Maternal and Newborn Nursing Review Quiz
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Questions and Answers

What is the recommended timeframe for postpartum assessment to start?

  • 30 minutes post birth
  • 2 hours post birth (correct)
  • 1 hour post birth
  • 4 hours post birth

When should involution be below the symphysis and not palpable?

  • 3 weeks postpartum
  • 2 weeks postpartum (correct)
  • 1 week postpartum
  • 4 weeks postpartum

Which condition requires further fetal assessment using electronic fetal monitoring?

  • Oligohydramnios (correct)
  • Intrauterine growth restriction
  • Maternal hypertension
  • Gestational diabetes

What is the normal range for hyperbilirubinemia in newborns?

<p>2-6 (D)</p> Signup and view all the answers

What are the components of Apgar scoring for newborn assessment?

<p>Respiratory rate, heart rate, muscle tone, reflexes (B)</p> Signup and view all the answers

What is the initial step in neonatal resuscitation?

<p>Providing warmth (B)</p> Signup and view all the answers

What is the purpose of oxytocin administration in postpartum care?

<p>To help start or continue labor (A)</p> Signup and view all the answers

What is the recommended action to cover during phototherapy for hyperbilirubinemia?

<p>Cover the newborn's eyes (B)</p> Signup and view all the answers

What is the purpose of chest compressions in neonatal resuscitation?

<p>To increase heart rate (B)</p> Signup and view all the answers

What is the primary goal of controlling bleeding after delivery?

<p>To support involution (B)</p> Signup and view all the answers

Which sleep position can help prevent Sudden Infant Death Syndrome (SIDS)?

<p>On their back (D)</p> Signup and view all the answers

What are the stages of labor in the correct order?

<p>Early latent, active, transition, post delivery stages (B)</p> Signup and view all the answers

Which of the 5 P's is in consideration of the mothers position during labor?

<p>Position (A)</p> Signup and view all the answers

What is a key strategy for preventing deep vein thrombosis (DVT)?

<p>Using compression devices (C)</p> Signup and view all the answers

What is a specific consideration for blood glucose control and fetal health in gestational diabetes?

<p>Increased insulin release (D)</p> Signup and view all the answers

What is a crucial aspect of postpartum care for maternal well-being?

<p>Addressing common complaints (D)</p> Signup and view all the answers

What is a key component of newborn discharge teaching?

<p>Recognizing behavioral responses to pain (A)</p> Signup and view all the answers

What is a potential adverse effect of pharmacologic therapy like magnesium sulfate?

<p>Hypokalemia (C)</p> Signup and view all the answers

What is a crucial maternal assessment and care during the postpartum period, especially after a C-section?

<p>Fundal checks (D)</p> Signup and view all the answers

What is a specific consideration for diabetes mellitus in pregnancy?

<p>Both pre-existing and gestational diabetes have specific considerations for blood glucose control and fetal health (B)</p> Signup and view all the answers

What are the symptoms of newborn hypoglycemia?

<p>Jitteriness, tachypnea, lethargy, and poor feeding (C)</p> Signup and view all the answers

What is the antidote for magnesium sulfate?

<p>Calcium gluconate (A)</p> Signup and view all the answers

Which factors are associated with high-risk pregnancy?

<p>Obesity, maternal age over 35, and high blood pressure (C)</p> Signup and view all the answers

What is HELLP syndrome characterized by?

<p>Hemolysis, elevated liver enzymes, and low platelet count (D)</p> Signup and view all the answers

What does a reactive nonstress test (NST) indicate?

<p>Fetal well-being (B)</p> Signup and view all the answers

What are the signs of preeclampsia?

<p>Clonus, vision changes, headache, nausea, epigastric pain, and edema (C)</p> Signup and view all the answers

What is the purpose of Apgar scoring?

<p>Assessing newborn well-being (C)</p> Signup and view all the answers

Which complications require nursing attention during labor and postpartum?

<p>Labor dystocia, postpartum hemorrhage, and newborn respiratory distress (C)</p> Signup and view all the answers

What requires monitoring prior and during epidural administration?

<p>Baseline blood pressure and frequent post-administration checks (D)</p> Signup and view all the answers

During which stage of labor does the delivery of the placenta occur?

<p>Third stage (C)</p> Signup and view all the answers

What characterizes the first stage of labor?

