maternal newborn proctored exam 2023

patient bleeding with placenta previa

avoid vaginal exam

during nonstress test, FHR is 130 w/o accelerations

when to use an acoustic stim on abdomen for 3 seconds

mom is rubella non-immune

positive for beta hemolytic strep

blood is type O negative

give client rubella immunization after delivery

client with polyhydramnios

baby might have GI anomalies

adverse effect of mag sulfate

feeling of warmth throughout the body

low back pain during latent phase of labor

apply counter pressure to lower back during contractions

first trimester sign/symptom to report to provider

swelling of the face

first trimester sono teaching

will need a full bladder for exam

mag sulfate clients to report to provider

client that has absent deep tendon reflexes

medication for herpes simplex virus type two

Acyclovir

possible complications following amniocentesis

hemorrhage

how often to increase oxytocin IV during a normal labor

Increase rate every 30-60 minutes

client on oxytocin and late decelerations start

move client to lateral position

care for HIV client for baby

bathe baby before skin to skin contact

client had boggy uterus and BP of 142/92, what nursing actions?

withhold methylergnovine 0.2 mg orally (can raise BP)

what labs increase during pregnancy

RBC counts

a client that should be able to auscultate FHR

client that has felt quickening for first time

placenta previa s/s

painless vaginal bleeding

jaundice phototherapy actions before you begin

close newborns eyes under eye shields

adverse effect of combined oral contraceptives

depression

cytotec/misoprostol uses

ripening/softening/opening cervix

how to minimize pain during heel stick on newborns

place baby skin to skin on mother

Kleihauer-Betke test

used to detect fetal blood in maternal circulation (may indicate placenta abruption)

a cause of abruptio placenta

recent cocaine use

s/s of severe pre-eclampsia

blurred vision

causes for increase urinary output

gestational diabetes with hyperglycemia

amniocentesis complications

leakage of amniotic fluid / preterm labor

newborn signs of hypoglycemia

weak high-pitched cry

lethargic

tremors/jitteriness

BG of 40 or less

irregular respiratory effort

seizures

hispanic cultural practices for clients postpartum

protect feet and head from cold air

pregnant client with seizure

turn head to side and admin o2

postpartum client with hypovolemic shock

massage fundus to expel clots and promote contractions

s/p c-section priorities

watch the amount of lochia, greatest risk is postpartum hemorrhage

nonstress test teachings

press the button each time fetal movement is detected

postpartum rubella immunization teachings

avoid getting pregnant for at least one month after immunization

food to increased vitamin B12

fortified soy milk

expected finding on newborn after nuchal cord

petechiae (tiny red spots)

cytomegalovirus teachings

droplet, transmission through newborn saliva and urine

maternal cholelithiasis (gallstones) nutritional teachings

baked chicken - not fried foods

32 weeks gestation fundal measuring

+/- 2 cm so should be 30-34 cm only or report to provider

client on mag sulfate, what is an adverse reaction?

20 ml/hour urine output (normal is 30 ml/hour)

d/c breastfeeding instructions

feeds 15-20 mins per breast

feeds at least every 3 hours

postpartum risk for infection

episiotomy is a risk for infection

client s/p epidural and has hypotension

turn client to her side

postpartum fundal massage steps

lie on back with knees flexed

hand on top of fundus, and symphysis pubis

upper hand to compress fundus downward

amniocentesis purposes

genetic or congenital disorders (not just sex of baby)

Medoxyprogesterone for conception teachings

increase calcium intake

one possible cause of postpartum hemorrhage

retained placental fragments

cytomegalovirus infection can cause newborn to have what

hearing loss

Babinski reflex

run your finger from heel to toe and baby's toes will fan out

first action after delivery

ID band before vit K, eye ointment and weight

postpartum hypovolemic shock s/s

cool and clammy

first trimester vomiting and nausea

eat foods that are served at cool temps

precipitus labor

less than 3 hours of labor can cause postpartum hemorrhage

Dinoprostone (Cervidil)

-cervical ripening; produces contractions, dilation & effacement of cervix, and verify informed consent was obtained before giving

third trimester client that is seeing floating spots

prioritize seeing client first

mag sulfate can prevent what

seizures

when to perform the 1-hour glucose test

24-28 weeks gestation

when to hold terbutaline (to prevent preterm labor)

maternal hypotension

maternal labs during mag sulfate administration

serum medication levels

what should client report during meg sulfate administration?

muscle weakness