Postpartum and Newborn Care Quiz
39 Questions
7 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What should a nurse instruct a client who is pregnant and follows a vegan diet to eat for the highest calcium intake?

  • 1 cup almond milk
  • 1 cup cottage cheese
  • 1 cup cooked broccoli (correct)
  • 1 cup cooked spinach

    • Which statement by a client indicates an understanding of the preparation for an abdominal ultrasound?

  • I will drink water before the test until my bladder feels full. (correct)
  • I should eat a large meal right before the test.
  • It’s essential to avoid all fluids before the ultrasound.
  • I can have soda before the test to stay hydrated.

    • In what order should a nurse perform actions for fundal massage in a postpartum client with uterine atony?

  • A, B, C, D (correct)
  • D, A, B, C
  • C, B, A, D
  • B, A, C, D

    • What action should the nurse take when reviewing laboratory results for a client at 12 weeks of gestation with concerning family history?

    <p>Obtain a maternal serum alpha-fetoprotein specimen.</p> Signup and view all the answers

    Which client statement shows an understanding of proper condom storage?

    <p>I can store the condoms in the drawer of my nightstand.</p> Signup and view all the answers

    Which client should the PN ask the RN to reassess prior to transfer to the postpartum unit?

    <p>A primigravida whose perineal pain has worsened.</p> Signup and view all the answers

    Which condition is a known risk factor for postpartum hemorrhage that should be included in nursing education?

    <p>Retained placental fragments.</p> Signup and view all the answers

    What action should the nurse include in the care plan for a pregnant client with HIV?

    <p>Bathe the newborn before initiating skin-to-skin contact.</p> Signup and view all the answers

    What is an appropriate instruction for a client about counterpressure during labor?

    <p>Your partner will apply upward pressure on you.</p> Signup and view all the answers

    Which food should the nurse recommend to a client at 32 weeks of gestation with cholelithiasis?

    <p>Baked chicken.</p> Signup and view all the answers

    What instruction should be included in discharge teaching for a client 24 hours postpartum who is not breastfeeding?

    <p>Apply ice packs to your breasts using a 15 minutes on, 45 minutes off schedule.</p> Signup and view all the answers

    Which action should the nurse take while performing a heel stick on a newborn?

    <p>Use an automatic puncture device on the heel.</p> Signup and view all the answers

    What clinical finding should the nurse report for a full-term newborn upon admission?

    <p>Rust-stained urine.</p> Signup and view all the answers

    What laboratory test should be conducted for a client receiving prenatal care at her 24-week appointment?

    <p>One-hour glucose tolerance test</p> Signup and view all the answers

    Which statement indicates a client understands the teaching about medroxyprogesterone IM for contraception?

    <p>I should increase my calcium intake while taking this medication.</p> Signup and view all the answers

    What assessment finding indicates the need for nasopharynx suctioning in a newborn?

    <p>None of the above</p> Signup and view all the answers

    Using Naegele's rule, what is the estimated date of delivery for a client whose last menstrual period was March 20?

    <p>December 27 of the current year</p> Signup and view all the answers

    Which discharge instruction should a nurse provide to a client who is breastfeeding her newborn?

    <p>Allow the baby to feed at least every 3 hours.</p> Signup and view all the answers

    Which vaccines should be considered for a client at 30 weeks of gestation?

    <p>Diphtheria-acellular pertussis</p> Signup and view all the answers

    For a client in active labor with gonorrhea, which complication should the nurse monitor for?

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

    What is an important recommendation for a client following a vaginal delivery of a term fetal demise?

    <p>You can bathe and dress your baby if you'd like to.</p> Signup and view all the answers

    What instruction should a nurse include for a postpartum client who wants to continue using her diaphragm for contraception?

    <p>You should have your provider refit you for any diaphragm.</p> Signup and view all the answers

    What action should a nurse take regarding a newborn scheduled for phototherapy?

    <p>Ensure the newborn's eyes are closed beneath the shield.</p> Signup and view all the answers

    What type of isolation precautions should a nurse initiate for a client with methicillin-resistant Staphylococcus aureus at 36 weeks of gestation?

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

    What should a nurse assess to determine if suctioning is required for a newborn exposed to cocaine in utero?

    <p>High-pitched cry</p> Signup and view all the answers

    Which clinical finding should a nurse expect in a newborn delivered with a nuchal cord?

