NCLEX: Marternal and Newborn Health

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Last updated 7:30 PM on 1/20/26
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17 Terms

1
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what will help the newborn’s lungs take over at delivery

  • drying the newborn

  • uterine contraction

  • bright lights at delivery

  • clamping the umbilical cord

  • chest squeeze during delivery

  • feeling cold as the newborn delivers

2
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dinoprostone

  • given vaginally

  • softens the cervix

  • promotes dilation and effacement

<ul><li><p>given vaginally</p></li><li><p>softens the cervix</p></li><li><p>promotes dilation and effacement </p></li></ul><p></p>
3
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pain at the previous c section incision site is concerning for

uterine rupture

4
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to delay preterm labor the nurse should

  • give tocolytic meds ( mag sulfate)

  • delaying labor allows time to give antenatal steroids to promote fetal lung maturity

5
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nitrazine test

assess membrane status

determine if its urine or ruptured membrane

6
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during an external cephalic version

  • manually turning a breech fetus to a suitable postion for vag delivery

  • terbutaline is administered to relax the uterine muscle

<ul><li><p>manually turning a breech fetus to a suitable postion for vag delivery </p></li><li><p><strong>terbutaline</strong> is administered to relax the uterine muscle</p></li><li><p></p></li></ul><p></p>
7
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<p>small grape like tissue clusters on perineal pad</p>

small grape like tissue clusters on perineal pad

  • molar pregnacy

  • need to be removed immediately via vacuum aspiration and curettage

<ul><li><p>molar pregnacy</p></li><li><p>need to be removed <strong>immediately</strong> via vacuum aspiration and curettage </p></li></ul><p></p>
8
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when a client experiences shoulder dystocia the nurse should

  • lower HOB

  • hyperflex the client’s leg

  • apply suprapubic pressure

  • at risk for this if baby weighs more than 8lb

<ul><li><p>lower HOB</p></li><li><p>hyperflex the client’s leg</p></li><li><p>apply suprapubic pressure </p></li><li><p>at risk for this if baby weighs more than 8lb</p></li></ul><p></p>
9
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endometritis

  • infection of inner uterine lining

  • pain and tenderness upon palpation

10
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uterine rupture

  • uterine layers tear

  • previous c section = risk for uterine rupture

  • abdominal pain and previous c section sugguest that client could be having a rupture

<ul><li><p>uterine layers tear</p></li><li><p>previous c section = risk for uterine rupture</p></li><li><p>abdominal pain and previous c section sugguest that client could be having a rupture </p></li></ul><p></p>
11
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placenta previa

  • placenta is either partially or completely over the cervix

  • painless bright red vaginal bleeding

<ul><li><p>placenta is either partially or completely over the cervix</p></li><li><p><strong>painless bright red </strong>vaginal bleeding </p></li></ul><p></p>
12
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placental abruption

  • placenta detaches from the uterus before delivery

  • causes extreme pain, think of an organ becoming completely detach from you

  • bleeding

  • rigid board like abdomen

<ul><li><p>placenta detaches from the uterus before delivery </p></li><li><p>causes extreme pain, think of an organ becoming completely detach from you </p></li><li><p>bleeding </p></li><li><p>rigid board like abdomen </p></li></ul><p></p>
13
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oxytocin

  • used to induce labor (causes contractions)

14
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postpartum hemorrhage risk factors

  • high parity

  • macrosomia

  • bladder distention

  • perineal trauma

  • history of uterine atony

  • long labor time

<ul><li><p>high parity</p></li><li><p>macrosomia</p></li><li><p>bladder distention</p></li><li><p>perineal trauma</p></li><li><p>history of uterine atony </p></li><li><p>long labor time</p></li></ul><p></p>
15
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a client expericing umbilical cord prolapse requires

assessing for the presenting parts and lifting the head to reduce compression

  • umbilical cord prolapse → fetal head compresses the umbilical cord preventing BF to the fetus causing decelerations

<p>assessing for the presenting parts and lifting the head to reduce compression </p><ul><li><p>umbilical cord prolapse → fetal head compresses the umbilical cord preventing BF to the fetus causing decelerations  </p></li></ul><p></p>
16
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at 12 hours postpartum the fundus is located

at or slightly above the umbilicus, then goes down 1-2cm daily

<p>at or slightly above the umbilicus, then goes down 1-2cm daily </p>
17
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postpartum mood disoders

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