Podcast
Questions and Answers
Which of the following prescriptions regarding the newborn should the nurse anticipate? (Select all that apply)
Which of the following prescriptions regarding the newborn should the nurse anticipate? (Select all that apply)
What action should the nurse take for a client who is at 35 weeks of gestation and has a placenta previa?
What action should the nurse take for a client who is at 35 weeks of gestation and has a placenta previa?
Initiate continuous external fetal monitoring.
What suggestion should the nurse make to aid a 7-year-old child in accepting a newly adopted newborn?
What suggestion should the nurse make to aid a 7-year-old child in accepting a newly adopted newborn?
Obtain a gift from the newborn to the sibling.
What action should the nurse take for a prenatal client who has parvovirus B19?
What action should the nurse take for a prenatal client who has parvovirus B19?
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What is the immediate action the nurse should take after observing a client with epilepsy having a seizure?
What is the immediate action the nurse should take after observing a client with epilepsy having a seizure?
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What statement indicates a client's understanding of terbutaline?
What statement indicates a client's understanding of terbutaline?
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What instruction should be included when teaching a client about misoprostol?
What instruction should be included when teaching a client about misoprostol?
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What should the nurse assess for indications of spina bifida occulta in a newborn?
What should the nurse assess for indications of spina bifida occulta in a newborn?
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What non-pharmacological intervention should the nurse include for lactation suppression after a client’s discharge 3 days postpartum?
What non-pharmacological intervention should the nurse include for lactation suppression after a client’s discharge 3 days postpartum?
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What manifestation requires intervention by the nurse for a 12-hour-old newborn?
What manifestation requires intervention by the nurse for a 12-hour-old newborn?
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What manifestation should the nurse expect in a client with preeclampsia?
What manifestation should the nurse expect in a client with preeclampsia?
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What response should the nurse provide regarding the effects of tubal ligation on a client's sex life?
What response should the nurse provide regarding the effects of tubal ligation on a client's sex life?
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What finding should the nurse expect in a client with gestational diabetes experiencing hyperglycemia?
What finding should the nurse expect in a client with gestational diabetes experiencing hyperglycemia?
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Where should the nurse place the Doppler ultrasound stethoscope to begin assessing fetal heart tones?
Where should the nurse place the Doppler ultrasound stethoscope to begin assessing fetal heart tones?
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What should the nurse explain to a client regarding hyperpigmentation during pregnancy?
What should the nurse explain to a client regarding hyperpigmentation during pregnancy?
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What finding should the nurse identify as a risk factor for developing preeclampsia?
What finding should the nurse identify as a risk factor for developing preeclampsia?
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What statement from a postpartum client indicates an understanding of newborn safety policy?
What statement from a postpartum client indicates an understanding of newborn safety policy?
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What should the nurse teach the client about betamethasone?
What should the nurse teach the client about betamethasone?
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What intervention should the nurse plan to implement during the taking-hold phase postpartum?
What intervention should the nurse plan to implement during the taking-hold phase postpartum?
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What diagnostic test should a nurse prepare a client for after a positive contraction stress test?
What diagnostic test should a nurse prepare a client for after a positive contraction stress test?
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To where should the nurse apply the ultrasound transducer for left occiput anterior fetal position?
To where should the nurse apply the ultrasound transducer for left occiput anterior fetal position?
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What action should a nurse take upon observing an umbilical cord protruding from the vagina during labor?
What action should a nurse take upon observing an umbilical cord protruding from the vagina during labor?
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What manifestations should a nurse instruct a postpartum client to monitor and report?
What manifestations should a nurse instruct a postpartum client to monitor and report?
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Which findings require immediate follow-up for a client who is 28 years old? (Select all that apply)
Which findings require immediate follow-up for a client who is 28 years old? (Select all that apply)
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Which condition and client findings should be noted for a 28-year-old client? (Select one condition and one finding)
Which condition and client findings should be noted for a 28-year-old client? (Select one condition and one finding)
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Which items should be included when preparing a client for surgery? (Select all that apply)
Which items should be included when preparing a client for surgery? (Select all that apply)
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Which findings indicate the client is experiencing a potential complication of surgery that requires immediate follow-up? (Select all that apply)
Which findings indicate the client is experiencing a potential complication of surgery that requires immediate follow-up? (Select all that apply)
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What statements should be included when teaching about the 1-hour glucose tolerance test?
