RN Maternal Newborn Practice 2019

Temperature

You can miss your period for several other reasons. Describe your typical menstrual cycle.

September 3rd

<p>Left lower quadrant</p> Signup and view all the answers

<p>Platelets 50,000/mm</p> Signup and view all the answers

<p>Biophysical profile (BPP)</p> Signup and view all the answers

<p>I will need this medication if I have an amniocentesis</p> Signup and view all the answers

<p>Hypertension (A), Migraine Headaches (C), Cholecystitis (D)</p> Signup and view all the answers

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

<p>Staff members who take care of your baby will be wearing a photo identification badge.</p> Signup and view all the answers

<p>You should take the medication within 72 hours following unprotected sexual intercourse.</p> Signup and view all the answers

<p>Verify the newborn's identification.</p> Signup and view all the answers

<p>Apply sacral counterpressure.</p> Signup and view all the answers

<p>I will have blood tests because my potassium might decrease.</p> Signup and view all the answers

<p>Assist the client to empty her bladder.</p> Signup and view all the answers

<p>I will continue taking my insulin if I experience nausea and vomiting.</p> Signup and view all the answers

<p>Blood glucose 30 mg/dL</p> Signup and view all the answers

<p>You should leave the diaphragm in place for at least 6 hours after intercourse.</p> Signup and view all the answers

<p>Bilirubin 9 mg/dL</p> Signup and view all the answers

<p>A blood glucose of 130 to 140 is considered a positive screening result.</p> Signup and view all the answers

<p>Place the retainer clip at the level of the newborn's armpits.</p> Signup and view all the answers

<p>Monitor the client's blood pressure every 5 minutes following the first dose of anesthetic solution.</p> Signup and view all the answers

<p>Apply internal upward pressure to the presenting part using two gloved fingers.</p> Signup and view all the answers

<p>Vaginal spotting (B), Abdomen assessment (C), Menstrual period (D)</p> Signup and view all the answers

<p>ectopic pregnancy; right lower quadrant abdominal tenderness</p> Signup and view all the answers

<p>Heart rate; Vaginal spotting</p> Signup and view all the answers

<p>Transvaginal ultrasound = Anticipated Meperidine IM = Contraindicated Repeat quantitative beta-hCG level = Anticipated Methotrexate IM = Anticipated Blood typing = Anticipated</p> Signup and view all the answers

<p>Obtain a CBC (A), Ensure client is NPO prior to surgery (B), Verify a consent form is signed by the client (C), Insert an 18-gauge peripheral IV prior to surgery (D)</p> Signup and view all the answers

<p>Blood pressure (A), Temperature (C), Skin cool and moist to touch (D), O2 stat (E)</p> Signup and view all the answers

<p>Demonstrating to the client how to perform a newborn bath.</p> Signup and view all the answers

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

<p>Chin quivering.</p> Signup and view all the answers

<p>Massage the client's fundus.</p> Signup and view all the answers

<p>4 tablets.</p> Signup and view all the answers

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

<p>Just above the symphysis pubis.</p> Signup and view all the answers

<p>Decreased platelet count.</p> Signup and view all the answers

<p>You can share your room with your baby for the next few weeks.</p> Signup and view all the answers

<p>Explain to the client that this is an expected occurrence.</p> Signup and view all the answers

<p>Palpate the fundus to identify the fetal part = 1 Determine the location of the fetal back = 2 Palpate for the fetal part presenting at the inlet = 3 Identify the attitude of the head = 4</p> Signup and view all the answers

<p>This medication stimulates fetal lung maturity.</p> Signup and view all the answers

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

<p>Substernal chest retractions while sleeping.</p> Signup and view all the answers

<p>Apply cabbage leaves to the breasts.</p> Signup and view all the answers

<p>Instruct the client to press the provided button each time fetal movement is detected.</p> Signup and view all the answers

<p>Shortness of breath.</p> Signup and view all the answers

<p>Flaccid uterus; Excess vaginal bleeding.</p> Signup and view all the answers

<p>Swelling of the face.</p> Signup and view all the answers

<p>Determine respiratory functions.</p> Signup and view all the answers

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

<p>Stop suctioning when the newborn's cry sounds clear.</p> Signup and view all the answers