    <p>Facial petechiae.</p> Signup and view all the answers

    Which dietary option is highest in fiber per cup for a vegan client trying to increase fiber intake?

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

    What should a nurse do if a client experiences spontaneous rupture of membranes with fetal bradycardia?

    <p>Perform a vaginal examination by applying upward pressure on the presenting part.</p> Signup and view all the answers

    What finding should the nurse report for a client at 27 weeks of gestation with preeclampsia?

    <p>Platelet count 60,000/mm³</p> Signup and view all the answers

    What is the appropriate nursing action for a client who just received epidural anesthesia and exhibits low blood pressure?

    <p>Turn the client onto their side.</p> Signup and view all the answers

    Which response indicates a correct understanding of the effects of magnesium sulfate?

    <p>This medication prevents seizures.</p> Signup and view all the answers

    After a chorionic villus sampling, what complication should a nurse monitor for?

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

    Which finding is a contraindication for using a suppository in a postpartum client?

    <p>Third-degree perineal laceration.</p> Signup and view all the answers

    What should a nurse do first for a newborn post-delivery?

    <p>Apply identification bands to the newborn.</p> Signup and view all the answers

    What should a nurse anticipate for a client with hyperemesis gravidarum?

    <p>Urine ketones.</p> Signup and view all the answers

    What laboratory result should a nurse report for a newborn?

    <p>Platelets 100,000/mm.</p> Signup and view all the answers

    Which statement indicates a postpartum client understands rubella immunization?

    <p>I should avoid becoming pregnant for at least 1 month following the immunization.</p> Signup and view all the answers

    For a 32-week pregnant client receiving magnesium sulfate, which finding should be reported?

    <p>Absent deep tendon reflexes.</p> Signup and view all the answers

    What action should the nurse take immediately after a newborn’s delivery?

    <p>Clear the airway if needed.</p> Signup and view all the answers

    Study Notes

    Postpartum Assessments

    • Assess a primigravida whose perineal pain has worsened one hour after being medicated for pain.

    Postpartum Hemorrhage

    • Retained placental fragments are a risk factor for postpartum hemorrhage.

    HIV Positive Mother and Newborn

    • Bathe the newborn before initiating skin-to-skin contact with the mother.

    Counterpressure

    • During labor, the partner will apply upward pressure on the client’s lower back to alleviate pain.

    Cholelithiasis in Pregnancy

    • Recommend baked chicken.

    Postpartum Breast Care

    • Apply ice packs to breasts for 15 minutes on, 45 minutes off.

    Newborn Heel Stick

    • Use an automatic puncture device on the heel.

    Newborn Admission Assessment Findings

    • Report rust-stained urine to the provider.

    Magnesium Sulfate Adverse Reaction

    • Urine output of 20 mL/hr is an adverse reaction.

    Placenta Previa

    • Expect painless vaginal bleeding.

    Hyperemesis Gravidarum Labs

    • Anticipate urine ketone testing.

    24-Week Prenatal Lab Tests

    • Plan to conduct a one-hour glucose tolerance test.

    Medroxyprogesterone for Contraception

    • Increase calcium intake while taking this medication.

    Newborn Suctioning of Nasopharynx

    • Suctioning is needed for newborn with excessive mucus or if they are having difficulty breathing.

    Naegele's Rule for EDD Calculation

    • If the client’s LMP was March 20th, the estimated date of delivery (EDD) is December 27th.
    • Add 7 days and subtract 3 months from the first day of the LMP.

    Breastfeeding

    • Allow the baby to feed at least every 3 hours.

    Vaccines During Pregnancy

    • Vaccinate the client at 30 weeks of gestation with inactivated influenza and diphtheria-acellular pertussis.

    Gonorrhea in Labor

    • Monitor for chorioamnionitis.

    Diaphragm Contraception

    • Have an annual examination to assess the diaphragm.

    Fetal Demise

    • The nurse should state, "You can bathe and dress your baby if you'd like to."

    Methicillin-Resistant Staphylococcus Aureus

    • Initiate contact precautions.

    Exstrophy of the Bladder

    • Cover the newborn's bladder with a sterile, non-adherent dressing.

    Nonstress Test Assessment

    • Further diagnostic testing is needed with less than 2 accelerations in duration within a 10-minute testing period.

    Newborn Bottle Feeding

    • Demonstrate how to hold the newborn and allow the client to practice.

    Amniocentesis

    • This procedure determines if the baby has genetic or congenital disorders.