What statements should be included when teaching about the 1-hour glucose tolerance test?
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What should be included when after performing universal newborn screening?
What should be included when after performing universal newborn screening?
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In what order should the nurse perform actions while bathing a newborn?
In what order should the nurse perform actions while bathing a newborn?
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What should the nurse do if a client in labor shows a respiratory rate of 10 while on magnesium sulfate?
What should the nurse do if a client in labor shows a respiratory rate of 10 while on magnesium sulfate?
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What lab test should be expected for suspected placental abruption?
What lab test should be expected for suspected placental abruption?
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What priority actions should be taken for a client experiencing postpartum hemorrhage due to uterine atony?
What priority actions should be taken for a client experiencing postpartum hemorrhage due to uterine atony?
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For what reason should a client undergoing amniocentesis receive an ultrasound?
For what reason should a client undergoing amniocentesis receive an ultrasound?
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What instruction should be given to a client using a diaphragm?
What instruction should be given to a client using a diaphragm?
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What nursing action should be included in a care plan for a postpartum client with preeclampsia?
What nursing action should be included in a care plan for a postpartum client with preeclampsia?
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What teaching should be provided about Rh(D) immunoglobulin?
What teaching should be provided about Rh(D) immunoglobulin?
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How should a nurse set the IV infusion pump for administering magnesium sulfate 3g/hr?
How should a nurse set the IV infusion pump for administering magnesium sulfate 3g/hr?
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What is the expected date of birth for a client whose last menstrual cycle started on November 27th using Naegle's rule?
What is the expected date of birth for a client whose last menstrual cycle started on November 27th using Naegle's rule?
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What is an adverse effect of carboprost administered for postpartum hemorrhage?
What is an adverse effect of carboprost administered for postpartum hemorrhage?
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What complication should a nurse assess for in a client who admits to recent cocaine use during labor?
What complication should a nurse assess for in a client who admits to recent cocaine use during labor?
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What item should a nurse recommend for non-pharmacological pain management for a breastfeeding client with engorgement?
What item should a nurse recommend for non-pharmacological pain management for a breastfeeding client with engorgement?
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What instruction should be included for caregivers about car seat safety?
What instruction should be included for caregivers about car seat safety?
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What finding during a prenatal visit should the nurse report?
What finding during a prenatal visit should the nurse report?
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What instruction should be provided for using a bulb syringe to suction a newborn's secretions?
What instruction should be provided for using a bulb syringe to suction a newborn's secretions?
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What statement indicates an understanding of pregnancy's physiological changes at 10 weeks gestation?
What statement indicates an understanding of pregnancy's physiological changes at 10 weeks gestation?
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What finding in a 12-hour-old newborn should be reported to the provider?
What finding in a 12-hour-old newborn should be reported to the provider?
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Which findings should the nurse expect during a physical assessment of a newborn? (Select all that apply)
Which findings should the nurse expect during a physical assessment of a newborn? (Select all that apply)
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What technique should be used to minimize pain for a newborn during a heel stick procedure?
What technique should be used to minimize pain for a newborn during a heel stick procedure?
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What finding indicates a progression to preeclampsia with severe features?
What finding indicates a progression to preeclampsia with severe features?
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What finding should the nurse report for a client at 36 weeks of gestation?
What finding should the nurse report for a client at 36 weeks of gestation?
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What intervention should the nurse include in the care plan for a postpartum client receiving magnesium sulfate?
What intervention should the nurse include in the care plan for a postpartum client receiving magnesium sulfate?
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What cultural consideration should be included in a care plan for a postpartum client of Hispanic descent?
What cultural consideration should be included in a care plan for a postpartum client of Hispanic descent?
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What actions should be taken for a client who is 3 days postpartum with endometritis?
What actions should be taken for a client who is 3 days postpartum with endometritis?
