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Nursing 1510 > Maternity > Flashcards

Maternity Flashcards

(101 cards)

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1
Q

A 28 year old client in active labor complain of cramps in her leg. What intervention should the nurse implement?

A

Extend the leg and dorsiflex the foot.

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2
Q

Dorsiflexing

A

pushing the sole of the foot or by sanding (If client is able) and putting the heel of the on the floor is the best means of relieving cramps.

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3
Q

Planning preconception care for a new female client. What info should the nurse provide?

A

Encourage healthy lifestyles for families desiring pregnancy.

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4
Q

Nursing preconception intervention?

A

healthy lifestyles targets an overall goal for a client preparing for pregnancy.

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5
Q

A client with total placenta previa is admitted. What is the most important finding to report to the provider?

A

Onset of uterine contractions because the client is risk for dilation and placental separation which causes painless hemorrhaging,

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6
Q

The most likely symptom for a pediatric client with AIDS is?

A

Persistent cold because the client has a decreased ability to defend the body of infections.

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7
Q

“My son is so jealous of my new baby daughter, I don know how I will ever mange both children t home” how should the nurse respond?

A

Regression in behaviors in the older child is a typical reaction so he needs attention at this time.

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8
Q

A woman who had miscarriage 6 months ago is pregnant again. What instruction should the nurse provide to this client?

A

Take prescribed multivitamin and mineral supplements. maintaining multivitamin supplements and a balanced diet is important because the spontaneous abortion may have le the woman nutritionally depleted.

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9
Q

“How do I know my baby is getting enough breast milk?” how should the nurse respond?

A

“You milk is sufficient if the baby is voiding straw colored urine 6-10 times a day. this is an indication that the infant is adequately hydrated.

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10
Q

A pregnant client ordered complete bed rest asks the nurse “Why do I have to stay in bed all the time?” what’s the nurses best response?

A

Complete bed rest decreases o2 needs and demands on the heart muscle tissue. this helps preserve cardiac reserves.

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11
Q

For a normal newborn when do the fontanels close?

A

Anterior at 12-18 months and posterior and the end of the second month.

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12
Q

breastfeeding teaching in a class of prospective parents. what instruction should the nurse include?

A

Feed the baby every 2-3 hours or in demand which ever comes first.

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13
Q

Autosomal dominant inheritance and the risk of transmission.

A

Each pregnancy carries a 50% chance of inheriting the disorder.

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14
Q

implementation of nursing action for a client with late decelerations.

A
  1. reposition the client
  2. Provide o2via face mask
  3. Increase IV fluids
  4. Call the healthcare provider
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15
Q

Ovulation usually occurs?

A

2 weeks before menstruation.

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16
Q

What action should the nurse implement when preparing to measure the fundal height?

A

Have the client empty her bladder. To accurately measure fundal height the bladder must be empty to avoid elevation of the uterus.

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17
Q

Erythema toxicum a pink popular rash with vesicles.

A

Is a newborn rash that is commonly referred to as “flea bites” but is a normal finding and should be documented in the patients chart.

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18
Q

The nurse should encourage the client to push when.

A

the cervix is completely dilated. (10 cm)

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19
Q

Third trimester painless vaginal bleeding.

A

Is a characteristic of placenta previa. diagnosis is confirmed by ultrasound.

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20
Q

Thrombocytopenia (low platelet count)

A

should be reported t the healthcare provider before epidural placement because of increased risk of bleeding.

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21
Q

Normal total bilirubin for a newborn

A

6-12 mg/dl after 1 day of life

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22
Q

The nurse is preparing to give an enema to a laboring client. which client requires the most caution when carrying out this procedure?

A

A 40 week primigravida who is at 6 cm and the presenting part is not engaged.

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23
Q

Terbutaline is given for a woman in preterm labor. what is the highes priority for the nurse to monitor?

A

Maternal and fetal heart rate. because terbutaline acts as a sympathomimetic agent that stimulates beta an beta 2 receptors and tachycardia is a side effect of the drug.

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24
Q

A mutigravidia client arrives and says her water broke. the nurse sees meconium and the feta heart rate is 140-150 what should the nurse do?

A

Complete a sterile vaginal exam and make sure there is not a prolapsed cord.

