MATERNITY ESCAPE ROOM
Brenda has come to OB triage because she believes she is in labor. She is now 37 weeks gestation.
Brenda reports feeling tightness in her belly and she thinks they are labor contractions. What statement made by Brenda would best indicate that she is having false labor? *
(1) "I was walking through the parking lot and had to stop because the pain was so intense"
(2) "I need to get up and walk around because it feels better when I move"
(3) "I feel a lot of pressure in my lower back"
(4) "My belly feels like a rock"
Brenda is admitted for observation and is place on a fetal heart monitor and tocodynamometer to monitor her contractions. She asks you what her babies heart rate is. Looking at the strip you know that her baby has a baseline heart rate of: *
(1) 120bpm
(2) 110 bpm
(3) 145 bpm
(4) 160 bpm
She asks you if this is a normal fetal heart rate and you respond: *
(1) "Yes, it is a normal fetal heart rate"
(2) "It is concerning because it is too slow"
(3) "It is too high. I will notify the provider"
(4) "This strip doesn't give me enough information. As long as you feel the baby moving, it will be ok."
Two hours later you are checking the FHM on Brenda and see the following reading. You know that what you are seeing is: *
(1) Variable decelerations
(2) Early decelerations
(3) Late decelerations
(4) Fetal bradycardia
Based on your assessment of the monitoring strip you do the following: *
(1) Ask Brenda if she would like some ice chips.
(2) Place oxygen on Brenda and position her on her side and immediately call the provider
(3) Help her out of bed to the shower for some relief
(4) Place Brenda in the lithotomy position and prepare for delivery.
Brenda's provider orders for the nurse to give terbutaline 0.25mg SQ once then discontinue. You receive the following from pharmacy. How many ml will you administer? *
(1) 0.5ml
(2) 1 ml
(3) 0.25 ml
(4) Call pharmacy for another vial because this is not enough
Based on the information above you discover that Brenda is experiencing: *
(1) Uteroplacental insufficiency
(2) Prolapsed cord
(3) Normal labor
(4) Amniotic fluid embolism
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