NUR 242 Medical-Surgical Nursing Concepts
Final Exam
Question:
A score of greater than or equal to ______ is considered favorable for induction.
Answer:
- higher the bishop score the more successful the chances for vaginal
delivery
Question:
What 5 areas does the Bishop score cover to see if someone is favorable for induction?
Answer:
- Dilation
- Effacement
- Station
- Consistency of cervix
- Cervical position
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Question:
what are the ranges of preterm labor?
Answer:
20-37 6/7 weeks
Question:
What type of uterine activity would you see if someone is in preterm labor?
Answer:
> 6 contractions in 1 hr
- With or without pain
changes in cervix, dilation, efficiency
Question:
If someone reports to the hospital between 24-34 weeks and we think she is in preterm labor, what test can be done?
Answer:
Fetal fibronectin
- Found by performing a vaginal swab and is predictive of preterm labor
if positive labor in 1-2 weeks.if negative you won't have preterm labor in two weeks
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Question:
What is fetal fibronectin?
Answer:
It is a glycoprotein that attaches fetal sac to uterus
- Not normal between 24 to 34 weeks.
Question:
What are 3 contraindications to performing a vaginal swab for fetal fibronectin?
Answer:
- Sex in past 24 hours
- Vaginal bleeding
- Vaginal exam in the past 24 hours
Question:
what can contractions be from if pt is not in preterm labor?
Answer:
Dehydration UTI or STD
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Question:
What is some patient education on what to do if symptoms of premature labor are occurring?
Answer:
- Notify your provider and possibly go to the hospital
- Sit down, prop up your feet, hydrate, and see if the contractions go away
or continue
Question:
What are psychosocial adverse effects of bedrest?
Answer:
- Anxiety, depression, hostility, anger, guilt
- Boredom, loneliness
- Increased stress
Question:
T or F; Medications are commonly used to soften the cervix, relax the cervical smooth muscle, and produce contractions
Answer:
True!
- We ripen the cervix to allow it to give way to the baby’s head
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