Podcast
Questions and Answers
What emergency intervention should the nurse implement when signs of umbilical cord compression are present, and a portion of the cord can be felt in the vagina?
What emergency intervention should the nurse implement when signs of umbilical cord compression are present, and a portion of the cord can be felt in the vagina?
- Position the woman in a knee-chest position
- Administer terbutaline, a tocolytic, as prescribed
- Locate and insert a vacuum suction catheter into the vagina and push the infant back into the uterus
- Place a gloved hand in the vagina and put upward pressure on the presenting part to keep it off the cord (correct)
What intervention is most important when caring for a client with confirmed breech presentation by ultrasound?
What intervention is most important when caring for a client with confirmed breech presentation by ultrasound?
- Continuing to monitor maternal and fetal status (correct)
- Applying suprapubic pressure against the fetal back
- Auscultating the fetal heart rate at the level of the umbilicus
- Noting the space at the maternal umbilicus
If a woman with a history of crack cocaine use disorder experiences sudden fetal bradycardia, an irregular abdominal wall contour, and acute continuous abdominal pain, what condition would the nurse suspect?
If a woman with a history of crack cocaine use disorder experiences sudden fetal bradycardia, an irregular abdominal wall contour, and acute continuous abdominal pain, what condition would the nurse suspect?
- Amniotic fluid embolism
- Shoulder dystocia
- Umbilical cord prolapse
- Uterine rupture (correct)
What is the purpose of counting fetal movements beginning at 28 weeks' gestation?
What is the purpose of counting fetal movements beginning at 28 weeks' gestation?
If a mother who just delivered via cesarean has a history of controlled atrial fibrillation, which assessment finding should the nurse prioritize?
If a mother who just delivered via cesarean has a history of controlled atrial fibrillation, which assessment finding should the nurse prioritize?
What can cause anemia in pregnancy that is most commonly encountered?
What can cause anemia in pregnancy that is most commonly encountered?
If a 32-year-old woman with epilepsy wants to have children, what should be prioritized in her care?
If a 32-year-old woman with epilepsy wants to have children, what should be prioritized in her care?
What procedure might be needed during the third trimester to assess fetal lung maturity?
What procedure might be needed during the third trimester to assess fetal lung maturity?
In what situation might a mother delivering a large baby via cesarean be at risk of needing this type of birth?
In what situation might a mother delivering a large baby via cesarean be at risk of needing this type of birth?
What is the primary concern with marijuana use during pregnancy?
What is the primary concern with marijuana use during pregnancy?
For a pregnant client with a disability, what should be the nurse's initial action?
For a pregnant client with a disability, what should be the nurse's initial action?
What aspect of care should a nurse emphasize when reviewing a prenatal visit report for a 41-year-old client?
What aspect of care should a nurse emphasize when reviewing a prenatal visit report for a 41-year-old client?
Which statement best reflects the potential risks of marijuana use during pregnancy?
Which statement best reflects the potential risks of marijuana use during pregnancy?
What is the nurse's most appropriate response to a pregnant client considering using marijuana for nausea?
What is the nurse's most appropriate response to a pregnant client considering using marijuana for nausea?
For a pregnant client with multiple sexual partners and HIV, what should be the nurse's immediate focus?
For a pregnant client with multiple sexual partners and HIV, what should be the nurse's immediate focus?
What is the most common cause of miscarriage in the first trimester?
What is the most common cause of miscarriage in the first trimester?
Which medication is typically prescribed for an unruptured ectopic pregnancy?
Which medication is typically prescribed for an unruptured ectopic pregnancy?
What advice would a nurse give to a woman experiencing bleeding during pregnancy?
What advice would a nurse give to a woman experiencing bleeding during pregnancy?
What should a woman do if she has been in labor at 34 weeks gestation?
What should a woman do if she has been in labor at 34 weeks gestation?
In a spontaneous abortion at 10 weeks' gestation, what would not be a likely cause?
In a spontaneous abortion at 10 weeks' gestation, what would not be a likely cause?
What is the most appropriate action for the nurse to take when the doctor states that the cord is palpable during a vaginal examination?
What is the most appropriate action for the nurse to take when the doctor states that the cord is palpable during a vaginal examination?
Which statement about maternal risks and benefits of cesarean birth would not be accurate to include in counseling?
Which statement about maternal risks and benefits of cesarean birth would not be accurate to include in counseling?
Which complication is NOT typically associated with a cesarean birth?
Which complication is NOT typically associated with a cesarean birth?
If a client expresses feelings of failure after needing a cesarean birth due to cephalopelvic disproportion, how should the nurse respond?
If a client expresses feelings of failure after needing a cesarean birth due to cephalopelvic disproportion, how should the nurse respond?
What would be the correct intervention if a pregnant client is 9 cm dilated with a 100% effaced cervix and a -3 station fetus, and the cord becomes palpable during examination?
What would be the correct intervention if a pregnant client is 9 cm dilated with a 100% effaced cervix and a -3 station fetus, and the cord becomes palpable during examination?
During a cesarean birth, what maternal complication is more likely to require a hysterectomy?
During a cesarean birth, what maternal complication is more likely to require a hysterectomy?
Flashcards
What should the nurse do if the umbilical cord is compressed?
What should the nurse do if the umbilical cord is compressed?
This emergency intervention helps to relieve cord compression and prevent fetal distress.
How does the nurse relieve cord compression?
How does the nurse relieve cord compression?
The nurse should apply upward pressure on the presenting part, which is the part of the baby that is closest to the vaginal opening, to keep it off the cord.
