NURSl 306l NURS306l Quizl 5l l OBl l

NURSl 306/l NURS306l Quizl 5l –l OBl |l WCUl (Latestl 2026/l 2027l Update)l 100%l Verifiedl Questionsl &l Answersl |l Gradel A

Q:l Whatl arel contraindicationsl forl treatingl PTL?

Answer:

PPROM=l prematurel prolongedl rupturel ofl membrane Intrauterinel fetall demise Lethall fetall anomaly Non-reassuringl fetall status Severel preeclampsial orl eclampsia Maternall bleedingl withl hemodynamicl instability Chorioamnionitis PPROMl inl thel absencel ofl maternall infection Previablel gestationl inl PPROM

Q:l Whatl arel thel nursingl actionsl forl PTL?

Answer:

Reviewl medicall recordl forl riskl factorsl andl establishl gestationall age Assessl womanl andl fetusl forl signsl andl symptomsl ofl vaginall orl urinaryl infection,l rupturel ofl membrane,l vaginall bleeding,l andl dehydration Assessl FHRl andl UC's Obtainl culturesl perl order Strictl I&Ol whilel onl tocolyticsl (totall intakel 3000l ml/24l hr) Administerl tocolyticsl perl order Administerl steroidsl perl order Positionl pregnantl personl onl sidel tol increasel uteroplacentall perfusion Assessl VSl perl protocol Auscultatel lungsl forl pulmonaryl edema Assessl cervicall status Providel emotionall support Monitorl client'sl responsel tol treatment Explainl purposel ofl proceduresl andl tests 1 / 4

Providel detailedl dischargel instructions

Q:l Whenl caringl forl al womanl receivingl tocolyticl therapy:

Answer:

Knowl potentiall complicationsl ofl thel medicationl yourl patientl isl receivingl forl tocolysisl andl treatmentl forl PTL Assessl forl symptomsl ofl pulmonaryl edemal suchl asl SOB,l tachypnea,l RRl lowerl thanl 12l orl greaterl thanl 24,l O2l satl lowerl thanl 95%,l apprehension,l anxiety,l orl restlessness;l andl auscultatel lungs Remember,l untreatedl respiratoryl arrestl willl leadl tol cardiacl arrestl asl thel heartl musclel becomesl hypoxicl andl ischemic

Q:l Whatl arel thel twol indicationsl forl magnesiuml sulfate?l Whichl indicationl isl itl mostlyl usedl for?

Answer:

Neurol protection:l reducesl microcapillaryl brainl hemorrhagel inl PTBl ofl thel neonate

Tocolytic:l suppressl uterinel contractions

Mostlyl usedl forl neurol protection

Q:l Whenl givingl al loadingl dosel ofl magnesiuml sulfate,l whatl shouldl youl do?

Answer:

Stayl atl thel bedsidel tol seel ifl patientl canl toleratel it

Q:l Whatl arel thel nursingl actionsl forl administeringl magnesiuml sulfate?

Answer:

Monitorl forl signsl ofl magnesiuml toxicity Monitorl VSl andl respiratoryl depression Assessl deepl tendonl reflexl andl seruml magnesiuml levelsl (4-8l therapeuticl dose)

Q:l Whenl administeringl magnesiuml sulfate,l whatl shouldl alwaysl bel keptl atl thel bedside?l Why?

Answer:

Calciuml gluconatel becausel itl isl thel antidotel forl magnesiuml toxicity 2 / 4

Q:l Whatl isl thel clientl educationl forl magnesiuml sulfate?

Answer:

Bedrest Assistl withl ambulation Decreasedl deepl tendonl reflex Respiratoryl depression Mayl causel respiratoryl depressionl inl neonate

Q:l Whatl arel signsl andl symptomsl ofl magnesiuml toxicity?

Answer:

RRl lowerl thanl 12l and/orl SpO2l belowl 95%,l decreasedl DTR,l cardiacl arrest

Q:l Ifl al patientl isl experiencingl magnesiuml toxicity,l whatl shouldl bel donel first?

Answer:

Stopl mag

Q:l Whatl isl thel actionl ofl corticosteroidsl inl pregnancy?

Answer:

Stimulatel productionl ofl surfactantsl inl fetall lungsl tol preventl respiratoryl distressl syndrome

Q:l Whatl isl thel optimall therapeuticl windowl forl corticosteroidsl inl pregnancy?

Answer:

2l tol 7l days

Q:l Whatl isl anl adversel reactionl ofl corticosteroidsl inl pregnancy?

Answer:

Hyperglycemia

Q:l Whatl isl thel routel andl dosel forl corticosteroidsl inl pregnancy?

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Answer:

Betamethasonel 12l mgl IMl everyl 24l hrsl xl 2l doses Dexamethasonel fourl 6l mgl IMl everyl 12l hrs

Q:l Describel PROM

Answer:

Prematurel rupturel ofl membranesl (PROM)=l beforel onsetl ofl labor Greaterl thanl 18-24l hrsl increasedl riskl forl infection

Q:l Describel PPROM

Answer:

Prolongedl prematurel rupturel ofl membranesl (PPROM)=l beforel 37l weeks Usuallyl relatedl tol infectionl (chorio,l UTI,l STI)l orl S/Pl proceduresl likel amnio,l CVS

Q:l Whatl arel thel nursingl actionsl forl PROMl andl PPROM?

Answer:

Assessl FHR,l VSl forl infection,l biophysicall profilel (BPP),l amnioticl fluidl indexl (AFI),l andl nonstressl testl (NST)

Q:l Whatl arel thel riskl factorsl ofl PPROM?

Answer:

Historyl ofl PROMl ofl preterml delivery Bleeding Shortl cervix Hydramnios Multiplel gestation Infectionsl (STI/UTI) Poor/unhealthy Smoking/drugl use

Q:l Whatl arel riskl factorsl ofl PROMl forl thel mom?

Answer:

Infectionl (chorio)

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