<p>Abdominal cramping or back pain every 10-30 minutes (B)</p> Signup and view all the answers

At what point does the second stage of labor end?

<p>When the infant is fully expelled (C)</p> Signup and view all the answers

What is the fourth stage of labor referred to as?

<p>Postpartum (D)</p> Signup and view all the answers

What is the purpose of delayed clamping of the umbilical cord during the fourth stage of labor?

<p>To increase the infant's iron stores (B)</p> Signup and view all the answers

What occurs during the first stage of labor?

<p>Shortening and opening of the cervix (B)</p> Signup and view all the answers

What is the purpose of amniotomy (AROM) during labor?

<p>To speed up labor and encourage dilation of the cervix (A)</p> Signup and view all the answers

What is a key nursing intervention for managing labor dystocia?

<p>Massage fundus to release clots (C)</p> Signup and view all the answers

What is a crucial nursing intervention for clients experiencing cold stress in the newborn period?

<p>Providing warmth and skin-to-skin contact (C)</p> Signup and view all the answers

What is the primary reason major health organizations recommend immediate skin-to-skin contact between mother and infant after birth?

<p>To promote breastfeeding and maternal bonding (C)</p> Signup and view all the answers

What is the purpose of cervical ripening during labor?

<p>To prepare the cervix for stretching during labor (B)</p> Signup and view all the answers

What is the significance of the Lamaze method in labor and delivery?

<p>It encourages vocalization and natural sounds to relieve pain (B)</p> Signup and view all the answers

What is the role of oxytocin during gestation, labor, and breastfeeding?

<p>Contributing to maternal and paternal bonding and responsiveness (B)</p> Signup and view all the answers

What is the role of uterine contractions in the process of labor?

<p>Facilitating the opening of the cervix (B)</p> Signup and view all the answers

What is the primary advantage of vaginal delivery over cesarean section?

<p>Lower risks and natural benefits for both mother and baby (B)</p> Signup and view all the answers

What is the primary recommendation for immediate post-birth contact between mother and infant?

<p>Immediate skin-to-skin contact regardless of delivery method (D)</p> Signup and view all the answers

What is a prominent sign of labor related to the fetal position?

<p>Crowning (B)</p> Signup and view all the answers

What hormone contributes to maternal and paternal bonding and responsiveness during gestation, labor, and breastfeeding?

<p>Oxytocin (B)</p> Signup and view all the answers

What does 'station' refer to in the context of vaginal birth?

<p>The fetal presenting part's relationship to the ischial spines (D)</p> Signup and view all the answers

What process involves the temporary change in the fetal head's shape as it moves through the birth canal?

<p>Molding (B)</p> Signup and view all the answers

What prepares the cervix for stretching during labor and is assessed using the Bishop score?

<p>Cervical ripening (A)</p> Signup and view all the answers

Which method encourages vocalization and natural sounds to relieve pain and facilitate labor progression?

<p>The Lamaze method (A)</p> Signup and view all the answers

What is measured in plus or minus stations in the context of vaginal birth?

<p>Fetal presenting part's relationship to the ischial spines (C)</p> Signup and view all the answers

Flashcards

Nonstress Test (NST)

A test that monitors fetal movement and heart rate to assess fetal well-being.

Reactive NST

A nonstress test with reassuring fetal heart rate patterns.

Nonreactive NST

A nonstress test with concerning or absent fetal heart rate patterns.

HELLP Syndrome

A pregnancy complication involving hemolysis, elevated liver enzymes, and low platelets.

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Preeclampsia

A pregnancy complication with high blood pressure and other symptoms.

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Preeclampsia signs

Symptoms like clonus, vision changes, headache, nausea, epigastric pain, and edema.

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High-risk pregnancy factors

Conditions like obesity, advanced maternal age (over 35), and high blood pressure.

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Newborn Hypoglycemia

Low blood sugar in a newborn.

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Newborn Hypoglycemia symptoms

Jitteriness, tachypnea, lethargy, and poor feeding.

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Apgar Score

A scoring system to assess a newborn's health immediately after birth.

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Epidural

Anesthesia given during labor for pain management.

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Epidural monitoring

Blood pressure monitoring and frequent checks after epidural administration.

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Eclampsia

A serious pregnancy complication involving seizures.

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Hyperemesis Gravidarum

Severe nausea and vomiting during pregnancy.