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25
which nursing interventions is most helpful in relieving postpartum uerine contractions (after pains)?
Lying prone with a pillow on the abdomen. lying prone keeps the fundus contracted and is especially useful with multiparas
26
"I saw the baby and she has a funny looking head" whats the nurses best response
that is normal the head will return to normal shape within 7-10 days
27
Herbal therapy during pregnancy.
Its important that the patient want to take part in her care through herbal therapy
28
What information can the nurse give an insulin dependent client to have a healthy baby?
Maintain blood sugar levels I a constant range within normal limits during pregnancy
29
During a NTS at weeks gestation the HR is 144 bpm what action should the nurse take?
Ask the client if she has felt any fetal movement.
30
What is the primary reason for implementing a client to empty her bladder q2h?
An over distended bladder could be traumatized during labor as well as prolong the progress of labor.
31
A full bladder during labor
impairs the efficiency of the uterine contractions and impede the descent of the fetus.
32
Pregnant clients with rheumatic fever
may develop mitral valve prolapse also may cause pedal edema, dyspnea, fatigue and a moist cough.
33
Caput succedaneum
edema of the fetal scalp that crosses over the suture lines and s caused by pressure on the fetal head against the cervix during labor. and will subside in a few days.
34
palpate the fundus
if a patient is saturated in blood after delivery a firm uterus is needed to control bleeding from the placental site of attachment on the uterine wall.
35
Alpha protein testing is recommended for which purpose?
screening for neural tube defects
36
Parent infant bonding
is based on a mutual relationship between parent and infant and is commonly established by the enface position.
37
A nurse observes a mother avoiding eye contact with her newborn. what action should the nurse take?
Observe the mother for other attachment behaviors.
38
use of lubricants
has the potential to affect fertility because some lubricants interfere with sperm motility.
39
A pregnant client has delivered premature twins, one full term baby, and no abortions. what is the GTPAL?
``` 3-1-1-0-3 G- the client has been pregnant 3 times including current pregnancy T- one full term baby P- one preterm pregnancy with twins A- abortion spontaneous or intentional L- living children total ```
40
Describe GTPAL
``` G- # of times pregnant T- full term babys P- preterm pregnancys A- abortion spontaneous or intentional L- living children total ```
41
magnesium sulfate toxicity
urine output less than 100ml/in 4 hours, absent DTRs, RR less than 12 breaths/min.
42
Which maternal behavior is the nurse most likely to see when a new mother receives her infant for the first time?
Her arms and hands receive the infant and she then traces the infant with her fingertips.
43
Attachment/Bonding theory
indicates that most mothers will demonstrate behaviors during the first behaviors with the newborn.
44
hyperclounus
overactive heel movement indicative of an impending convulsion.
45
positive sign of maternal bonding
mother rubbing her belly and talking to the baby even repremanding the baby
46
Medication for magnesium sulfate toxicity?
Calcium Gluconate
47
Nageles rule
1st day of LMP add 7days and 9 months
48
Adverse effect of Pitocin?
hyperstimulation
49
Nursing intervention for lower back pain during inducement of labor
Apply firm pressure to the sacral area
50
Equipment for a Amniotomy
1. sterile glove 2. amniotic hook 3. a doppler
51
Complaints of a postprocedure hysterosalpingography?
Shoulder pain- with patent tubes the dye/gas cause referred pain.
52
Stages of Lochia
Rubra (red) Serosa (pinkish) Alba (Whitish)
53
subinvolution
Uterus is not returning to its pre-pregnant state. Risk for infection
54
Childbirth preparation classes should be done?
At 30 weeks of gestation
55
A patient admitted and presents with signs of placenta abrupto what is happening
Monitor the patient for disseminated intramuscular coagulation and excessive bleeding.
56
Signs of placenta abruptio
- Dark red vaginal bleeding - Increased uterine irritability - A rigid abdomen
57
Epoetin alfa is prescribed for an infant what assessment finding indicates the drug is effective?
Changes in apical heart rate from the 180s to the 140s
58
A nurse should discontinue pitocin if which pattern of contractions occur?
During transition labor with contractions lasting 2 minutes lasting 90 seconds each
59
Mother who smoke vs. non-smokers tend to produce babies with?
lower birth weights
60
Similac Soy milk
Soy based formula that contains sucrose prescribed to babies with a lactose intolerance
61
When can a home based pregnancy test be used and accurate?
Right after first missed period
62
A pregnant woman with diabetes and has discontinued oral diabetic medication. what should the nurse implement?
Diet changes to improve and manage diabetes
63