<p>Headache (A), +2 pitting edema (B), Blood pressure 152/105 mm Hg (C)</p> Signup and view all the answers

<p>Preeclampsia (A), Increased blood pressure (B)</p> Signup and view all the answers

<p>Assess the client's deep tendon reflexes; Assess the client for visual disturbances.</p> Signup and view all the answers

<p>Urinalysis = Anticipated Monitor intake and output = Anticipated Magnesium sulfate = Anticipated Seizure precautions = Anticipated Labetalol = Contraindicated Draw creatinine and BUN = Anticipated</p> Signup and view all the answers

<p>Obtain creatinine, platelet, BUN, and liver enzymes (A), Monitor level of consciousness, DTRs, and visual disturbances (B), Place the client on seizure precautions (C), Administer magnesium sulfate IV bolus (D), Assess for worsening headache and epigastric pain hourly and PRN (E)</p> Signup and view all the answers

<p>Cover the newborn's eyes while under the phototherapy light.</p> Signup and view all the answers

<p>Emotional liability.</p> Signup and view all the answers

<p>Leakage of fluid from the vagina.</p> Signup and view all the answers

Priority in labor after amniotomy. Elevated temperature signals infection, requiring immediate intervention.

Assessing a missed period can be complex. Asking about the usual cycle duration helps determine if it's truly irregular.

Based on the last menstrual period, Nagele's rule calculates the expected due date. A cycle starting on November 27th predicts September 3rd as due date.

For a fetus positioned left occipital anterior (LOA), the heart tones sound strongest in the left lower quadrant of the mother's abdomen.

A positive contraction stress test (CST) at 41 weeks indicates potential risk for the baby. Preparing for a biophysical profile (BPP) helps evaluate fetal wellbeing.

Rh-negative pregnant clients must receive Rh0(D) immune globulin during procedures like amniocentesis to prevent complications.

Conditions like cholecystitis, hypertension, and migraines are contraindications for taking oral contraceptives. Other factors might also apply.

Newborns exposed to SSRIs in utero might show signs of withdrawal. Vomiting is one of the potential symptoms.

Ensuring safety for newborns includes having healthcare staff wearing photo identification badges to prevent accidental swaps.

Emergency contraception with levonorgestrel is most effective within 72 hours after unprotected sex. Prompt action is key.

Postpartum clients with uterine displacement (e.g., palpation above umbilicus) need immediate bladder emptying to rule out distention.

Postpartum hypovolemic shock requires immediate action. Fundal massage after provider notification is crucial.

Postpartum

Postpartum clients with preeclampsia might have low platelet count, indicating potential risk. Close monitoring is needed.

Hypoglycemic newborns might show jitteriness, which requires immediate attention and potentially sugar administration.

During assessments, any elevated blood pressure or visual disturbances should be immediately reported to the provider for further investigation.

Betamethasone is given to pregnant women experiencing preterm labor to accelerate fetal lung maturity.

Azithromycin dosage for chlamydia in pregnancy depends on tablet strength. A 1 g prescription usually means administering 4 tablets.

After circumcision, it's essential to monitor for signs of pain, such as chin quivering, in newborns.

Using a bulb syringe for suctioning newborn secretions correctly means stopping when the newborn's cry is clear.

Pregnant clients at 8 weeks should increase their daily iron intake for optimal health and fetal development.

Emotional changes during pregnancy are common, including emotional liability, which manifests as rapid shifts in mood.

Nonstress tests (NST) require clients to report fetal movements using an alert button, helping to assess fetal wellbeing.

Leakage of fluid following amniocentesis indicates a potential complication and requires notifying the provider immediately.

Car seat safety guidelines for newborns specify positioning the retainer clip at the armpits for proper fit and securement.

Essential newborn discharge instructions include safe room-sharing practices during the first few weeks, minimizing SIDS risk.

Post-surgery complications like O2 saturation changes, cool skin, or fluctuating blood pressure require immediate follow-up.