Maternal and Neonatal Health Quiz

Amniocentesis

• Amniocentesis used to determine genetic or congenital disorders, not the sex of the fetus.

Vegan Diet and Vitamin B

• Fortified soy milk is a good source of vitamin B for vegans.

Forceps Assisted Delivery Complications

• A possible complication of forceps assisted delivery is facial palsy

Car Seat Safety

• Newborns delivered at 38 weeks of gestation require a car seat challenge test before discharge

Neonatal Abstinence Syndrome

• Excessive crying is a symptom of neonatal abstinence syndrome

Phototherapy for Jaundice

• Close newborn's eyes before applying eye patches during phototherapy

Diaphragm Contraception After Birth

• Diaphragm should be refitted after delivery

Clomiphene Citrate

• Breast tenderness is a possible adverse effect of clomiphene citrate

Vegan Diet During Pregnancy

• Assess protein intake of a pregnant vegan client

Stillborn Delivery

• Instruct client that an autopsy should be performed within 24 hours of a stillborn delivery
• Provide the client with photos of the fetus

MRSA

• Contact isolation precautions should be initiated for a client with MRSA at 36 weeks of gestation

Fetal Occipitoposterior Position

• Evaluate improvement in back labor after placing client in hands-and-knees position

Increasing Dietary Fiber during Pregnancy

• Lentils have the highest fiber content per cup

Breastfeeding Frequency

• Allow baby to feed at least every 3 hours

Dinoprostone Insert

• Verify that informed consent is obtained prior to administering dinoprostone insert

Nonpharmacological fertility treatment

• Maintain a healthy weight

Postpartum Hemorrhage Risk

• Client with 80% effacement and 8 cm dilated at 1 hour of contractions is at risk for postpartum hemorrhage

Subconjunctival Hemorrhage in Newborn

• Report subconjunctival hemorrhage to the provider

Late Fetal Heart Rate Decelerations

• Administer oxygen at 10 L/min via nonrebreather facemask after discontinuing oxytocin infusion for persistent late decelerations

Maternal Cytomegalovirus

• Transmission can occur via saliva and urine of the newborn

Excessive Postpartum Vaginal Bleeding

• Massage the client's fundus first

Endometritis

• Uterine tenderness is a finding in a client with endometritis

Contraindications for Contraction Stress Test

• A client with a previous classical incision has a contraindication for a contraction stress test

Postpartum Constipation and Contraindications for Suppository

• A third-degree perineal laceration is a contraindication for a suppository

Priority Assessment During Antepartum

• Assess a client at 8 weeks gestation who reports severe vomiting first

Assessment of Medication Adherence

• Ask the client if they are taking the medication as prescribed to evaluate medication adherence

Nägele's Rule

• Estimated due date is May 17th for a client whose last menstrual period began August 10th

Bladder Distention

• Assist the client to the bathroom if they have bladder distention following vaginal birth

Antibiotic Ophthalmic Ointment

• Delay the instillation of antibiotic ophthalmic ointment to allow manifestations of infection to be identified

Vaginal Bleeding Following Cesarean Birth

• Evaluate urinary output following a steady trickle of vaginal bleeding that does not stop with fundal massage

Postpartum Hemorrhage Risk Factors

• A client with a vacuum-assisted delivery, history of uterine atony, and labor induction with oxytocin are at risk for postpartum hemorrhage

Trichomoniasis

• Malodorous discharge is a possible finding in a client with trichomoniasis at 20 weeks gestation

Epidural Block Adverse Effect

• Hypotension is a possible adverse effect from an epidural block with an opioid analgesic

Peripartum Cardiomyopathy

• Assess blood pressure twice daily for a client with peripartum cardiomyopathy

High Fasting Blood Glucose During Pregnancy

• Report 180 mg/dL fasting blood glucose to the provider

Pyelonephritis

• Flank pain is a manifestation of pyelonephritis

Prolapsed Umbilical Cord

• After calling for assistance and notifying the provider, cover the umbilical cord with a sterile saline-saturated towel

Myelomeningocele

• Cleanse the site with povidone-iodine immediately following birth in a newborn with a myelomeningocele and cerebrospinal fluid leak

Newborn Status Decline

• An oxygen saturation of 89% in a newborn with chest wall retractions and blue discoloration of the hands and feet indicates a decline in status

Plastibell Circumcision

• Notify the provider if the end of the newborn's penis appears dark red

Hepatitis B Vaccine

• Administer the hepatitis B vaccine into the vastus lateralis muscle

Sore Nipples

• Assess the newborn's latch during breastfeeding for sore nipples

Tubal Ligation

• Ovulation will remain the same after tubal ligation

Home Safety

• Wash baby's face with plain water

Postpartum Assessment

• Report cool, clammy skin to the provider

McRoberts Maneuver

• Assist the client in pulling both knees toward their abdomen during the McRoberts maneuver for shoulder dystocia

Hypotension After Epidural Anesthesia

• Turn the client to a side-lying position for hypotension following epidural anesthesia

Fourth-Degree Perineal Laceration

• Provide a cool sitz bath for a client with a fourth-degree laceration 12 hours postpartum

Uterine Atony

• Anticipate a prescription for misoprostol for uterine atony and large amounts of vaginal bleeding

Neonatal Abstinence Syndrome Nursing Care

• Maintain a low-stimulation environment
• Instruct the parent to avoid breastfeeding
• Perform Ballard newborn screening each shift
• Weigh the newborn daily
• Swaddle the newborn with flexed extremities

Leopold Maneuvers

• Instruct the client to empty their bladder
• Position the client supine with knees flexed and place a small rolled towel under one of their hips
• Palpate the fetal part positioned in the fundus
• Palpate the fetal parts along both sides of the uterus
• Palpate the fetal part positioned above the symphysis pubis

Deep Vein Thrombosis Assessment

• Leukocytosis, redness, increased warmth, and tachycardia are all signs of a worsening condition
• Scant lochia rubra and decreased extremity edema are signs of an improving condition

Preeclampsia Assessment

• Platelet count of 90,000, hematuria, positive clonus, proteinuria 2+, and BUN 40 mg/dL are signs of potential worsening condition
• Leukorrhea is a sign of potential improvement

Postpartum Hemorrhage Assessment

• Lateral deviation of the uterus, large amount of lochia rubra, and uterine tone are findings that require immediate follow-up because of maternal complications

Misoprostol for Postpartum Hemorrhage

• Blood pressure of 80/50 mmHg, cloudy urine, and moderate lochia rubra are indications of a worsening condition
• Fundus firm to palpation and fundus at the level of the umbilicus are indications of a worsening condition

Neonatal Abstinence Syndrome Assessment

• Regurgitation, mottling, continuous high-pitched cry, respiratory rate 70/min, and loose stools are signs of a worsening condition
• Transient strabismus is a sign of potential improvement

Test your knowledge on maternal and neonatal health topics, including amniocentesis, car seat safety, and nutritional considerations for pregnant individuals. This quiz covers essential information for healthcare professionals and expectant parents alike.