Podcast
Questions and Answers
What does amniocentesis determine?
It determines if your baby has genetic or congenital disorders.
Which vitamin B source should a client on a vegan diet choose?
Which complication may arise from a forceps-assisted birth?
A newborn needs a car seat challenge test before discharge.
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What should a nurse do for a newborn with jaundice prescribed phototherapy?
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What is one side effect of clomiphene citrate?
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How much protein do you eat in a day?
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What should be done within 24 hours for a stillborn fetus?
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What type of isolation precautions should be taken for a client with MRSA?
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What does a pregnant woman need after a dilation and curettage?
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What is the estimated date of delivery using the last menstrual period of August 10?
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Which condition could result from postpartum hemorrhage?
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Match the signs to their indications in postpartum assessment:
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Study Notes
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
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Description
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.
