Maternal and Newborn Nursing Practice Flashcards

Urinary Frequency: During pregnancy, urinary frequency typically occurs during the first trimester and near the end of the pregnancy.
Rubella Immunity: A negative rubella titer in an antepartum client indicates that the client is non-immune and requires a rubella immunization following delivery.
Neural Tube Defects: Folic acid intake is the primary nutritional requirement to decrease the risk of neural tube defects.
Hydatidiform Mole: A clinical finding indicative of a hydatidiform mole is excessive uterine enlargement beyond expected gestational age.
Signs of Pregnancy: Feeling the baby move (quickening) is classified as a presumptive sign of pregnancy.

Prolapsed Umbilical Cord: If the umbilical cord is protruding from the vagina, the priority action is to insert a gloved hand into the vagina to relieve pressure on the cord.
Fetal Heart Rate Monitoring: Late decelerations on a monitor strip indicate uteroplacental insufficiency. The priority nursing action is to change the client's position or place them on their side.
Hyperventilation: If a client in the first stage of labor feels lightheaded with tingling fingers while using pattern-paced breathing, they should be assisted to breathe into a paper bag.
Fetal Positioning: Severe, prolonged labor accompanied by a backache is often associated with a persistent occiput posterior fetal position.
Onset of Labor: A surge of energy is a common sign that precedes the onset of labor.
Gestational Complications: Abruptio placentae places the client at risk for Disseminated Intravascular Coagulation (DIC), which may present as petechiae and bleeding at IV access sites.

Initial Assessment: A client $1$ hour postpartum with a large amount of lochia rubra and small clots, whose fundus is firm and midline at the umbilicus, should have findings documented and be monitored.
Vital Signs: A heart rate of $110\,BPM$ at $12$ hours postpartum is a finding that should alert the nurse to a potential complication.
Thrombosis Prevention: For a client who had a cesarean birth and has a history of blood clots, ambulation is the recommended intervention.
Psychosocial Assessment: At $3$ weeks postpartum, it is essential to ask a client if they have thoughts of harming the newborn to screen for postpartum depression.

Post-term Findings: A newborn delivered at $42.5$ weeks of gestation typically exhibits dry, cracked skin.
Temperature Regulation: Preterm newborns are placed in incubators because they lack adequate temperature control mechanisms and are at risk for cold stress.
Umbilical Cord Care: Instruct parents to give the newborn sponge baths until the umbilical cord stump falls off.
Reflex Testing: The Moro reflex is elicited by performing a sharp hand clap near the infant.
Birth Trauma: A caput succedaneum is a swollen area on the head that crosses the suture line, caused by the compression of blood vessels (often following vacuum-assisted birth).
SIDS Prevention: To prevent Sudden Infant Death Syndrome (SIDS), all extra blankets must be removed from the baby’s crib.
Airway Clearance: If a newborn has bubbling secretions in the nose and mouth, the nurse should suction the mouth first with a bulb syringe.

Magnesium Sulfate: When administering $Mg$ IV for preterm labor, the priority assessment is the maternal respiratory rate ( $RR$ ).
PKU (Phenylketonuria): Management requires a low protein diet. High protein foods, such as peanut butter, must be eliminated.
Hypoglycemia: In newborns, signs of jitteriness and sweating are indicators to obtain a blood glucose level. Infants of diabetic mothers and those with macrosomia are at high risk for hypoglycemia.
Jaundice: Early feeding (initiated within $4$ hours of birth) helps prevent jaundice. If a newborn’s skin appears yellow, it may indicate maternal-newborn blood group incompatibility.
Phototherapy: When a newborn is undergoing phototherapy, the application of lotion to the skin is contraindicated and requires intervention.
Hearing Screening: Newborns with a family history of deafness should receive routine hearing testing before discharge.
Small for Gestational Age (SGA): This condition is often associated with placental insufficiency.