Obstetrics and Newborn Care Quiz

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Questions and Answers

What is the primary reason for assisting a client to empty her bladder after giving birth?

To prevent uterine atony and excessive lochia (correct)

To promote immediate postpartum pain relief

To enhance uterine contraction

To facilitate maternal bonding with the newborn

Which of the following is a sign of magnesium sulfate toxicity?

Heightened deep-tendon reflexes

Increased muscle tone

Heart rate greater than 100/min

Respiratory rate of less than or equal to 12/min (correct)

What is the expected descent of a client's fundus after giving birth?

Descend 1 to 2 cm every 24 hours (correct)

Descend 3 to 4 cm every 24 hours

Remain constant for 48 hours

Rise to 2 cm above the umbilicus after 1 hour

Which action should be taken to manage variable decelerations during labor?

Reposition mother to the left side Signup and view all the answers

What is a common sign of septic shock in a newborn?

Tachycardia Signup and view all the answers

What is the purpose of adding vitamin C to iron supplementation?

To enhance iron absorption Signup and view all the answers

What are the typical hemoglobin levels in clients with sickle cell anemia?

Approximately 6 to 8 g/dL Signup and view all the answers

Which symptom is NOT associated with Neonatal Abstinence Syndrome?

Severe fatigue Signup and view all the answers

What condition is characterized by a firm and board-like uterus and very painful symptoms?

Abruptio Placenta Signup and view all the answers

What does the presence of ketonuria indicate in patients with Hyperemesis Gravidarum?

Inadequate dietary intake Signup and view all the answers

Which reflex is present at birth and expected to be absent by 6 months of age?

Moro reflex Signup and view all the answers

What is a potential adverse effect of administering Meperidine Hydrochloride?

Respiratory depression Signup and view all the answers

What should be done to prepare a newborn's heel for a blood draw?

Warm the heel for 5 to 10 minutes Signup and view all the answers

What is the purpose of a tocolytic during External Cephalic Version?

To relax the uterus Signup and view all the answers

What is the typical heart rate range for a newborn?

110-160/min Signup and view all the answers

Which of the following statements about Meperidine is true?

It can lead to respiratory depression in the newborn. Signup and view all the answers

Which practice should a client avoid to suppress lactation after bottle feeding?

Massaging the breasts Signup and view all the answers

What is indicated by the passage of a mucus plug tinged with blood during labor?

Cervical dilation has begun Signup and view all the answers

Which of the following is a common sign of mastitis?

Breast swelling and pain Signup and view all the answers

What is a function of the corpus luteum during pregnancy?

To produce progesterone Signup and view all the answers

What is the expected range for a newborn's blood pressure?

60 to 80 mm Hg systolic Signup and view all the answers

What should be done every 2 to 3 hours during phototherapy for a newborn?

Reposition the newborn Signup and view all the answers

Which medication is known to help promote uterine contractions?

Methylergonovine Signup and view all the answers

Study Notes

External Cephalic Version

Provider uses hands on mother's abdomen to turn baby from breech or transverse to head-down position
Typically performed around 37 weeks gestation
Often, a tocolytic is given to relax the uterus before the procedure

Internal Cephalic Version

Provider inserts hand into uterus through cervix to manually turn baby
Usually performed during labor

Graafian Follicle

Expels mature ovum during embryonic development, often shortly after fertilization

Corpus Luteum

Structure within ovary producing progesterone to maintain pregnancy

Newborn Vital Signs

Respiratory rate (RR): 30-60 breaths/minute, with occasional periods of apnea (less than 15 seconds)
Heart rate (HR): 110-160 beats per minute
Blood pressure (BP): 60-80 mmHg systolic / 40-50 mmHg diastolic
Temperature: 36.5°C to 37.5°C (97.7°F to 99.5°F)

Phototherapy for Newborns

Monitor stool output
Reposition newborn every 2-3 hours
Dress newborn in only a diaper
Cover eyes with an eye shield
Monitor temperature regularly
Advise parents not to apply lotion

Meperidine

Opioid medication
Should not be given to clients expected to deliver within 4 hours
Crosses placenta, causing respiratory depression in newborn, peaking 2-3 hours after administration
Narcan is ineffective at reversing respiratory depression from this medication
Maternally, it can cause tachycardia, nausea, vomiting, dizziness, and mental status changes.

Lactation Suppression

Clients should wear supportive bra continuously for 3 days postpartum to suppress lactation
Avoid touching or massaging breasts
Avoid warming breast milk
Apply ice packs to breasts (15 minutes on, 45 minutes off) to reduce swelling

True Labor

Contractions typically felt in lower back, radiating to lower abdomen
Passage of mucus plug (bloody show), cervical dilatation, and effacement (thinning of cervix)

Decelerations

Early decelerations occur due to head compression
Variable decelerations caused by umbilical compression

Premature Newborns

Abundant lanugo, especially on back
Hypotonia and relaxed posture
Few heel creases; and very abundant vernix caseosa (only present in premature / post-term newborns)
Signs of magnesium sulfate toxicity: RR ≤ 12 breaths/minute, muscle weakness, and depressed deep-tendon reflexes
Measure ocipitofrontal circumference (head circumference), length from top of head to heel, and chest circumference at nipple line to assess the size of a premature newborn

Septic Shock in Newborns

Characterized by hypotension, tachypnea, tachycardia, and mottled or grey colored skin

Anemia in Pregnancy

Defined by hemoglobin levels less than 10.5-11 g/dL
Treated with iron and vitamin C supplementation

Placenta Issues

Placenta Previa: Relaxed, soft, painless bright red bleeding
Abruptio Placenta: Firm, board-like, painful dark red bleeding

Neonatal Abstinence Syndrome

Results from exposure to opioids during pregnancy or labor

Methylergonovine

Promotes uterine contractions

Mastitis

Breast inflammation that can be infected
Releasing baby from nipple before removal can help to prevent injury, and subsequent mastitis
Waiting too long between feedings may cause clogging, which may lead to an increase in the likelihood of mastitis

Hyperemesis Gravidarum

Severe nausea and vomiting during pregnancy, due to not consuming enough nutrients and/or due to the body breaking down fat as its primary fuel source
Results in ketonuria

Moro Reflex

“C” formation of thumb and forefinger and extension of legs, present at birth and gone by 6 months.

Heel Stick

Warm the heel of the newborn with a warm washcloth prior to performing heel stick

McRoberts Maneuver

Client's knees are pulled apart, which rotates the pubic bone, and is useful in the relief of shoulder dystocia
Anterior shoulder can be released from the pelvis without applying pressure.

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Description

Test your knowledge on obstetric procedures and newborn care, including External and Internal Cephalic Version, vital signs, and Graafian follicle functions. This quiz covers essential aspects of childbirth and newborn health, specifically designed for medical students or professionals in obstetrics.