation? Mifepr...
Promoting a healthy pregnancy Breast Care , activity level and rest, exercises to prepare for childbirth, sexual activity , Dental Care , immunizations, clothing, bathing, employment, travel 
Ptyalism Excessive, often bitter salivation 
Pelvic Tilt Pelvic rocking, an exercise that helps prevent or r...
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Add to cartPromoting a healthy pregnancy Breast Care , activity level and rest, exercises to prepare for childbirth, sexual activity , Dental Care , immunizations, clothing, bathing, employment, travel 
Ptyalism Excessive, often bitter salivation 
Pelvic Tilt Pelvic rocking, an exercise that helps prevent or r...
Enzyme linked immunosorbent assay (ELISA) Over the counter pregnancy tests usually rely on which technology to test for human chorionic gonadotropin (HCG)? 
Positive Fetal movement palpated by the nurse is what type of sign of pregnancy? 
The 1st and the end of the 3rd Urinary frequency is common du...
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Add to cartEnzyme linked immunosorbent assay (ELISA) Over the counter pregnancy tests usually rely on which technology to test for human chorionic gonadotropin (HCG)? 
Positive Fetal movement palpated by the nurse is what type of sign of pregnancy? 
The 1st and the end of the 3rd Urinary frequency is common du...
Enzyme linked immunosorbent assay (ELISA) Over the counter pregnancy tests usually rely on which technology to test for human chorionic gonadotropin (HCG)? 
 
Positive Fetal movement palpated by the nurse is what type of sign of pregnancy? 
 
The 1st and the end of the 3rd Urinary frequency is commo...
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Add to cartEnzyme linked immunosorbent assay (ELISA) Over the counter pregnancy tests usually rely on which technology to test for human chorionic gonadotropin (HCG)? 
 
Positive Fetal movement palpated by the nurse is what type of sign of pregnancy? 
 