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Labor Dystocia

Difficulty or slow progress in labor.

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Postpartum Hemorrhage

Excessive bleeding after childbirth.

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Newborn Respiratory Distress

Problems with breathing in the newborn.

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Magnesium Sulfate

Anti-seizure medication used in pregnancy.

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Calcium Gluconate

An antidote to magnesium sulfate.

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VBAC

Vaginal birth after Cesarean.

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Bishop Score

Assessment of cervical ripeness.

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Skin-to-Skin Contact

Direct contact between mother and newborn immediately after birth.

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Cesarean Section

Surgical delivery of a baby through the abdomen.

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Pain Management Methods

Techniques to manage labor pain, including relaxation, opioids, and spinal blocks.

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Labor Complications

Problems during labor and childbirth.

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Postpartum Complications

Problems after childbirth, such as lacerations and uterine atony.

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Signs of Labor

Uterine contractions, crowning, back labor, rupture of membranes.

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Oxytocin Levels

Increases during pregnancy, labor, and breastfeeding, for bonding and responsiveness.

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Station

Fetal presenting part's position relative to the ischial spines.

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Fetal Molding

Shape changes of the fetal head during birth.

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Cervical Ripening

Cervix's preparation for dilation and stretching.

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Study Notes

Maternal and Newborn Nursing Review

  • Nonstress test (NST) is used to monitor fetal movement and heart rate, reactive NST indicates fetal well-being, while nonreactive NST raises concerns
  • HELLP syndrome is characterized by hemolysis, elevated liver enzymes, and low platelet count, leading to blood and liver problems
  • Preeclampsia signs include clonus, vision changes, headache, nausea, epigastric pain, and edema
  • High-risk pregnancy factors include obesity, maternal age over 35, and high blood pressure
  • Newborn hypoglycemia symptoms include jitteriness, tachypnea, lethargy, and poor feeding
  • Apgar scoring assesses newborn well-being, with scores below 7 requiring additional interventions
  • Epidural administration requires monitoring of baseline blood pressure and frequent post-administration checks
  • Eclampsia and hyperemesis gravidarum are critical maternal health conditions requiring prompt nursing interventions
  • Labor dystocia, postpartum hemorrhage, and newborn respiratory distress are potential complications that need nursing attention
  • Magnesium sulfate is an antiseizure medication, with calcium gluconate as its antidote
  • VBAC (vaginal birth after cesarean) and Bishop score are relevant concepts in labor and delivery management
  • Proper assessment and care are crucial in addressing postpartum complications, such as lacerations and uterine atony

Childbirth and Labour: Key Facts and Considerations

  • Major health organizations recommend immediate skin-to-skin contact between mother and infant after birth, regardless of delivery method
  • Vaginal delivery is preferred over cesarean section due to lower risks and natural benefits for both mother and baby
  • Pain management methods during labor include relaxation techniques, opioids, and spinal blocks
  • Limiting interventions during labor is best practice, but scheduled or emergency cesarean sections may be necessary in some cases
  • Complications from pregnancy and childbirth result in significant maternal and infant mortality and morbidity, especially in developing countries
  • Prominent signs of labor include uterine contractions, crowning, back labor, and the rupture of membranes
  • Oxytocin levels increase during gestation, labor, and breastfeeding, contributing to maternal and paternal bonding and responsiveness
  • "Station" in vaginal birth refers to the fetal presenting part's relationship to the ischial spines and is measured in plus or minus stations
  • The fetal head can temporarily change shape as it moves through the birth canal, a process known as molding
  • Cervical ripening prepares the cervix for stretching during labor and is assessed using a scoring system called the Bishop score
  • Vaginal delivery involves four stages of labor: cervical shortening and opening, descent and birth of the baby, delivery of the placenta, and recovery
  • The Lamaze method encourages vocalization and natural sounds to relieve pain and facilitate labor progression

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Student Copy REP Exam 2 Blueprint Fall 2023.docx

Description

Test your knowledge of maternal and newborn nursing with this review quiz. Explore topics such as nonstress tests, HELLP syndrome, preeclampsia signs, high-risk pregnancy factors, newborn hypoglycemia, Apgar scoring, epidural administration, critical maternal health conditions, labor complications, antiseizure medications, VBAC, and postpartum complications.

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