Implementation of a mother who was unsuccessful breastfeeding with her first child but wants to try again, what should the nurse do?
Provide assistant to the mother to begin breastfeeding asap after delivery.
64
what type of emotional response should a nurse anticipate for a unmarried woman who had a spontaneous abortion at 8 weeks?
Grief related to perceptions about the loss of this child
65
32 week gestation hospitalized with PIH is given Mg sulfate what is a therapeutic level to be found with this patient?
A decrease in respiratory rate from 24 to 16
66
Magnesium sulfate
A CNS depressant and helps prevent siezures
67
A woman who gave birth 48 hours ago is bottle feeding her infant and the nurse walks in and see both breasts are swollen warm and firm upon palpation.
Apply cold compresses to both breasts to provide comfort.
68
An off duty nurse see a woman has just given birth in a parking lot.what intervention is the highest priority?
Put the infant to the breast to keep the uterus to contracting and prevent post par tum hemorrhage. Tieing off the umbilical cord is not the highest priority.
69
Knowledge deficit about the "large soft spot" on the babies head and anxiety related to the mother afraid to comb or stroke the babies head. What explanation can the nurse give the anxious client?
There is a strong, tough membrane that protects the babies head so you need not be afraid to groom the baby
70
The mother has a baby laying prone in the bassinet what teaching can the nurse give the patient?
Placing a baby prone anywhere is associated with SIDS and should be avoided.
71
A 23 year old woman is pregnant with her first child based in stats of infant mortality what education should the nurse provide?
Keep all prenatal visits because they are very important.
72
Client teaching is very important for the maternity nurses role. Whats the greatest influence on client teaching?
the clients readiness to learn
73
An infant is born to an HIV positive mother, and is admitted to the nursery. Whats intervention should the nurse perform?
Bathe the baby with antimicrobial soap.
74
August 2, 2006 was the first day of her LMP. Based on Nageles rule when is the expected date of delivery?
May 9th 2007
75
Methergine
is contraindicated with patients with elevated blood pressure
76
Cephalahematoma
accumulation of blood between the periosteum and the skull which does not cross the suture line in a newborn. that lasts up to 8 weeks.
77
What nursing intervention for "afterpains" uterine contractions after birth?
relaxation breathing techniques
78
When preparing a class for newborn care on expecting parents what content should the nurse explain about a full term infant?
Vernix is a white cheesy substance located in the skin fold of newborns
79
A patient receiving an epidural anestesia becomes nauseated and clammy. what intervention can the nurse perform first?
Raise the foot of the bed because it increases venous return to the vital areas. These symptoms are suggestive of hypotension
80
A laboring clients blood pressure drops from 120/80 to 90/60 what action should the nurse take?
Place the woman in a lateral position wedge hip with a pillow.
81
antepartum
occuring not long after childbirth
82
A client attending antepartum classes asks the nurse why her health care provider has prescribed her iron tablets. whats the nurses best response?
It is difficult to consume 18mg of additional iron alone
83
Terbutaline
raises blood sugar levels and cleints should be evaluated for DM before given.
84
Snack that's good for folic acid
Peanuts
85
Rh Negative prevention during pregnancy
Rh Negative mother ok for the first pregnancy but not for baby 2. Given at 28 weeks gestation to Rh negative mothers, is a blood product. given IM
86
Rogram
Prevention of isoimmunization with second pregnancy
87
Rubella
Do not get pregnant for 2 to 3 months
88
HIV babies
Need to be washed with antimicrobial soap and give meds as directed 6 hours later. Can be transmitted through breast milk.
89
Babies born to mother with herpes
Baby needs to be put in isolation, CNS abnormalities, cesearen birth
90
Hep B babies
Given a series of hep b vaccines to prevent trans of hep causing liver failure in newborns.
91
thermometer on the baby's abdomen
usually taken axillary or rectally 1/4-1/2 in in rectum. heat sensor is placed between xiphoid process and belly button
92
1 unit
1000 miliunits
93
husband calls
if this continues bring her into the psychiatric clinic after 2 weeks, do not disregard the husbands concerns
94
Just had the baby and is tired and didnt know having a baby was this hard
support system
95
Mastisitis
breast inflammation
96
Pitocin
Give immediatly after delivery to avoid a trapped placenta, monitor for vaginal bleeding and uterine tone.
97
Education for pregnant teens
nutrition and healthy lifestyles
98
Who is at risk
Woman and husband who are immagrants
99
coffee before OR
inform the anestesiologist
100
baby is eating and gets white curdyness in the mouth
thrush
101
Toxoplasmosis
cat feces and eating raw meat

Nursing 1510 (3 decks)

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