Maternal Newborn Practice Flashcards

Comprehensive flashcards covering maternal-newborn topics including pregnancy complications, labor emergencies, postpartum care, and newborn assessments based on the lecture transcript.

What is the primary risk factor for abortion (pregnancy ending <$20$ weeks gestation)?

Fetal chromosomal abnormalities

What is the purpose of monitoring serial human chorionic gonadotropin (hCG) levels in a suspected nonviable pregnancy?

Increased hCG levels indicate a growing and viable pregnancy, while decreased levels indicate a nonviable pregnancy.

Which surgical procedure involves placing a stitch to keep the cervix closed until $36$ weeks gestation?

Cervical cerclage (performed for cervical insufficiency/incompetent cervix before $23$ weeks gestation).

In the GTPAL system, how is 'Preterm' defined?

Pregnancies that reached $20-36$ weeks.

What are the three positive signs of pregnancy?

Fetal heartbeat heard, fetus visualized on ultrasound, and fetal movement palpated by a healthcare provider (HCP).

At $20$ weeks gestation, where is the uterine fundus expected to be located?

At the umbilicus.

What is the recommended total weight gain for a pregnant client with a normal BMI?

$$23-35\,lb$$

What are the maternal clinical manifestations of chorioamnionitis?

Fever, uterine tenderness, maternal tachycardia, and foul-smelling amniotic fluid.

What is the priority nursing action when managing chorioamnionitis?

Obtain CBC and blood cultures FIRST, then administer IV broad-spectrum antibiotics.

What clinical sign of a ruptured ectopic pregnancy is characterized by a bluish mark near the belly button?

Cullen sign

Why must folic acid be avoided in a client receiving methotrexate for an unruptured ectopic pregnancy?

Folic acid works against methotrexate.

What does a rising hCG level indicate if found during the one-year monitoring period following a molar pregnancy?

Possible cancer (gestational trophoblastic disease).

What is the priority intervention for a fetal heart rate pattern showing minimal or absent variability?

STOP-IN: Stop oxytocin, Tocolytic, Oxygen (for mom if hypoxemia), Position (left lateral), Increase IV fluids, and Notify HCP.

What blood glucose result in the Step 1 (non-fasting) 1-Hour Glucose Challenge Test indicates a failure?

A blood glucose of $>140\,mg/dL$.

What blood glucose level in a newborn requires immediate intervention?

<40\,mg/dL

When assessing for jaundice in a newborn with darker skin, where should the nurse look for discoloration?

Less pigmented areas such as the mucous membranes.

What is the priority nursing action for an umbilical cord prolapse?

Use a sterile, gloved hand to lift the fetal presenting part off the cord and do not remove the hand until the fetus is delivered.

What maneuver is used to flex the mother's thighs toward her abdomen during shoulder dystocia?

McRoberts maneuver

Which condition is characterized by a sudden 'ripping' abdominal pain and the cessation of uterine contractions?

Uterine rupture

What is the target Apgar score for a newborn by $5$ minutes of life?

A score of $7$ or higher.

Where should the nurse apply Erythromycin ointment to a newborn?

A $1-2\,cm$ ribbon in the eyes from the inner to outer canthus within $2$ hours of birth.

What is the key clinical difference between the bleeding in placenta previa and placental abruption?

Placenta previa involves painless, bright red bleeding, while placental abruption involves painful, dark red bleeding.

What is the number one cause of postpartum hemorrhage?

Uterine atony (boggy uterus).

Which medication used for postpartum hemorrhage is contraindicated in clients with hypertension?

Methylergometrine

Which medication used for postpartum hemorrhage is contraindicated in clients with asthma?

Hemabate (Carboprost)

What are the signs of magnesium sulfate toxicity?

Absent Deep Tendon Reflexes (DTRs), decreased Level of Consciousness (LOC), decreased Respiratory Rate (RR), and oliguria.

What does the HELLP syndrome acronym stand for?

Hemolysis (H), Elevated Liver enzymes (EL), and Low Platelets (LP).

What medication is administered to a mother in preterm labor (<$34$ weeks) to promote fetal lung maturity?

Betamethasone

Why is magnesium sulfate administered to mothers in active preterm labor?

To reduce the risk of cerebral palsy in preterm babies.

How is heat loss prevented in a newborn delivered at less than $29$ weeks gestation?

Place the infant in a polyethylene bag or wrap from the shoulders down before drying.