The 1st and the end of the 3rd Urinary frequency is commo...
A nurse is caring for a client who missed a dose of her oral contraceptive. Which of the following instructions should the nurse give the client? A. Take a pregnancy test B. Double up on pills for remainder of the pack C. Take the missed dose as soon as possible D Stop the oral contraceptive and use...
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Add to cartA nurse is caring for a client who missed a dose of her oral contraceptive. Which of the following instructions should the nurse give the client? A. Take a pregnancy test B. Double up on pills for remainder of the pack C. Take the missed dose as soon as possible D Stop the oral contraceptive and use...
1. Which pelvic shape is most conducive to vaginal labor and birth? a. Android b. Gynecoid c. Platypelloid d. Anthropoid ANS: B 
The gynecoid pelvis is round and cylinder-shaped, with a wide pubic arch and is considered the most suitable for a vaginal birth. An android pelvis has been described as h...
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Add to cart1. Which pelvic shape is most conducive to vaginal labor and birth? a. Android b. Gynecoid c. Platypelloid d. Anthropoid ANS: B 
The gynecoid pelvis is round and cylinder-shaped, with a wide pubic arch and is considered the most suitable for a vaginal birth. An android pelvis has been described as h...
Which initial nursing intervention would a nurse perform for a patient laboring without an epidural and experiencing prolonged labor and suspected maternal soft tissue dystocia? 
A. Asking the woman when her last bowel movement was B. Encouraging the woman to void frequently C. Administering a soap ...
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Add to cartWhich initial nursing intervention would a nurse perform for a patient laboring without an epidural and experiencing prolonged labor and suspected maternal soft tissue dystocia? 
A. Asking the woman when her last bowel movement was B. Encouraging the woman to void frequently C. Administering a soap ...
*The nurse caring for a woman with HELLP syndrome understands that she is at risk for: Select all that apply. a. Pulmonary edema b. Seizures c. Postdate birth d. Disseminated intravascular coagulopathy e. Placenta Previa a. Pulmonary Edema b. Seizures d. DIC 
Rationale: Women who develop HELLP syndr...
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Add to cart*The nurse caring for a woman with HELLP syndrome understands that she is at risk for: Select all that apply. a. Pulmonary edema b. Seizures c. Postdate birth d. Disseminated intravascular coagulopathy e. Placenta Previa a. Pulmonary Edema b. Seizures d. DIC 
Rationale: Women who develop HELLP syndr...
A precipitous birth is associated with which potentially serious conditions? Select all that apply. Placental abruption Fetal meconium Maternal postpartum hemorrhage Low Apgar scores 
What term describes a birth occurring within 3 hours of the onset of labor? Precipitous labor 
Rationale: Precipitou...
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Add to cartA precipitous birth is associated with which potentially serious conditions? Select all that apply. Placental abruption Fetal meconium Maternal postpartum hemorrhage Low Apgar scores 
What term describes a birth occurring within 3 hours of the onset of labor? Precipitous labor 
Rationale: Precipitou...
A 39-week-gestation gravida 1 is 6 cm dilated. The labor contractions have decreased in intensity and she has not dilated in the past 2 hours. A diagnosis of hypotonic dysfunctional labor has been made. The nurse can anticipate which of the following actions? 
Immediate cesarean section Amniotomy Na...
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Add to cartA 39-week-gestation gravida 1 is 6 cm dilated. The labor contractions have decreased in intensity and she has not dilated in the past 2 hours. A diagnosis of hypotonic dysfunctional labor has been made. The nurse can anticipate which of the following actions? 
Immediate cesarean section Amniotomy Na...
The nurse is admitting a client for a cerclage procedure. The client asks for information about the procedure. What is the nurses most accurate response? 
1. A stitch is placed in the cervix to prevent a spontaneous abortion or premature birth. 2. The procedure is done during the third trimester. 3....
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Add to cartThe nurse is admitting a client for a cerclage procedure. The client asks for information about the procedure. What is the nurses most accurate response? 
1. A stitch is placed in the cervix to prevent a spontaneous abortion or premature birth. 2. The procedure is done during the third trimester. 3....
the laboring woman flexes her thighs sharply against her abdomen, which straightens the pelvic curve; used in the case of shoulder dystocia what is the McRoberts maneuver and why is it used? 
-infection (maternal or neonatal) -maternal exhaustion -higher levels of anxiety and fears what can cause pr...
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Add to cartthe laboring woman flexes her thighs sharply against her abdomen, which straightens the pelvic curve; used in the case of shoulder dystocia what is the McRoberts maneuver and why is it used? 
-infection (maternal or neonatal) -maternal exhaustion -higher levels of anxiety and fears what can cause pr...
Intrapartum complications associated with infection - group B streptococcus (GBS) - chorioamnioitis or triple I 
Four Ps ability of the fetus to successfully negotiate the pelvis is dependent on: - power - passage - passanger - psyche 
- disruptions of any of the Ps can lead to Dystocia (difficult l...
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Add to cartIntrapartum complications associated with infection - group B streptococcus (GBS) - chorioamnioitis or triple I 
Four Ps ability of the fetus to successfully negotiate the pelvis is dependent on: - power - passage - passanger - psyche 
- disruptions of any of the Ps can lead to Dystocia (difficult l...
Which pelvic shape is most conducive to vaginal labor and birth? Gynecoid 
Which action by the nurse prevents infection in the labor and birth area? Keeping underpads and linens as dry as possible 
A pregnant patient with premature rupture of membranes is at higher risk for postpartum infection. Whi...
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Add to cartWhich pelvic shape is most conducive to vaginal labor and birth? Gynecoid 
Which action by the nurse prevents infection in the labor and birth area? Keeping underpads and linens as dry as possible 
A pregnant patient with premature rupture of membranes is at higher risk for postpartum infection. Whi...
What term describes a birth occurring when a trained attendant is not present to assist? 1 Macrosomia 2 Labor dystocia 3 Precipitous birth 4 Precipitous labor 3 A precipitous birth occurs after a labor of any length, in or out of the hospital or birth center, when a trained attendant is not present ...
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Add to cartWhat term describes a birth occurring when a trained attendant is not present to assist? 1 Macrosomia 2 Labor dystocia 3 Precipitous birth 4 Precipitous labor 3 A precipitous birth occurs after a labor of any length, in or out of the hospital or birth center, when a trained attendant is not present ...
what is the most common endocrine disorder in pregnancy? diabetes 
pregestational diabetes mellitus (PGDM) Type 1: don't produce any insulin 
Type 2: patient needs to do lifestyle choices, insulin doesn't function properly, the body doesn't use insulin as well as it should 
*2% of pregnancies 
ge...
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Add to cartwhat is the most common endocrine disorder in pregnancy? diabetes 
pregestational diabetes mellitus (PGDM) Type 1: don't produce any insulin 
Type 2: patient needs to do lifestyle choices, insulin doesn't function properly, the body doesn't use insulin as well as it should 
*2% of pregnancies 
ge...
What is the definition of ectopic pregnancy? Implantation of a fertilized ovum in an area outside the uterine cavity; In 97% of ectopic pregnancies it occurs in the fallopian tube; The other 3% occur in the abdomen or on the cervix 
What is the main consequence of an ectopic pregnancy? Ectopic Pregn...
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Add to cartWhat is the definition of ectopic pregnancy? Implantation of a fertilized ovum in an area outside the uterine cavity; In 97% of ectopic pregnancies it occurs in the fallopian tube; The other 3% occur in the abdomen or on the cervix 
What is the main consequence of an ectopic pregnancy? Ectopic Pregn...
A multigravid client at term is admitted to the hospital for a trial labor and possible vaginal birth. She has a history of previous cesarean birth because of fetal distress. When the client is 4 cm dilated, she receives nalbuphine intravenously. While monitoring the fetal heart rate, the nurse obse...
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Add to cartA multigravid client at term is admitted to the hospital for a trial labor and possible vaginal birth. She has a history of previous cesarean birth because of fetal distress. When the client is 4 cm dilated, she receives nalbuphine intravenously. While monitoring the fetal heart rate, the nurse obse...
Nagele's Rule 1st day of last period + 7 days - 3 months 
GTPAL Gravida, Term, Preterm, Abortions, Living 
How often does a mother have prenatal care? Every 4 weeks until 28 weeks, then every 2 weeks at 30-36 weeks, then every week until delivery. 
Amniocentesis needle puncture of the amniotic sac ...
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Add to cartNagele's Rule 1st day of last period + 7 days - 3 months 
GTPAL Gravida, Term, Preterm, Abortions, Living 
How often does a mother have prenatal care? Every 4 weeks until 28 weeks, then every 2 weeks at 30-36 weeks, then every week until delivery. 
Amniocentesis needle puncture of the amniotic sac ...
A nurse in the birthing unit is caring for a client following an amniotomy. What is an appropriate nursing intervention? 
a. Assess cervical dilation every 2 hours. b. Monitor temperature every 2 hours. c. Increase the rate of the IV maintenance fluid. d. Replace expelled amniotic fluid every 1-2 ho...
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Add to cartA nurse in the birthing unit is caring for a client following an amniotomy. What is an appropriate nursing intervention? 
a. Assess cervical dilation every 2 hours. b. Monitor temperature every 2 hours. c. Increase the rate of the IV maintenance fluid. d. Replace expelled amniotic fluid every 1-2 ho...
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