What is the main focus when caring for a client with a breech presentation?
What is the main focus when caring for a client with a breech presentation?
It's important to monitor the mother and baby closely because breech births can be more challenging.
What can the nurse do to help facilitate a successful vaginal birth in a breech presentation?
What can the nurse do to help facilitate a successful vaginal birth in a breech presentation?
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List three symptoms suggesting a uterine rupture.
List three symptoms suggesting a uterine rupture.
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Do higher blood sugar levels in the mother promote faster lung maturation in the fetus?
Do higher blood sugar levels in the mother promote faster lung maturation in the fetus?
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Why might amniocentesis be done in the third trimester for a pregnant woman with diabetes?
Why might amniocentesis be done in the third trimester for a pregnant woman with diabetes?
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What should the nurse assess for after a cesarean delivery?
What should the nurse assess for after a cesarean delivery?
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What should the nurse be aware of when dealing with common postpartum complaints like abdominal cramps?
What should the nurse be aware of when dealing with common postpartum complaints like abdominal cramps?
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What is the most common cause of anemia in pregnancy?
What is the most common cause of anemia in pregnancy?
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Can women with epilepsy have a healthy pregnancy?
Can women with epilepsy have a healthy pregnancy?
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What is the importance of folate in the diet for women with epilepsy during pregnancy?
What is the importance of folate in the diet for women with epilepsy during pregnancy?
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Why is marijuana use during pregnancy not recommended?
Why is marijuana use during pregnancy not recommended?
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What should the nurse prioritize when providing prenatal care to clients with disabilities?
What should the nurse prioritize when providing prenatal care to clients with disabilities?
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What should the nurse do when a pregnant client experiences vaginal bleeding?
What should the nurse do when a pregnant client experiences vaginal bleeding?
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What is the most common cause of miscarriage in the first trimester?
What is the most common cause of miscarriage in the first trimester?
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What symptoms should a client with preeclampsia report to her healthcare provider?
What symptoms should a client with preeclampsia report to her healthcare provider?
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What medication is commonly prescribed to treat unruptured ectopic pregnancies?
What medication is commonly prescribed to treat unruptured ectopic pregnancies?
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What should the nurse do if the umbilical cord is palpable during labor?
What should the nurse do if the umbilical cord is palpable during labor?
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What should the nurse do for a client who experiences a cesarean birth?
What should the nurse do for a client who experiences a cesarean birth?
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Where is the surgical incision made during a cesarean birth?
Where is the surgical incision made during a cesarean birth?
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What should the nurse do for clients who feel like they have failed if their birth plan doesn't go as expected?
What should the nurse do for clients who feel like they have failed if their birth plan doesn't go as expected?
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Study Notes
Umbilical Cord Compression
- In case of umbilical cord compression, the nurse should place a gloved hand in the vagina and apply upward pressure on the presenting part to keep it off the cord.
- This emergency intervention helps to relieve cord compression and prevent fetal distress.
Breech Presentation
- When caring for a client with a breech presentation, it is essential to continue monitoring maternal and fetal status.
- The nurse should also consider applying suprapubic pressure against the fetal back to help facilitate a successful vaginal birth.
Fetal Distress
- Sudden onset of fetal bradycardia, irregular abdominal wall contour, and continuous abdominal pain may indicate uterine rupture.
Diabetes in Pregnancy
- Elevated blood sugars in the mother do not necessarily promote faster lung maturation in the fetus.
- Amniocentesis may be necessary during the third trimester to assess fetal lung maturity.
Postpartum Care
- After a cesarean delivery, the nurse should prioritize assessing the mother for nausea, vomiting, urinary retention, and jugular distension.
- Abdominal cramps are a common postpartum complaint, but the nurse should be aware of potential complications.
Anemia in Pregnancy
- Iron-deficiency anemia is the most common cause of anemia in pregnancy.
Epilepsy and Pregnancy
- Women with epilepsy can have a healthy pregnancy with proper planning and medication adjustments.
- The nurse should emphasize the importance of folate-rich foods in the diet to prevent birth defects.
Marijuana Use in Pregnancy
- Marijuana use during pregnancy is not recommended due to potential risks to fetal neurologic development.
Prenatal Care for Clients with Disabilities
- The nurse should prioritize establishing an open communication channel and offering guidance on care measures during pregnancy.
Bleeding in Pregnancy
- Vaginal bleeding during pregnancy can be caused by various factors, some of which may be harmless.
- The nurse should reassure the client that the bleeding may not be caused by anything she did or did not do.
Spontaneous Abortion
- Chromosomal defects in the fetus are the most common cause of miscarriage in the first trimester.
Preeclampsia
- Clients with preeclampsia should be instructed to report symptoms such as blurred vision, dizziness, and sinus headaches to their healthcare provider.
Ectopic Pregnancy
- Methotrexate is commonly prescribed to treat unruptured ectopic pregnancies.
Labor and Delivery
- If the umbilical cord is palpable during labor, the nurse should prepare for an emergency cesarean birth.
- Clients who experience a cesarean birth should be counseled on the risks and benefits, including potential complications such as infection and hemorrhage.
Cesarean Birth
- A surgical incision may not be made at the perineum to enlarge the vagina during a cesarean birth.
Emotional Support
- The nurse should provide emotional support to clients who may feel like they have failed if their birth plan does not go as expected.
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Description
Test your knowledge on postpartum assessment and care with a focus on maternal and neonatal well-being. This quiz includes questions about monitoring baby's lung development, potential complications such as large birth weight, timing of procedures like amniocentesis, and postpartum care after cesarean delivery.
