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SAMC Caring for Women at Risk, Exams of Nursing

Agnes Scott CollegeNursing

offers specialized care for women facing high-risk pregnancies through its Maternal Fetal Center and antepartum care unit. They provide comprehensive services, including monitoring, treatment, and support, for both the mother and baby during complex pregnancies. This includes addressing conditions like preterm labor, preeclampsia, and other complications requiring hospitalization.

Typology: Exams

2024/2025

Available from 06/27/2025

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SAMC Caring for Women at Risk for Preterm
Labor (or with Premature Rupture of Membranes)
Latest 2025
02
Preterm labor is labor occurring after and before completed weeks' gestation. - ✔✔20; 37
The diagnosis of preterm labor is made when contractions less than 10 minutes apart are accompanied
by what 3 things? - ✔✔Progressive change in the cervix, cervical dilation of 2 cm or more, cervical
effacement of 80% or more
The majority of pertinatal morbidity and mortality in the US are the result of - ✔✔Preterm births
A VERY preterm birth is defined as a delivery of an infant of less than completed weeks gestation
- ✔✔32
What are 5 demographic risk factors related to preterm labor? - ✔✔
1. age <20 or >35
2. Race- African American especially
3. Low socioeconomic status
4. Unmarried
5. Low level of education
The single greatest risk factor for preterm labor is: - ✔✔Previous preterm birth
List two of the four physiological pathways related to the onset of preterm labor - ✔✔
1. Inflammation and infection
2. Maternal or fetal stress
3. Decidual hemorrhage or abruption
4. Mechanical stretch of the uterus
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SAMC Caring for Women at Risk for Preterm

Labor (or with Premature Rupture of Membranes)

Latest 2 025

02 Preterm labor is labor occurring after and before completed weeks' gestation. - ✔✔ 20 ; 37 The diagnosis of preterm labor is made when contractions less than 10 minutes apart are accompanied by what 3 things? - ✔✔Progressive change in the cervix, cervical dilation of 2 cm or more, cervical effacement of 80 % or more The majority of pertinatal morbidity and mortality in the US are the result of - ✔✔Preterm births A VERY preterm birth is defined as a delivery of an infant of less than completed weeks gestation

  • ✔✔ 32 What are 5 demographic risk factors related to preterm labor? - ✔✔
  1. age < 20 or > 35
  2. Race- African American especially
  3. Low socioeconomic status
  4. Unmarried
  5. Low level of education The single greatest risk factor for preterm labor is: - ✔✔Previous preterm birth List two of the four physiological pathways related to the onset of preterm labor - ✔✔
  6. Inflammation and infection
  7. Maternal or fetal stress
  8. Decidual hemorrhage or abruption
  9. Mechanical stretch of the uterus

List 5 behavioral risk factors related to preterm labor: - ✔✔

  1. Smoking
  2. Alcohol and other substance abuse
  3. Poor nutritional status
  4. High altitude
  5. Domestic abuse
  6. Strenuous job activity
  7. High stress
  8. Lack of prenatal care
  9. Diethylstilbestrol (DES) exposure and other toxic exposures What are 6 warning signs of preterm labor? - ✔✔ 1. Uterine contractions- five or more in an hour
  10. Menstrual like cramps
  11. Low, dull backache
  12. Abdominal cramping
  13. Pelvic pressure
  14. Increase or change in vaginal discharge List 3 things to consider before giving telephone instructions to women complaining of vague symptoms of preterm labor: - ✔✔The patient's knowledge level or preterm labor, her pregnancy history, distance from the hospital A knowledgeable patient with an uncomplicated pregnancy who experiences symptoms of preterm labor with physical activity might be instructed to do the following: - ✔✔Empty her bladder, rest on her side, drink 2 - 3 glasses of water or juice, palpate for contractions, call back in 1 hr if symptoms persist or if symptoms recur with resumption of normal activities The ultimate diagnosis of true labor is: - ✔✔Cervical change
  • Baseline cervical examinations
  • Provide comfort measures and emotional support
  • Prepare for the possibility of ultrasound, amniocentesis, tocolytic drug therapy, steroid therapy, baseline blood chemistry (CBC)
  • Educate patient and family about these procedures/therapies Risk appraisal (does) or (does not) identify approximately 90 % of women who will eventually experience preterm labor - ✔✔Does not Drugs that have a depressant effect on the myometrium of the uterus are called: - ✔✔Tocolytic drugs The process of administering a drug for the purpose of inhibiting uterine contractions is called: - ✔✔Tocolytic therapy or tocolysis List 7 contraindications to tocolytic therapy: - ✔✔ 1. Severe preeclampsia/eclampsia
  1. Placental abruption, acute hemorrhage, or active vaginal bleeding
  2. Lethal congenital or chromosomal abnormalities
  3. Evidence of fetal compromise or intrauterine demise
  4. Advanced cervical dilation
  5. Maternal hemodynamic instability or complications
  6. Intrauterine infection Two of the drugs that are commonly used to tocolysis are and - ✔✔Terbutaline and magnesium sulfate During tocolytic therapy with terbutaline, the physician should be notified if the maternal pulse exceeds bpm - ✔✔ 120 The nurse should listen to the patient's breath sounds before tocolytic therapy begins and should monitor for signs of pulmonary edema including , , or

✔✔Dyspnea, wheezing, coughing, reflex

MgSO4, a central nervous system depressant, should never be administered in the absence of

  • ✔✔Patellar reflexes Define premature rupture of membranes: - ✔✔The spontaneous rupture of membranes before the onset of labor, regardless of gestational age A vaginal infection known to have a strong relationship to preterm delivery, especially in African- American women is called: - ✔✔Bacterial vaginosis List 3 possible complications resulting from PROM: - ✔✔ 1. Intrauterine infection (chorioamnioitis)
  1. Preterm labor
  2. Prolapsed umbilical cord Name 4 signs of chorioamnioitis: - ✔✔ 1. Maternal or fetal tachycardia
  3. Temperature higher than 100 .4F
  4. Uterine tenderness
  5. Foul-smelling, purulent amniotic fluid If the fetus is less than 34 weeks and the mother is not in active labor, her care should take place at_ - ✔✔A high-risk regional medical center Every fetus between 24 and 34 week's gestation at a risk for preterm delivery should be considered a candidate for antenatal treatment with - ✔✔Corticosteroids (betamethasone) If chorioamnioitis develops or if there is evidence of fetal distress, is indicated - ✔✔Immediate delivery The benefits of antenatal administration or corticosteroids to the fetus at risk of preterm delivery include a reduction in the risks of _, _, and - ✔✔Respiratory distress syndrome, intraventricular hemorrhage, mortality