First nursing action for magnesium sulfate toxicity?, Place supine only, Encourage ambulation, Increase oxytocin rate, Stop infusion, assess respirations/reflexes, prepare calcium gluconate, What FHR pattern is reassuring?, Late decelerations, Early decelerations, Prolonged bradycardia, Variable decelerations, Which FHR pattern requires immediate intervention?, Late decelerations, Moderate variability, Accelerations, Early decelerations, What do early decelerations indicate?, Cord compression, Fetal infection, Head compression, Placental insufficiency, What causes variable decelerations?, Cord compression, Uteroplacental insufficiency, Maternal hypotension only, Head compression, What causes late decelerations?, Fetal movement, Head compression, Uteroplacental insufficiency, Cord compression, What are the nursing interventions for late decelerations?, Trendelenburg and feed client, Increase oxytocin infusion, Ambulate and recheck later, Left side, stop oxytocin, increase IV, oxygen, notify provider, Which fetal heart rate pattern is considered reassuring?, Bradycardia absent variability, Early decels, moderate variability, Late decels, minimal variability, Variable decels recurrent, Normal fetal heart rate?, 120–200 bpm, 110–160 bpm, 100–180 bpm, 90–120 bpm, What is fetal tachycardia?, FHR >180 for 2 min, FHR 150 with contractions, FHR <110 for 10 min, FHR >160 for 10 min, What is fetal bradycardia?, FHR <110 for 10 min, FHR <100 for 2 min, FHR 120 with variability, FHR >160 for 10 min, Which stage of labor begins with regular contractions and ends with complete cervical dilation?, Third stage, Fourth stage, First stage, Second stage, Which stage of labor begins at 10 cm dilation?, Third stage, First stage, Fourth stage, Second stage, Which stage of labor ends with delivery of the placenta?, Second stage, First stage, Third stage, Fourth stage, What occurs during the fourth stage of labor?, Recovery, hemorrhage assessment, Pushing phase, Cervical dilation, Placenta delivery, What are the classic signs of preeclampsia?, Hypotension, fever, rash, Hypertension, proteinuria, edema, Tachycardia, cough, cyanosis, Jaundice, pruritus, edema, Severe features of preeclampsia include what findings?, Severe HTN, headache, visual changes, RUQ pain, hyperreflexia, oliguria, Mild edema and fatigue only, Fever and productive cough, Polyuria and hypotension, Why is magnesium sulfate given?, Lower blood pressure directly, Treat hemorrhage, Induce labor, Prevent seizures, Is magnesium sulfate an antihypertensive?, Yes, primary antihypertensive, No, prevents seizures, Therapeutic magnesium level?, 15–20 mEq/L, 1–2 mEq/L, 4–7 mEq/L, 8–12 mEq/L, Signs of magnesium sulfate toxicity?, RR <12, absent reflexes, low urine, decreased LOC, Tachypnea and hyperreflexia, Hypertension and polyuria, Fever and diarrhea, Antidote for magnesium sulfate?, Naloxone, Vitamin K, Calcium gluconate, Protamine sulfate, Before giving another dose of magnesium sulfate, what should the nurse assess?, Bowel sounds and appetite, Respirations, reflexes, urine output, Lochia color only, Pupil size and grip only, Why is oxytocin (Pitocin) administered after delivery?, Relieve pain, Increase milk supply immediately, Lower temperature, Contract uterus, prevent hemorrhage, What is the most common cause of postpartum hemorrhage?, Uterine atony, Cord prolapse, Placenta previa, Preeclampsia, First nursing action for postpartum hemorrhage caused by uterine atony?, Insert Foley first, Start magnesium sulfate, Massage fundus, Place in lithotomy, If the uterus is boggy, what should the nurse do?, Apply ice to perineum, Encourage pushing, Stop all IV fluids, Massage until firm, What should be assessed before administering oxytocin for postpartum hemorrhage?, Vision and hearing, Uterine tone, bleeding amount, Bowel elimination, Lung sounds only, What are the three routine newborn medications?, Vitamin K, erythromycin, hepatitis B, Iron, naloxone, polio, Calcium, eye drops, MMR, Vitamin C, morphine, HBIG, Why is vitamin K given to newborns?, Improve feeding, Treat infection, Prevent jaundice, Prevent bleeding, Why is erythromycin eye ointment given?, Improve vision, Prevent gonococcal ophthalmia, Treat jaundice, Prevent hemorrhage, Which newborn medication is administered intramuscularly?, Oral sucrose, Erythromycin, Vitamin K, Hepatitis B immune globulin, Which newborn medication is applied to the eyes?, Phytonadione IM, Erythromycin ointment, Vitamin K, Hepatitis B vaccine

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