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Class 2 Bamboozle
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What would you expect the plan of care to be for a 27 weeker who presents with Preterm Labor?
Magnesium Sulfate, Steroids (Celestone), ATBX, Terbutaline
What are you most excited about as a new nurse?
Open Response
You have a patient who presents to triage at 33 weeks gestation. What symptoms/complaints would make you concerned she may be in preterm labor?
Dull, constant, low backache contractions, occurring at least every 10 minutes (do not have to be painful), menstrual type cramping, change in vaginal discharge
A patient presents to triage at 38 weeks pregnant following a prenatal visit this morning. She states she has been contracting ever since her provider “stripped her membranes.” Induction or Augmentation?
Induction
A patient presents to L&D at 39 weeks gestation for painful contractions every 3-5 minutes. You check her cervix and she is 4cm dilated. The provider decides to perform an amniotomy to “encourage” labor. Induction or Augmentation?
Augmentation
Your patient is 40 weeks pregnant and her provider has sent her to the hospital for misoprostol. She is not contracting and her membranes are intact. Induction or Augmentation?
Induction
A patient presents for SROM. She is 39 weeks pregnant and contracting occasionally. The provider orders for oxytocin to be started. Induction or Augmentation?
Augmentation
How do you learn new information?
Open Response
44-year-old, currently 16 weeks pregnant, three children living (two preterm and one full term), two separate spontaneous abortions, another child born to term that died at three years of age.
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