Maternity and Newborn Care Lecture Review

Detailed practice flashcards based on maternal and newborn nursing lecture notes, covering labor complications, postpartum care, and newborn assessments.

What action should a nurse take for a client $1$ hour postpartum with a firm, midline fundus and a large amount of lochia rubra with small clots?

Document the findings and continue to monitor the client

How often does urinary frequency occur during pregnancy according to the prenatal clinic nurse?

It occurs during the first trimester and near the end of the pregnancy.

What is the interpretation of a negative rubella titer in an antepartum client?

The client requires a rubella immunization following delivery.

What finding should the nurse expect in a client suspected of having a hydatidiform mole?

Excessive enlargement

What is the priority assessment for a client in preterm labor receiving Magnesium IV?

Respiratory rate

Which nutritional supplement is needed to decrease the risk of giving birth with neural tubal defects?

Folic acid

What is the first action a nurse should take if the umbilical cord is protruding from the vagina?

Insert gloved hand into vagina to relieve pressure

What do late decelerations on a fetal monitor strip indicate?

Uteroplacental insufficiency

What finding is expected in a newborn born at $42.5$ weeks of gestation?

dry, cracked skin

Why is an incubator necessary for preterm newborns?

Preterm newborns lack adequate temperature control mechanisms

What is the required action for a newborn whose maternal grandmother was born deaf?

Routine testing before discharge

What umbilical cord stump care instruction should be given to a newborn's parent?

Give a sponge bath until the cord falls off.

A client thinks she is pregnant because she feels the baby moving; what type of sign is this?

Presumptive sign

What should the nurse do for a laboring client using pattern paced breathing who feels lightheaded with tingling fingers?

Assist the client to breathe into a paper bag

What is the likely cause of severe prolonged labor and backache?

Fetal position is persistent occiput posterior

How should a nurse elicit the Moro reflex in a newborn?

Perform a sharp hand clap near the infant

What is the appropriate explanation for head swelling that crosses the suture line after a vacuum-assisted birth?

A caput succedaneum occurs due to compression of blood vessels.

A client with abruptio placentae has petechiae and bleeding at the IV site; which complication is this?

Disseminated intravascular coagulation

What sign precedes the onset of labor for a client at $39$ weeks of gestation?

A surge of energy

What nutritional action is included in the plan of care for a newborn with PKU?

Low protein diet

When a nurse sees a client $3$ weeks postpartum, what assessment question is essential?

Ask the client if she wants to harm the newborn

What is a specific risk for an infant with macrosomia whose mother has diabetes?

Infant is at risk for hypoglycemia

What is the recommended action for a client who had a cesarean birth and has a history of blood clots?

Ambulation

Which food should a nurse instruct a client with PKU to eliminate from their diet?

Peanut butter (high protein)

What is the priority nursing action for a client in active labor with late decelerations on the FHR?

Place the client on their side

What is a common cause for a newborn being small for gestational age?

Placenta insufficiency

What finding $12$ hours postpartum should alert the nurse to a postpartum complication?

$$110\,BPM$$

What causes a newborn's skin to appear slightly yellow shortly after birth?

Maternal newborn blood group incompatibility

What teaching should be provided to parents to prevent SIDs?

Remove extra blankets from baby’s crib

What is the correct action during active labor when late decelerations are observed?

Change client’s position

Which action by a mother during phototherapy requires nursing intervention?

Mother applies lotion to the newborn’s skin

How should the nurse respond to secretions bubbling in a newborn's nose and mouth?

Suction mouth with bulb syringe

What action is required when a nurse observes a newborn showing signs of jittery and sweating?

Obtain a blood glucose

What intervention should be initiated $4$ hours after birth to prevent jaundice?

Initiate the early feeding

What condition is being addressed when a newborn is placed under a radiant heat warmer after birth?

Cold stress