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</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</p> Signup and view all the answers

    What is the initial step in neonatal resuscitation?

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

    What is the purpose of oxytocin administration in postpartum care?

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

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

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

    What is the purpose of chest compressions in neonatal resuscitation?

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

    What is the primary goal of controlling bleeding after delivery?

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

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

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

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

    <p>Position</p> Signup and view all the answers

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

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

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

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

    What is a key component of newborn discharge teaching?

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

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

    <p>Hypokalemia</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</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</p> Signup and view all the answers

    What are the symptoms of newborn hypoglycemia?

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

    What is the antidote for magnesium sulfate?

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

    What is HELLP syndrome characterized by?

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

    What does a reactive nonstress test (NST) indicate?

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

    What are the signs of preeclampsia?

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

    What is the purpose of Apgar scoring?

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

    What requires monitoring prior and during epidural administration?

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

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

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

    What characterizes the first stage of labor?

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

    At what point does the second stage of labor end?

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

    What is the fourth stage of labor referred to as?

    <p>Postpartum</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</p> Signup and view all the answers

    What occurs during the first stage of labor?

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

    What is a key nursing intervention for managing labor dystocia?

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

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

    <p>Crowning</p> Signup and view all the answers

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

    <p>Oxytocin</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</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</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</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</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</p> Signup and view all the answers

    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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