Maternal and Newborn Nursing Practice Flashcards

Flashcards based on lecture notes covering postpartum care, prenatal assessments, labor complications, and newborn nursing, including PKU and safety protocols for late decelerations.

Large lochia rubra with firm fundus (1 hour postpartum)

A normal finding that the nurse should document and continue to monitor.

Urinary frequency in pregnancy

A common occurrence during the first trimester and again near the end of the pregnancy.

Negative rubella titer

Means the client requires a rubella immunization following delivery.

Hydatidiform mole

A condition characterized by excessive uterine enlargement.

Priority assessment for mg IV (Magnesium IV)

Respiratory rate.

Folic acid

A nutritional requirement to decrease the risk of giving birth with neural tubal defects.

First action for protruding umbilical cord

Insert a gloved hand into the vagina to relieve pressure.

Cause of late decels (late decelerations)

Uteroplacental insufficiency.

Newborn at 42.5 weeks of gestation

Likely to exhibit dry, cracked skin.

Incubator rationale

Preterm newborns require an incubator because they lack adequate temperature control mechanisms.

Maternal grandmother born deaf

Indication for routine hearing testing of the newborn before discharge.

Umbilical cord stump care

Give a sponge bath until the cord falls off.

Feeling the baby moving (Quickening)

Categorized as a presumptive sign of pregnancy.

Lightheadedness and tingling fingers during breathing

Symptoms occurring during pattern paced breathing that require the client to breathe into a paper bag.

Severe prolonged labor and backache

Clinical indications that the fetal position is persistent occiput posterior.

Eliciting the Moro reflex

Perform a sharp hand clap near the infant.

Caput succedaneum

Swelling on a newborn's head that crosses the suture line, occurring due to compression of blood vessels.

Disseminated intravascular coagulation (DIC) risk

A complication associated with abruptio placentae, often signaled by petechiae and bleeding at IV sites.

Sign preceding the onset of labor (39 weeks)

A surge of energy.

PKU (Phenylketonuria) care plan

Requires the implementation of a low protein diet.

3 weeks postpartum safety check

Ask the client if she wants to harm the newborn.

Macrosomia and maternal diabetes

Condition that puts the infant at a high risk for hypoglycemia.

Post-cesarean birth with blood clot history

The nurse should encourage ambulation to prevent further complications.

Peanut butter (PKU diet)

A high protein food that should be eliminated from the diet of a client with PKU.

Priority action for late decels in active labor

Place the client on their side.

Small for gestational age (SGA) cause

Often results from placenta insufficiency.

110 BPM at 12 hours postpartum

A finding that should alert the nurse to a postpartum complication.

Slightly yellow newborn skin

May indicate maternal newborn blood group incompatibility.

SIDs prevention

Remove extra blankets from the baby’s crib.

Action for late decels

Change the client’s position.

Phototherapy intervention

The nurse must intervene if the mother applies lotion to the newborn’s skin.

Bubbling secretions in baby’s nose and mouth

Suction the mouth first with a bulb syringe.

Jittery and sweating newborn

Clinical signs indicating a need to obtain a blood glucose.

Prevention of jaundice (4 hours post-birth)

Initiate early feeding.

Radiant heat warmer

Used after birth to prevent cold stress.

Rubella titer interpretation

A negative result indicates the client is not immune and needs vaccination after delivery.

Excessive enlargement

The primary finding expected in a client suspected of having a hydatidiform mole.

Respiratory rate and magnesium

The priority assessment when preparing to administer mg IV for preterm labor.

Neural tubal defects

Condition whose risk is decreased by the consumption of folic acid.

Pressure relief in cord prolapse

Accomplished by the nurse inserting a gloved hand into the vagina.

Uteroplacental insufficiency

Common cause of late decels found on a monitor strip.

Dry, cracked skin in a newborn

A specific finding expected in newborns born at 42.5 weeks of gestation.

Preterm newborns and heat

They lack temperature control mechanisms, necessitating an incubator.

Sponge bath instruction

Instructions given for care until the umbilical cord stump falls off.

Presumptive sign

A category of pregnancy signs based on subjective reports like feeling movement.

Persistent occiput posterior

Fetal position causing severe backache and prolonged labor.

Sharp hand clap stimulus

The specific action used to test for the Moro reflex.

Crossing the suture line

A key characteristic used to palpate and identify caput succedaneum.

Petechiae and bleeding at IV site

Signs that a client with abruptio placentae is developing Disseminated intravascular coagulation.

Low protein diet

The essential dietary management for PKU.