    Increasing Dietary Fiber for Constipation

    • Lentils have the highest fiber content per cup.

    Preeclampsia

    • Report a platelet count of 60,000/mm3 to the provider.

    Vegan Diet and Vitamin B2

    • Recommend fortified soy milk.

    Magnesium Sulfate

    • Instruct the client to report increased muscle weakness.

    Tocolytic Therapy

    • Review serum medication levels during tocolytic therapy.

    Babinski Reflex

    • The nurse should expect dorsiflexion of the great toe.

    Newborn Exposed to Cocaine

    • Expect a high-pitched cry.

    Nägele's Rule

    • If the first day of the LMP was July 28th, the EDD would be May 5th.

    Gestational Diabetes Mellitus

    • Report a fundal height of 38 cm at 32 weeks of gestation.

    Magnesium Sulfate for Preeclampsia

    • The medication prevents seizures.

    Diaphragm Contraception Postpartum

    • Have the provider refit the diaphragm.

    Phototherapy for Newborn

    • Ensure the newborn’s eyes are closed beneath the shield.

    Nuchal Cord Delivery

    • Expect facial petechiae.

    Protruding Umbilical Cord

    • Perform a vaginal examination by applying upward pressure on the presenting part.

    Epidural Anesthesia and Hypotension

    • Turn the client onto their side.

    Myelomeningocele

    • Administer broad-spectrum antibiotics.

    Chorionic Villus Sampling

    • Monitor for infection.

    Postpartum Constipation

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

    Newborn Lab Results

    • Report platelets of 100,000/mm3 to the provider.

    Latent Phase of Labor Pain Management

    • Apply counterpressure to the sacral area.
    • Ambulate the client in the hallway.
    • Administer 70-90% nitrous oxide mixed with oxygen.

    Terbutaline for Preterm Labor

    • Withhold the medication and report a BP of 88/58 mmHg.

    Preparing a Toddler for a Newborn

    • Move the toddler out of the crib 2 weeks prior to your due date.

    Newborn Hypoglycemia

    • Feed the newborn immediately.

    Labor Assessment

    • A client who is 80% effaced and 8 cm dilated is at risk for postpartum hemorrhage.

    Hypovolemic Shock

    • Expect cool, clammy skin.

    Magnesium Sulfate Infusion Assessment

    • Report absent deep tendon reflexes.

    Oxytocin for Labor Induction

    • Discontinue oxytocin if there are six contractions in 10 minutes.

    Postpartum Newborn Care

    • Apply identification bands to the newborn.

    Nausea and Vomiting in Early Pregnancy

    • Consume foods served at cool temperatures.

    Urine Ketone Testing

    • Anticipate urine ketone testing for a client with hyperemesis gravidarum.

    Postpartum Newborn Tachypnea

    • Assess the newborn who is 10 hours old with onset tachypnea first.

    Rubella Immunization

    • Avoid becoming pregnant for at least 1 month following the immunization.

    Dinoprostone Insertion

    • Verify that informed consent is obtained before inserting dinoprostone.

    Plastibell Circumcision

    • Yellow exudate will form at the surgical site in 24 hours.

    Newborn CMV Infection

    • Expect hearing loss in a newborn who acquired CMV transplacentally.

    Postpartum Newborn Care for Circumcision

    • Do not retract the foreskin to clean the penis during diaper changes.

    Abdominal Ultrasound

    • Drink water before the test until your bladder feels full.

    Vegan Diet and Calcium Intake

    • Consume 1 cup of cooked broccoli for the highest amount of calcium.

    Fundal Massage

    • Ask the client to lie on her back with knees flexed.
    • Position one hand around the top of the uterus and one hand above the symphysis pubis.
    • Rotate the upper hand to massage the uterus while using slight downward pressure to compress the fundus.
    • Observe the perineum for clots and the amount of bleeding.

    Maternal Serum Alpha-Fetoprotein Testing

    • Obtain a maternal serum alpha-fetoprotein specimen for a client at 12 weeks of gestation with a family history of breast cancer and heart disease.

    Condom Use

    • Store condoms in a drawer of the nightstand.

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Description

    Test your knowledge on postpartum assessments, complications, and newborn care procedures. This quiz covers various topics including postpartum hemorrhage, maternal care guidelines, and newborn admission assessments. Ideal for nursing students and professionals focusing on maternal health.

    More Like This

    Use Quizgecko on...
    Browser
    Open
    Browser
    Browser