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Which symptoms should a nurse caring for a pregnant client report? (Select all that apply)
Which symptoms should a nurse caring for a pregnant client report? (Select all that apply)
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What actions should a nurse take when assessing a client in labor with magnesium sulfate? (Select all that apply)
What actions should a nurse take when assessing a client in labor with magnesium sulfate? (Select all that apply)
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What findings could indicate a potential birth complication for a newborn? (Select all that apply)
What findings could indicate a potential birth complication for a newborn? (Select all that apply)
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What should a nurse's priorities be when caring for a pregnant client? (Select all that apply)
What should a nurse's priorities be when caring for a pregnant client? (Select all that apply)
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Study Notes
Newborn Care
- Anticipate orders for oral morphine, low-stimulus environment, and neonatal abstinence syndrome scoring for a 72-hour-old newborn.
- Maintain assessment for spina bifida occulta; look for signs like a small bruise at the spine's base.
- Report central cyanosis and substernal chest restrictions in a 12-hour-old newborn as requiring intervention.
- Use skin-to-skin contact to minimize pain during heel stick for blood collection in newborns.
Maternal Health
- Continuous external fetal monitoring is crucial for clients at 35 weeks with placenta previa.
- Schedule ultrasounds for pregnant clients with parvovirus B19.
- For clients with gestational diabetes, expect signs of hyperglycemia, such as increased urinary output.
- Monitor for blurred vision as a severe manifestation in clients with preeclampsia.
Client Education
- For newly adopted families, suggest obtaining a gift from the newborn for older siblings to enhance bonding.
- Teach preterm labor clients about terbutaline and potential blood tests due to potassium level concerns.
- Educate about misoprostol timing and use oxytocin 4 hours post-administration.
- Explain that tubal ligation will not affect sexual performance.
Obstetric Procedures and Interventions
- Prepare for biophysical profiles after a positive contraction stress test at 36 weeks.
- Administer magnesium sulfate and monitor for respiratory depression (RR < 12).
- Prepare a client for amniocentesis using ultrasound to locate fluid pockets at 36 weeks.
- Place Doppler ultrasound just above the symphysis pubis to assess fetal heart tones.
Postpartum Care
- For lactation suppression, recommend applying cabbage leaves to the breasts.
- Monitor for unilateral breast pain in postpartum clients, which may indicate complications.
- Include practices that align with cultural beliefs in postpartum care, like guarding the head from cold air.
Signs and Symptoms Monitoring
- Report findings like a weight gain of 2.2 kg at the 38-week visit to the provider.
- Observe for potential adverse effects from medications, such as hypertension from carboprost.
- Instruct clients to monitor for burning during urination, cramping, cervical dilation, and frequent contractions.
Family Planning and Contraception
- Teach that diaphragms should be left in place for at least 6 hours after intercourse as part of birth control education.
- Prepare to monitor the client for complications following suspected ectopic pregnancy, identifying symptoms like right lower quadrant tenderness.
Nursing Priorities
- Prioritize actions like administering IV fluids and repositioning the client on their side to enhance comfort and circulation.
- During labor, be prepared to discontinue magnesium sulfate and apply oxygen via a non-rebreather mask if necessary.
- For clients at risk for abruptio placenta, assess for complications like bleeding and abdominal pain.
Newborn Screening
- Ensure newborns have been fed for at least 24 hours prior to the universal screening.
Pain Management
- Recommend non-pharmacological interventions, such as applying cold cabbage leaves for engorgement in breastfeeding mothers.
Emergency and Complication Management
- In cases of uterine atony, prioritize massaging the fundus to control postpartum hemorrhage.
- Prepare for immediate follow-ups such as repeat beta-hCG levels in cases of suspected ectopic pregnancy.
These notes encapsulate key information and practice guidelines for maternal and newborn care, ensuring a thorough understanding of nursing responsibilities and client education in various scenarios.
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Description
This quiz contains flashcards focused on maternal and newborn nursing care. It covers essential topics such as neonatal abstinence syndrome and appropriate care measures for newborns. Test your knowledge and readiness for real-world scenarios in maternal and newborn health.
